Dumping=Aversion Therapy=Doesn't Work

[Deleted]

I've been saying for years that aversion therapy does not work. People who count on getting sick from dumping as a way to avoid "bad foods" are kidding themselves.

Here's a study that suggests as much:

Obesity Surgery
Volume 6, Number 6 (1996), 474-478, DOI: 10.1381/096089296765556368
The Influence of Dumping on Weight Loss After Gastric Restrictive Surgery for Morbid Obesity
Georgeann N Mallory, Alex M C Macgregor and Colleen S W Rand

Abstract
Background: The dumping syndrome that follows Roux-en-Y gastric bypass for morbid obesity is considered to be the primary mechanism of improved weight loss as compared with the purely restrictive vertical banded gastroplasty. To evaluate the influence of dumping on post-operative weight loss, severity of dumping was determined using Sigstad's clinical diagnostic index. Methods: One hundred and thirty seven gastric bypass and 19 gastroplasty patients were assessed 18-24 months following surgery. Sigstad's criteria for the dumping syndrome were met by 75.9% of gastric bypass and no gastroplasty patients. Among gastric bypass patients, no relationships were found between severity of dumping and weight loss, as measured by per cent of excess body weight loss or change in body mass index. Weight loss was significantly greater with gastric bypass than gastroplasty patients (72.5 compared to 47.9% of excess body weight loss). All gastroplasty and 24.1% of gastric bypass patients were classified as nondumpers. The difference in weight loss between surgical procedures was not related to dumping: gastric bypass non-dumpers lost significantly more weight (69.1% excess body weight loss) than gastroplasty patients. Conclusions: This study fails to demonstrate a significant relationship between dumping severity and weight loss. It is inferred that the superior weight loss of gastric bypass compared to gastroplasty has some other etiology.

www.springerlink.com/content/n7547843x5366l40/

[pktwatch]

I actually attended a DS support group where a woman stated that she got the DS because she was afraid that with the Roux-en-Y she may not dump and therefore would not loose weight.......

[So Blessed]

It works with me for some things. Others, not so much. The thing is, you can regain weight overeating ANYthing, not just the foods that would make you dump. Counting on dumping to make you avoid eating is just not a good strategy.

[larra]

This has been known for years, as attested to by the date of that article and the fact that they used VBG as a comparison group - an operation with such poor success rates that it is no longer considered standard of care.
Honest RNY surgeons will tell their pre-ops that dumping is NOT a weight loss tool, it is an unpleasant side effect that they might or might not experience. People learn what foods, if any, cause them to dump, how much will trigger it, etc., and work around it. And as So Blessed said, with RNY you can regain weight overeating anything.

Larra

[hala2215]

The dumping and RH works for me. I hate to be sick. I hate that with passion and my body remembers. Some foods that make me sick - I don't like anymore. It doe snot bother me they are in the house, or when others eating that in front of me. 5 min pleasure may be followed by 1 to a few days pain and discomfort. Not for me.
But I know people who will eat things even though they know they will get sick after.

[Paula]

I lived with an RNY for 12 years and I was part of the percentage who never dumped. There is no guarantee it will happen for a person, so using this as a basis for deciding a surgery is a bad idea in my honest opinion.