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2.
Obes Surg ; 17(9): 1220-5, 2007 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-18074498

RESUMO

BACKGROUND: NICE guidelines state that patients with psychological contra-indications should not be considered for bariatric surgery, including Laparoscopic Adjustable Gastric Banding (LAGB) surgery as treatment of morbid obesity, although no consistent correlation between psychiatric illness and long-term outcome in LAGB has been established. This is to our knowledge the first study to evaluate long-term outcomes in LAGB for a full range of DSM-IV defined psychiatric and eating disorders, and forms part of a research portfolio developed by the authors aimed at defining psychological predictors of bariatric surgery in the short-, medium- and long-term. METHODS: Case notes of 37 subjects operated on between April 1997 and June 2000, who had undergone structured clinical interview during pre-surgical assessment to yield diagnoses of mental and eating disorders according to DSM-IV criteria were analyzed according to a set of operationally defined criteria. Statistical analysis was carried out to compare those with a poor outcome and those considered to have a good outcome in terms of psychiatric profile. RESULTS: In this group of mainly female, Caucasian subjects, ranging in age from 27 to 60 years, one-third were diagnosed with a mental disorder according to DSM-IV criteria. The development of postoperative DSM-IV defined binge eating disorder (BED) or depression strongly predicted poor surgical outcome, but pre-surgical psychiatric factors alone did not. CONCLUSION: Although pre-surgical psychiatric assessment alone cannot predict outcome, an absence of preoperative psychiatric illness should not reassure surgeons who should be mindful of postoperative psychiatric sequelae, particularly BED. The importance of providing an integrated biopsychosocial model of care in bariatric teams is highlighted.


Assuntos
Transtornos da Alimentação e da Ingestão de Alimentos/epidemiologia , Gastroplastia/métodos , Gastroplastia/psicologia , Laparoscopia , Transtornos Mentais/epidemiologia , Complicações Pós-Operatórias/epidemiologia , Adulto , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Tempo , Resultado do Tratamento
4.
Obes Surg ; 15(2): 261-5, 2005 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-15802071

RESUMO

BACKGROUND: Non-compliant patients fail to match their behavior to the clinical prescription. Laparoscopic adjustable gastric banding requires strict compliance with surgical and dietary advice. Failure to attend follow-up appointments and the persistent consumption of calorie-dense liquid foods are associated with poor weight loss and postoperative complications. Prediction of "poor compliers" would enhance candidate selection and enable specific interventions to be targeted. METHODS: 9 poor compliers were identified and compared with 9 fully compliant controls. Case-notes were analyzed retrospectively. RESULTS: Cases were found to graze on foods and eat more in response to negative affects. They were reluctant to undergo psychiatric assessment, viewed the band as responsible for weight loss, and aroused caution in the psychiatric evaluator. Poor compliance was not associated with binge eating, purging, impulsivity or psychiatric illness. CONCLUSIONS: Unrealistic expectations and anxiety are known to predict non-adherence. Constant negative affects may be self-modulated by grazing. The results are explored in the context of Self-efficacy Theory, a socio-cognitive account of illness behavior.


Assuntos
Gastroplastia/métodos , Obesidade Mórbida/cirurgia , Cooperação do Paciente/estatística & dados numéricos , Adaptação Fisiológica , Adaptação Psicológica , Adulto , Distribuição por Idade , Índice de Massa Corporal , Estudos de Casos e Controles , Feminino , Seguimentos , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Obesidade Mórbida/diagnóstico , Cuidados Pós-Operatórios , Probabilidade , Estudos Retrospectivos , Medição de Risco , Autoeficácia , Distribuição por Sexo , Fatores de Tempo
5.
Bioorg Med Chem ; 12(19): 5213-24, 2004 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-15351404
6.
Obes Surg ; 14(6): 798-801, 2004.
Artigo em Inglês | MEDLINE | ID: mdl-15318985

RESUMO

BACKGROUND: Laparoscopic adjustable gastric banding is increasingly being performed in morbidly obese individuals for weight loss. Some patients develop pouch dilatation as a postoperative complication that limits the utility of the procedure. Surgical variables are poor predictors of this complication. 5 patients from a series of 157 who underwent LAGB at a single center developed the condition. METHODS: Psychiatric and surgical case-notes were analyzed retrospectively for the presence of operationally defined psychiatric disorders and compared to 10 controls from the same population. RESULTS: Cases were significantly more likely to have past or current binge eating, emotionally triggered eating with reduced awareness of the link, a history of affective disorder, reduced sexual functioning and successful preoperative weight loss. No difference between groups was observed for compliance with orlistat, childhood sexual abuse, relationships with parents, history of bulimia nervosa, rate of band inflation or preoperative BMI. CONCLUSIONS: Psychological factors may be better predictors of pouch dilatation than biomedical variables. Disordered eating can be an attempt to modulate negative emotions. Pouch dilatation may be a consequence of this eating behavior.


Assuntos
Transtornos da Alimentação e da Ingestão de Alimentos/epidemiologia , Gastroplastia/efeitos adversos , Gastroplastia/psicologia , Obesidade Mórbida/epidemiologia , Adulto , Comorbidade , Dilatação Patológica , Feminino , Humanos , Laparoscopia , Estudos Retrospectivos
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