This scoping review summarizes current evidence with regard to the impact of bariatric surgery on psychological health in adults with obesity. While a large body of evidence reports major metabolic benefit and improved quality of life, there is also ample evidence suggesting an increased incidence of self-harming behavior, a greater likelihood of developing an alcohol problem and higher rates of completed suicide among bariatric patients. Being able to identify the "at risk" patient population requires more longitudinal research into the risk factors for psychological complications after bariatric surgery. Bariatric surgery remains an extremely valuable long-term treatment option for managing obesity; however, there is a need to invest in mitigating psychological complications after the surgery, such as depression, alcohol consumption, and other self-harming behaviors.
Seven years post-RYGB, patients reported a significant improvement of physical health and higher satisfaction with daily life, but not with social relationships or sexual performance. Eating behavior post-RYGB was more influenced by external cues.
ResumenIntroducción: Habitualmente el carcinoma microcítico de pulmón (oat-cell) debuta con sintomatología respiratoria y/o hallazgos radiológicos pulmonares. Caso clínico:El caso clínico presentado muestra un paciente con una masa craneal metastásica y síndrome de compresión medular como debut de un oat-cell pulmonar. Conclusiones:Es necesario un alto índice de sospecha clínica para detectar precozmente los carcinomas microcíticos de pulmón en estadío limitado. Sin embargo, casos como el aportado reflejan el comportamiento agresivo del mismo con un elevado porcentaje de estadíos diseminados al diagnóstico y elevada morbimortalidad.
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