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Obesity and co-morbid psychiatric disorders as contraindications for bariatric surgery?-A case study
C Peterhänsel1, B Wagner1, A Dietrich2
1University Hospital Leipzig, Clinic for Psychosomatic Medicine and Psychotherapy, Semmelweisstraße 10, 04103 Leipzig, Germany; Leipzig University Medical Center, Integrated Research and Treatment Center (IFB) AdiposityDiseases Germany, Philipp-Rosenthal-Str. 27 (Rotes Haus, M), 04103 Leipzig, Germany.
Introduction:
Many patients undergoing bariatric surgery report current or past psychiatric disorders and controversy exists regarding their outcome after bariatric surgery.
Presentation Of Case:
We present a case of an obese patient with a borderline personality disorder, a recurrent depressive disorder, post-traumatic stress symptoms and binge eating episodes who underwent bariatric surgery.
Discussion:
Although the psychiatric disorders remained, the procedure contributed to an improvement of the health status and well-being of the patient. Adequate psychological care after the surgical procedure is necessary to enable a long-term stabilization of patients with mental co-morbidities.
Conclusion:
Patients with psychiatric co-morbidities should not be excluded from the procedure if adequate post-operative support is provided.
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