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Reduced caloric intake following small bowel bypass surgery: a systematic study of possible causes

Published online by Cambridge University Press:  09 July 2009

Robert G. Robinson ,
Marshal F. Folstein  and
Paul R. McHugh
Robert G. Robinson*
Affiliation:
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
Marshal F. Folstein
Affiliation:
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
Paul R. McHugh
Affiliation:
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
*
1Address for correspondence: Dr Robert G. Robinson, Department of Psychiatry, Phipps Clinic, Johns Hopkins Hospital, Baltimore, Maryland 21205, USA.
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Synopsis

Food intake, appetite and a variety of feelings were measured pre- and post-operatively in obese patients undergoing jejuno—ileal bypass surgery. Decreased food intake correlated closely with the amount of weight loss at both 4 and 30 months after surgery. Malabsorption correlated with weight loss at 4 months but not 30 months post-operatively. The cause of the decreased food intake is unknown and cannot be completely explained by either depression, nausea, malabsorption, liver disease, an attempt to avert diarrhoea, or decreased appetite.

Type
Research Article
Information
Psychological Medicine , Volume 9 , Issue 1 , February 1979 , pp. 37 - 53
Copyright
Copyright © Cambridge University Press 1979

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