After gastric bypass surgery, there is an increased incidence of which substance use disorder?

Following gastric bypass surgery, there is a notable increase in the incidence of alcohol use disorder. This phenomenon can be attributed to several physiological and psychological factors that interact after the surgery.

One significant factor is the change in the body's metabolism post-surgery. Gastric bypass alters the way alcohol is absorbed in the body, leading to a more rapid onset of intoxication. Patients may experience feelings of euphoria much quicker due to this accelerated absorption, which can potentially lead to increased alcohol consumption to achieve those pleasurable effects. This shift can create a cycle where patients begin to rely more heavily on alcohol to feel good.

Moreover, individuals who undergo weight loss surgery are often addressing issues related to emotional eating and other coping mechanisms. After surgery, when food is restricted, some individuals may turn to alcohol as a substitute for their previous behaviors. This shift may stem from unresolved psychological issues or a lack of proper coping strategies post-surgery, increasing the risk of developing an alcohol use disorder.

Recognizing and addressing this increased risk is crucial in the care and support following bariatric surgery, as it links directly to both physical health and psychological well-being.