SIG Greatest Hits: TLM 2025-Clinical Practice SIG: Weight Loss Surgery and Alcohol, A Dangerous Liaison?

Clinical Practice SIG: Weight Loss Surgery and Alcohol, A Dangerous Liaison?

Video Transcription

Video Summary

Dr. Doreen Sharaeha, an expert in pediatric endoscopy and obesity, discussed bariatric surgery and endoscopic sleeve gastroplasty (ESG) for weight loss. Bariatric surgeries like Roux-en-Y gastric bypass provide durable weight loss and metabolic improvements but increase alcohol use disorder risk two to sevenfold, peaking 2-3 years post-surgery. ESG, a less invasive endoscopic procedure approved by the FDA, provides significant, lasting weight loss without increased alcohol disorder risk. Alcohol sensitivity increases post-surgery due to altered anatomy and metabolism but remains unchanged after ESG. Regular post-procedure monitoring using questionnaires and liver fibrosis assessments is crucial for early detection and management.

Asset Subtitle

Part of the Obesity and Addiction Medicine in Liver Disease Course. Talk delivered by Dr. Reem Sharaiha.

Keywords

bariatric surgery

endoscopic sleeve gastroplasty

weight loss

alcohol use disorder

post-procedure monitoring