Psychological aspects of bariatric surgery

Abstract

Stemming from these findings, we suggest several directions to take for future research. With respect to psychiatric disorders, a closer examination of the effect of weight regain on related psychiatric comorbidities would prove valuable in determining the risk of disorder development. The mechanism by which the rate of alcohol consumption is altered following surgery has been proven elusive, and focusing further scrutiny on the differences in consumption between surgical procedures could prove useful in deciphering it. And with regards to eating disorders, a closer examination of both full diagnostic and less common eating disorders following bariatric surgery would be prudent.

Re-sleeve gastrectomy as revisional bariatric procedure after biliopancreatic diversion with duodenal switch

“…In our series, we identified 17 patients with weight regain at a median follow-up of more than 5 years In bariatric surgery, weight regain is a common problem [7,17,18]. Even after satisfactory weight loss, weight regain can occur if patients go back to bad eating habits and sedentary lifestyle [8,19]. The reasons for weight regain has to be thoroughly investigated.…”

“…Psychological disorders or changes in eating behavior have been correlated with changes in body weight, independent of the reported dietary intake and physical activity [8,19]. In cases of hyperphagia linked to a dilatated gastric sleeve, we offered patients re-SG after BPD-DS.…”

“…New dietary habits and patient adaptation to the new anatomic circuit are other frequent causes of weight regain [7]. Other reasons may be equally important factors such as excessive alcohol consumption, craving for sweets, fattening foods in general or dilatation of gastric restriction [7,8]. In BPD-DS, weight regain often results in nutritional consequences due to poor intestinal absorption caused by the exclusion of the jejunum from the alimentary tract and the short common channel [12,20,21].…”

“…The reasons for weight regain has to be thoroughly investigated. Evidence has been growing that psychological issues play an essential role [8]. New dietary habits and patient adaptation to the new anatomic circuit are other frequent causes of weight regain [7].…”

“…In these patients, a multidisciplinary approach is necessary to determine the contributive factors for weight regain [7]. The reevaluation includes a psychologist and a nutritionist that has to rule out any presence of a new mental disorder or dietary behavior [8]. Further examinations should also exclude the appearance of gastroesophageal reflux (GERD) or a possible dilation of the SG [9][10][11].…”