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Binge Eating Disorder and Obesity: Surgery Treatment Secondary Option
Bypass or Banding Surgery to Treat Types of Bingeing EDNOS
Binge Eating Disorder and Obesity
Binge eating disorder was included in the DSM IV as a proposed diagnostic category for further study and as an example for an eating disorder not otherwise specified (EDNOS).
Recurrent Episodes of Bingeing
Binge eating disorder is characterized by recurrent episodes of binge eating in the absence of regular compensatory behavior such as vomiting or laxative abuse. Related features include eating until uncomfortably full, eating when not physically hungry, eating alone and feelings of depression or guilt.
Psychopathology of Bingeing
Binge eating disorder is associated with increased psychopathology including depression and personality disorders. Although Binge eating disorder is not limited to obese individuals, it is most common in this group and those who seek help do so for treatment of overweight rather than for binge eating. In community samples, the prevalence of Binge eating disorder has been found to be 2-5%, in individuals who seek weight control treatment the prevalence is 30%. Binge eating disorder is more equal in gender ratio than bulimia nervosa. Eating disorder treatments such as cognitive behavior therapy (CBT) or interpersonal psychotherapy (IPT) improve binge eating with abstinence rates of about 50%. Anti-depressants are also effective in reducing binge eating, though less so than psychotherapy. Standard weight loss treatments including bariatric surgery do not seem to exacerbate binge eating problems. Thus, both eating disorder and obesity treatments seem to be beneficial in Binge eating disorder.
Bariatric Surgery Secondary Option
However, it is recommended today that treatment should first be directed at the disordered eating and associated psychopathology.
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Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2017 Bariatric-Surgery.Info - Terms - Contact - Information - Resources