Functional bowel disorders among bariatric surgery candidates before and after surgery: A prospective cohort study
Background: Functional bowel disorders (FBDs), including irritable bowel syndrome (IBS), are common worldwide. Recently, increasingly many bariatric surgical procedures have been performed in response to rising obesity rates. However, data on the association between FBDs and bariatric surgery are sc...
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| Format: | Article |
| Language: | English |
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Society of Gastrointestinal Intervention
2024-01-01
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| Series: | International Journal of Gastrointestinal Intervention |
| Subjects: | |
| Online Access: | https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii230045 |
| _version_ | 1797338141355409408 |
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| author | Sharif Yassin Noa Sori Ophir Gilad Mati Shnell Relly Richer Nir Bar Yishai Ron Nathaniel Aviv Cohen Subhi Abu-Abeid Danit Dayan Shai Meron Eldar Shira Zelber-Sagi Sigal Fishman |
| author_facet | Sharif Yassin Noa Sori Ophir Gilad Mati Shnell Relly Richer Nir Bar Yishai Ron Nathaniel Aviv Cohen Subhi Abu-Abeid Danit Dayan Shai Meron Eldar Shira Zelber-Sagi Sigal Fishman |
| author_sort | Sharif Yassin |
| collection | DOAJ |
| description | Background: Functional bowel disorders (FBDs), including irritable bowel syndrome (IBS), are common worldwide. Recently, increasingly many bariatric surgical procedures have been performed in response to rising obesity rates. However, data on the association between FBDs and bariatric surgery are scarce. We examined the prevalence of FBDs among candidates for bariatric surgery and prospectively investigated the association between FBDs and bariatric surgery. Methods: This prospective cohort study included 112 bariatric surgery candidates at the Tel Aviv Medical Center from 2019 to 2020. Before and after surgery, patients completed the Rome III questionnaire. Data regarding demographics, socioeconomic status, and gastrointestinal symptoms were recorded. The rates of FBDs—IBS, functional constipation (FC), functional diarrhea (FDi), and unspecified functional bowel disorder (UFBD)—were then compared from before surgery to 6 months after the procedure. Results: Of 112 candidates with obesity at baseline, 68 underwent surgery and completed the postoperative questionnaire. Overall, the respective prevalence rates of FBDs, IBS, FC, FDi, and UFBD were 37.5%, 2.7%, 17.9%, 5.4%, and 11.6%. Female sex and single status were particularly common among patients with FBDs, whereas divorced status was more frequent in the group without FBDs. However, these factors were not independently associated with FBD presence upon multivariable analysis. IBS was more prevalent after surgery than before (8.8% vs. 1.5%, P = 0.06), but FBDs in general did not share this trend (44.1% vs. 36.8%, P = 0.44). Conclusion: Bariatric surgery appears to increase the risk of developing IBS, while not impacting the overall risk of FBDs. |
| first_indexed | 2024-03-08T09:26:43Z |
| format | Article |
| id | doaj.art-32488994cc3a4967a9c94ad4d2c04632 |
| institution | Directory Open Access Journal |
| issn | 2636-0004 |
| language | English |
| last_indexed | 2024-03-08T09:26:43Z |
| publishDate | 2024-01-01 |
| publisher | Society of Gastrointestinal Intervention |
| record_format | Article |
| series | International Journal of Gastrointestinal Intervention |
| spelling | doaj.art-32488994cc3a4967a9c94ad4d2c046322024-01-31T08:00:27ZengSociety of Gastrointestinal InterventionInternational Journal of Gastrointestinal Intervention2636-00042024-01-01131162210.18528/ijgii230045ijgii230045Functional bowel disorders among bariatric surgery candidates before and after surgery: A prospective cohort studySharif Yassin0Noa Sori1Ophir Gilad2Mati Shnell3Relly Richer4Nir Bar5Yishai Ron6Nathaniel Aviv Cohen7Subhi Abu-Abeid8Danit Dayan9Shai Meron Eldar10Shira Zelber-Sagi11Sigal Fishman12Bariatric Endoscopy Service, Department of Gastroenterology and Liver Diseases, Tel Aviv Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv-Yafo, IsraelDepartment of Nutrition, Health and Behavior, Faculty of Public Health, Haifa University, Haifa, IsraelBariatric Endoscopy Service, Department of Gastroenterology and Liver Diseases, Tel Aviv Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv-Yafo, IsraelBariatric Endoscopy Service, Department of Gastroenterology and Liver Diseases, Tel Aviv Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv-Yafo, IsraelBariatric