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Obesity is a widespread health problem and Weight Loss Surgery (WLS) promotes the most weight reduction and health improvements in obese patients todate. However, many psychological problems such as problematic alcohol consumption or Alcohol Use Disorder (AUD) are observed in the treatment which follows after surgery. Prevalence rates indicate that up to 20% of WLS patients develop alcohol related problems and AUD after surgery. There are risk factors in both the surgical procedure itself and the post-surgical period, which could influence the emergence of AUD. The amount of alcohol consumption prior to surgery or the presence of eating disorders are among some other discussed risk factors, but a clear risk profile has not been formulated yet, and there is also a lack of proven developmental patterns for the post-surgical development of AUD in the bariatric patient. Existing explanatory models focus on unresolved psychological issues and a tendency towards external coping mechanisms, influencing the pre-surgical obese state and prompting the post-surgical development of AUD. Screening tools for AUD exist, but are not fully adapted on patients after WLS yet. Guidelines and treatment recommendations regarding AUD after Bariatric Surgery (BS) are still lacking. In our own practical experience, at the Center for Obesity and Metabolic Medicine in Winterthur, Switzerland, a long-term interdisciplinary treatment in a specialized center for bariatric patients, promoting a well established relationship with the medical staff and familiarity with the psychological counselors, has shown a positive effect towards the early detection and treatment of WLS patients with post-surgical AUD.

Problematic Alcohol Consumption After Bariatric Surgery - A Summary Of The Current State Of Research And Experiences From Practical Work