Alcohol and Other Substance Screening in Bariatric Surgery Candidates: Utility of Self-Report and Toxicology Tests, Including Ethyl-Glucoronide - Summary - MDSpire

Alcohol and Other Substance Screening in Bariatric Surgery Candidates: Utility of Self-Report and Toxicology Tests, Including Ethyl-Glucoronide

  • By

  • Silvia Cañizares

  • Laura Nuño

  • Pablo Barrio

  • Mireia Forner-Puntonet

  • Carolina Gavotti

  • Miquel Monràs

  • Patricia Gavín

  • Ricard Navinés

  • Lilliam Flores

  • Maite Barrios

  • Alba Andreu

  • Judit Molero

  • Amanda Jimenez

  • Josep Vidal

  • Anna Lligoña

  • March 12, 2025

  • 0 min

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Objective:

To assess the prevalence of risky drinking, alcohol use disorder (AUD), and other substance use in bariatric surgery (BS) candidates, and to compare these prevalences with those of the general Spanish population.

Key Findings:
  • 33% of participants met criteria for a current Axis I disorder, with major depressive disorder being the most common.
  • 4% of participants met criteria for alcohol abuse and 2% for dependence, with a higher prevalence in men.
  • 1% of participants met criteria for drug abuse and dependence.
  • 32% were prescribed antidepressants, 28% benzodiazepines, 17% opioids, and 5% antipsychotics.
Interpretation:

The study highlights a significant prevalence of risky drinking and mental health disorders among bariatric surgery candidates, indicating the need for thorough preoperative assessments to address these issues.

Limitations:
  • The study's sample size may limit the generalizability of the findings.
  • Self-reported data may be subject to bias, potentially affecting the accuracy of the prevalence rates.
Conclusion:

Preoperative screening for alcohol and substance use is crucial in bariatric surgery candidates to mitigate risks associated with surgery and postoperative outcomes.

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