Cambio en el patrón de consumo de sustancias posterior a cirugía bariátrica: presentación de un caso clínico / Changes in the pattern of substance use after bariatric surgery: report of one case
Rev. méd. Chile
;
143(1): 116-119, ene. 2015.
Article
in Spanish
| LILACS
| ID: lil-742560
ABSTRACT
Even though the benefits of bariatric surgery are supported by scientific evidence, its indications and contraindications must be revised to avoid its indiscriminate use. Substance use is more common in patients subjected to bariatric surgery than in the general population. After surgery, an increase in alcohol abuse has been reported. We report a 41 years old male, with morbid obesity, alcohol and cocaine use. After bariatric surgery, his alcohol tolerance significantly decreased, increasing the doses of cocaine and starting to consume it without alcohol. His high anxiety level and paranoid delusions, motivated him to seek help in a rehabilitation center where a Substance Dependence Disorder was diagnosed and received initial treatment. The cause of this adverse effect needs further research. Functional and anatomic changes in the digestive tract lead to a greater alcohol absorption and reduced alcohol dehydrogenase activity. Also neurochemical alterations may produce a displacement from compulsive use of food to compulsive use of addictive substances.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Biomarkers
/
Cognition Disorders
/
Cognitive Reserve
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2015
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Instituto Médico Schilkrut/CL
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