减肥手术后的酒精使用障碍:叙述性审查
Farhana Nazmin1, Sasidhar Gunturu2, Sanobar Jaka3
1Department of Psychiatry, Bronx Care Health System, New York, NY 10457, USA.
Actas espanolas de psiquiatria
|May 12, 2025
概括
腹部外科手术患者面临酒精使用障碍 (AUD) 的风险增加,较高的敏感性和较早的症状发作. 术前查和干预对于管理这种风险至关重要.
科学领域:
- 腹部外科 腹部外科
- 成 药物 药物 药物 药物
- 胃肠病学 胃肠病学
背景情况:
- 减肥手术在治疗肥胖症方面越来越常见.
- 新出现的证据表明,减肥手术与酒精使用障碍 (AUD) 之间存在联系.
- 了解手术后的AUD风险因素和表现非常重要.
研究的目的:
- 为了确定减肥手术后酒精使用障碍 (AUD) 的发生率.
- 确定AUD风险增加的风险因素和具体表现,包括酒精敏感性和早期症状发作.
主要方法:
- 根据PRISMA指南进行了系统审查.
- 在PubMed,Google Scholar,Cochrane和Science.gov上搜索2013年至今出版的英语文章.
- 十一项涉及成年减肥手术患者,有酒精消费史的研究符合纳入标准.
主要成果:
- 研究结果表明,腹腔外科手术后AUD的风险增加,特别是在袖子胃切除和Roux-en-Y胃旁路手术后.
- 强有力的证据表明,手术后酒精敏感性增加和AUD症状较早出现.
- 这些变化可能会导致显著的潜在健康影响.
结论:
- 综合性手术前评估对于识别患有AUD风险的患者至关重要.
- 应为患有AUD风险的减肥手术患者开发和实施量身定制的干预措施.
- 需要进一步的研究,以充分理解和减轻腹腔术后的AUD.
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