Bariatric surgery: a viable treatment option for patients with severe mental illness
Bariatric surgery: a viable treatment option for patients with severe mental illness
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DOI：
10.1016/j.soard.2015.05.016
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发表时间：
2015-11-01
影响因子：
3.1
通讯作者：
Stout, Rebecca A.
中科院分区：
文献类型：
--
作者：
Shelby, Sarah R.;Labott, Susan;Stout, Rebecca A.
背景资料：虽然减肥手术已成为公认的治疗肥胖，其效用与严重的精神疾病患者尚未得到广泛的研究。一些研究报告了这些患者类似的减肥结果，但对减肥手术后的精神状态的研究很少，并且尚不清楚精神疾病的恶化是否会影响体重减轻。目的：本研究的目的是进一步阐明严重精神疾病和减肥手术的问题。具体来说，诊断为精神分裂症、双相I型和双相II型的患者在减肥手术后的体重减轻结果是否比普通减肥手术人群差？此外，这些诊断的患者在减肥手术后是否会经历精神症状的加重，如果是这样，这些疾病的加重是否与较差的减肥结果有关？设定：方法：对中西部大学医学中心的大约1500名肥胖症患者的病历进行回顾，以确定诊断为精神分裂症、双相I型和双相II型的患者。信息收集减肥手术的结果和精神状态postsurgery.Results的变化：18例患者被确定为接受减肥手术，并有精神分裂症的诊断，双相I，或双相II体重减轻在这组是显着的，可与预期的结果绝对体重减轻，体重指数的变化，并在典型的减肥人群中的患者的百分比多余的体重减轻。10例患者的术后精神状态已知。所有10例患者都经历了一些精神问题的恶化，但体重减轻的结果仍然如expected.Conclusion：减肥手术是一个可行的肥胖治疗选择精神分裂症，双相I，双相II障碍患者。术后出现症状加重，但尚不清楚这些是由于手术所致还是在正常病程中发生。(C)2015年美国肥胖外科学会。爱思唯尔公司出版All rights reserved.
Background: Although bariatric surgery has become a recognized treatment for obesity, its utility among patients with severe psychiatric disorders has not been extensively studied. A few studies have reported similar weight loss outcomes in these patients, but psychiatric status after bariatric surgery has been studied only minimally, and it is unknown if exacerbation of the mental illness affects weight loss.Objectives: The aim of this study was to shed greater light on the issue of serious mental illness and bariatric surgery. Specifically, do patients with a diagnosis of schizophrenia, bipolar I, and bipolar II have poorer weight loss outcomes postbariatric surgery than the general bariatric surgery population? Also, do patients with these diagnoses experience an exacerbation of psychiatric symptoms after bariatric surgery, and if so, is the exacerbation of these disorders linked to poorer weight loss results?Setting: Midwest university medical center.Methods: A medical record review of approximately 1500 bariatric patients in a Midwest university medical center was conducted to identify those patients with diagnoses of schizophrenia, bipolar I, and bipolar II. Information was gathered on bariatric surgery outcomes and changes in psychiatric status postsurgery.Results: Eighteen patients were identified as undergoing bariatric surgery and having a diagnosis of schizophrenia, bipolar I, or bipolar II Weight loss in this group was significant and comparable to expected outcomes of absolute weight lost, changes in body mass index, and percentage excess weight loss for patients in the typical bariatric population. Postsurgery psychiatric status was known on 10 patients. All 10 patients experienced some exacerbation of psychiatric problems yet weight loss outcomes were still as expected.Conclusion: Bariatric surgery is a viable obesity treatment option for patients with schizophrenia, bipolar I, and bipolar II disorders. Symptom exacerbations occurred postsurgery, although it is not clear if these were due to the surgery or would have occurred in the normal course of the illness. (C) 2015 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.