腹腔外科手术在患有情绪障碍的患者中的疗效
Daniel Praise M Mowoh1, Rachel Cole2, Shravan Sarvepalli3
1University Hospitals Cleveland Medical Center, Cleveland, OH.
Surgery
|January 3, 2024
概括
患有情绪障碍的患者在减肥手术后获得类似的体重减轻,与没有的患者相比. 这项研究表明,情绪障碍不会对减肥手术结果产生负面影响或增加死亡率,这表明它们不应该阻止患者接受减肥手术.
科学领域:
- 腹部外科手术的结果
- 肥胖和心理健康 肥胖和心理健康
- 代谢和腹部手术的代谢和腹部手术
背景情况:
- 情绪障碍在肥胖患者中很常见,影响高达54.8%的适合减肥手术的患者.
- 情绪障碍对减肥手术成功的影响尚不清楚.
- 肥胖症中情绪障碍的流行需要了解它们对手术结果的影响.
研究的目的:
- 评估情绪障碍对指数减肥手术后减肥结果的影响.
- 为了确定预先存在的情绪障碍是否会影响减肥手术的疗效.
- 评估腹患者情绪障碍和术后结果之间的关系.
主要方法:
- 对775名接受指数减肥手术 (2016-2018) 的患者进行了回顾性研究.
- 通过ICD-10编码和DSM-5标准识别的情绪障碍 (抑郁,双极性情绪).
- 主要结果:身体质量指数 (BMI) 在4年的变化;次要结果:死亡率和自杀率.
主要成果:
- 情绪障碍患者 (n=295) 和对照患者 (n=480) 之间的BMI减少没有显著差异.
- 平均BMI变化相当于:情绪障碍组的37.63 (SD=9.88) 与对照组的38.72 (SD=9.54) (P=0.1634) 相比.
- 死亡率在两组之间没有显著差异.
结论:
- 情绪障碍不会阻碍索引减肥手术后的成功减肥.
- 患有情绪障碍的患者的体重减轻和死亡率与没有情绪障碍的患者相似.
- 情绪障碍不应该是减肥手术的禁忌.
相关概念视频
Binge Eating Disorders
70
Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
70
Antidepressant Drugs: MAOIs and Other Agents
239
Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
239
Psychosurgery
56
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
56
Mania and Antimanic Drugs: Overview
186
Mania, a psychological condition characterized by elevated mood, increased energy, and reduced sleep need, is part of the bipolar disorder cycle. The exact cause of mania isn't entirely known, but it is thought to be a combination of genetic, environmental, and neurological factors. Bipolar disorder involves alternating manic and depressive episodes. Mood stabilizers like lithium, antipsychotics, and anticonvulsants help manage these episodes. Lithium carbonate is particularly effective as...
186
Bulimia Nervosa
83
Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
83
Bipolar Disorder
67
Bipolar disorder is a chronic mental health condition marked by significant mood fluctuations, including episodes of mania and depression. Elevated energy levels, heightened mood or irritability, impulsive behavior, reduced sleep needs, rapid speech, racing thoughts, inflated self-esteem, and distractibility characterize mania. Individuals with bipolar disorder often alternate between depressive and manic states, with periods of emotional stability lasting an average of six months to a year.
67