Endoscopy Service, Department of Gastroenterology and Liver Diseases, Tel Aviv Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv-Yafo, IsraelNeurogastroenterology and Motility Service, Department of Gastroenterology and Liver Diseases, Tel Aviv Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv-Yafo, IsraelNeurogastroenterology and Motility Service, Department of Gastroenterology and Liver Diseases, Tel Aviv Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv-Yafo, IsraelBariatric Endoscopy Service, Department of Gastroenterology and Liver Diseases, Tel Aviv Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv-Yafo, IsraelBariatric Surgery Unit, Division of General Surgery, Tel Aviv Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv-Yafo, IsraelBariatric Surgery Unit, Division of General Surgery, Tel Aviv Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv-Yafo, IsraelBariatric Surgery Unit, Division of General Surgery, Tel Aviv Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv-Yafo, IsraelDepartment of Nutrition, Health and Behavior, Faculty of Public Health, Haifa University, Haifa, IsraelBariatric Endoscopy Service, Department of Gastroenterology and Liver Diseases, Tel Aviv Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv-Yafo, IsraelBackground: Functional bowel disorders (FBDs), including irritable bowel syndrome (IBS), are common worldwide. Recently, increasingly many bariatric surgical procedures have been performed in response to rising obesity rates. However, data on the association between FBDs and bariatric surgery are scarce. We examined the prevalence of FBDs among candidates for bariatric surgery and prospectively investigated the association between FBDs and bariatric surgery. Methods: This prospective cohort study included 112 bariatric surgery candidates at the Tel Aviv Medical Center from 2019 to 2020. Before and after surgery, patients completed the Rome III questionnaire. Data regarding demographics, socioeconomic status, and gastrointestinal symptoms were recorded. The rates of FBDs—IBS, functional constipation (FC), functional diarrhea (FDi), and unspecified functional bowel disorder (UFBD)—were then compared from before surgery to 6 months after the procedure. Results: Of 112 candidates with obesity at baseline, 68 underwent surgery and completed the postoperative questionnaire. Overall, the respective prevalence rates of FBDs, IBS, FC, FDi, and UFBD were 37.5%, 2.7%, 17.9%, 5.4%, and 11.6%. Female sex and single status were particularly common among patients with FBDs, whereas divorced status was more frequent in the group without FBDs. However, these factors were not independently associated with FBD presence upon multivariable analysis. IBS was more prevalent after surgery than before (8.8% vs. 1.5%, P = 0.06), but FBDs in general did not share this trend (44.1% vs. 36.8%, P = 0.44). Conclusion: Bariatric surgery appears to increase the risk of developing IBS, while not impacting the overall risk of FBDs.https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii230045bariatric surgeryirritable bowel syndromeobesityrisk factors |
| spellingShingle | Sharif Yassin Noa Sori Ophir Gilad Mati Shnell Relly Richer Nir Bar Yishai Ron Nathaniel Aviv Cohen Subhi Abu-Abeid Danit Dayan Shai Meron Eldar Shira Zelber-Sagi Sigal Fishman Functional bowel disorders among bariatric surgery candidates before and after surgery: A prospective cohort study International Journal of Gastrointestinal Intervention bariatric surgery irritable bowel syndrome obesity risk factors |
| title | Functional bowel disorders among bariatric surgery candidates before and after surgery: A prospective cohort study |
| title_full | Functional bowel disorders among bariatric surgery candidates before and after surgery: A prospective cohort study |
| title_fullStr | Functional bowel disorders among bariatric surgery candidates before and after surgery: A prospective cohort study |
| title_full_unstemmed | Functional bowel disorders among bariatric surgery candidates before and after surgery: A prospective cohort study |
| title_short | Functional bowel disorders among bariatric surgery candidates before and after surgery: A prospective cohort study |
| title_sort | functional bowel disorders among bariatric surgery candidates before and after surgery a prospective cohort study |
| topic | bariatric surgery irritable bowel syndrome obesity risk factors |
| url | https://www.ijgii.org/journal/view.html?doi=10.18528/ijgii230045 |
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