Alcohol to Blame: Weight Regain After Bariatric Surgery

Instructor, Department of Medicine, Division of Endocrinology, Diabetes, and Metabolism, Weill Cornell Medicine, New York, NYAssistant Chief of Clinical Affairs, Division of Endocrinology, Diabetes and Metabolism, Weill Cornell New York Presbyterian, New York, NYServe as a consultant for: GI DynamicsA 50-year-old woman with a history of class 3 obesity, gastroesophageal reflux disease , prediabetes, metabolic dysfunction–associated steatotic liver disease, asthma, and depression returns to our...

The patient reported increased nighttime consumption of alcohol including vodka, wine, and beer of over 20 drinks per week for the past 2 years. Her laboratory profile showed an elevated fasting glucose level , an elevated gamma-glutamyltransferase level, and iron deficiency anemia. She admitted to regularly missing doses of postbariatric vitamins and minerals.The American Society for Metabolic and Bariatric Surgery recommends screening for alcohol intake both before and after MBS.

Evidence in humans is still limited, with only one published randomized controlled trial to date. In the 26-week study, weekly exenatide was not superior to placebo in reducing the number of heavy drinking days in patients with AUD who also received cognitive-behavioral therapy. An exploratory analysis in a subgroup of patients withLiraglutide was chosen for this patient because of the established efficacy for this agent in patients with a history of MBS.

Obesity Surgery Weight Loss Surgery Obesity Obese Weight Management GLP-1 Receptor Agonists Glucagon-Like Peptide-1 Receptor Agonists Surgery Gastroesophageal Reflux Disease GERD Acid Reflux Disease Gastroesophageal Reflux Gastro-Oesophageal Reflux Disease Gastro-Oesophageal Reflux Weight Loss Diabetes Mellitus Type 2 Diabetes Mellitus Type Ii Type 2 Diabetes

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