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Marijuana and Bariatric Surgery.
Allyson Diggins1, Leslie Heinberg2
1Cleveland Clinic Bariatric & Metabolic Institute, 9500 Euclid Ave, Cleveland, OH, 44195, USA. diggina@ccf.org.
Current Psychiatry Reports
|January 12, 2021
Summary
Marijuana use does not increase short-term bariatric surgery risks or affect initial weight loss. However, it may complicate pain management, eating behaviors, and long-term weight maintenance.
Area of Science:
- Bariatric Surgery
- Cannabinoid Research
- Surgical Outcomes
Background:
- Marijuana use is increasingly prevalent.
- Its impact on bariatric surgery outcomes requires careful evaluation.
Purpose of the Study:
- To review current evidence on marijuana use and bariatric surgery outcomes.
- To identify risks and benefits associated with pre-operative marijuana consumption.
Main Methods:
- Literature review of recent studies.
- Analysis of short-term and long-term outcomes in marijuana users versus non-users.
Main Results:
- No increased short-term complications or significant differences in 2-year weight loss observed.
- Increased risks identified in pain management and problematic eating behaviors.
- Preoperative marijuana use linked to increased postoperative use, potentially hindering weight loss.
Conclusions:
- Marijuana use is not an absolute contraindication for bariatric surgery.
- Individualized assessment considering state laws, usage patterns, and administration route is crucial.
- Further research is needed to address unanswered questions regarding long-term effects.
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