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04:50
An Acupoint Catgut-embedding Therapy for Treating Obesity
Published on: April 4, 2025
Obesity as a defense mechanism.
Justin Faden1, Douglas Leonard, John O'Reardon
1University of Medicine and Dentistry of New Jersey - School of Osteopathic Medicine, 2250 Chapel Avenue, Suite 100, Cherry Hill, NJ 08002, United States.
International Journal of Surgery Case Reports
|December 4, 2012
Summary
Past abuse history can significantly impact obesity and bariatric surgery outcomes. Early psychiatric screening and integrated care are crucial for managing psychosomatic symptoms and ensuring patient well-being post-surgery.
Area of Science:
- Psychiatry
- Bariatric Surgery
- Obesity Research
Background:
- Rising rates of obesity and bariatric surgery necessitate exploring psychosocial factors.
- Past abuse is an increasingly recognized contributor to obesity.
Purpose of the Study:
- To investigate the impact of past abuse on a patient's post-bariatric surgery recovery.
- To highlight the role of psychiatric evaluation in managing psychosomatic symptoms after gastric bypass.
Main Methods:
- Case study of a 37-year-old female post-laparoscopic Roux-en-Y gastric bypass with intractable nausea and vomiting.
- Psychiatric consultation for psychosomatic etiology evaluation after ruling out medical causes.
- Utilized brief psychodynamic psychotherapy and pharmacotherapy.
Main Results:
- Patient revealed a history of teen date rape leading to significant weight gain and obesity.
- Symptoms resolved following psychiatric intervention and medical workup.
- Patient remained asymptomatic at a 2-month follow-up.
Conclusions:
- Screening for abuse history with tools like the Weight and Lifestyle Inventory (WALI) is recommended pre-surgery.
- Individuals with abuse history require thorough screening and integrated psychiatric follow-up care.
- Psychiatric involvement is a valuable adjunctive treatment during the medical workup phase.
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