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Titolo:
NONSURGICAL FACTORS THAT INFLUENCE THE OUTCOME OF BARIATRIC SURGERY -A REVIEW
Autore:
HSU LKG; BENOTTI PN; DWYER J; ROBERTS SB; SALTZMAN E; SHIKORA S; ROLLS BJ; RAND W;
Indirizzi:
TUFTS UNIV NEW ENGLAND MED CTR,OBES CONSULT CTR,DEPT PSYCHIAT,BOX 1007,750 WASHINGTON ST BOSTON MA 02111 TUFTS UNIV,SCH MED,DEPT PSYCHIAT BOSTON MA 02111 TUFTS UNIV,SCH MED,DEPT MED BOSTON MA 02111 TUFTS UNIV,SCH MED,DEPT COMMUNITY HLTH BOSTON MA 02111 TUFTS UNIV,SCH MED,DEPT SURG BOSTON MA 02111 TUFTS UNIV,SCH MED,DEPT NUTR BOSTON MA 02111 TUFTS UNIV,SCH MED,DIV BIOMETRY BOSTON MA 02111 TUFTS UNIV,SCH NUTR,DEPT NUTR BOSTON MA 02111 TUFTS UNIV,USDA,HUMAN NUTR RES CTR AGING BOSTON MA 02111 TUFTS UNIV NEW ENGLAND MED CTR,EATING DISORDERS PROGRAM BOSTON MA 02111 TUFTS UNIV NEW ENGLAND MED CTR,FRANCES STERN NUTR CTR BOSTON MA 02111 MT SINAI SCH MED,DEPT SURG NEW YORK NY 00000 ENGLEWOOD HOSP & MED CTR ENGLEWOOD NJ 00000 PENN STATE UNIV,GUTHRIE CHAIR NUTR STATE COLL PA 00000 PENN STATE UNIV,LAB STUDY HUMAN INGEST BEHAV STATE COLL PA 00000
Titolo Testata:
Psychosomatic medicine
fascicolo: 3, volume: 60, anno: 1998,
pagine: 338 - 346
SICI:
0033-3174(1998)60:3<338:NFTITO>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
VERTICAL BANDED GASTROPLASTY; BINGE-EATING DISORDER; TERM WEIGHT-LOSS; GREENVILLE GASTRIC BYPASS; MORBID-OBESITY; ENERGY-EXPENDITURE; LONG-TERM; PSYCHIATRIC-DISORDERS; BODY-WEIGHT; PHARMACOLOGICAL AGENTS;
Keywords:
BARIATRIC SURGERY; EATING DISTURBANCE; ENERGY METABOLISM; PSYCHOSOCIAL OUTCOME; WEIGHT REGAIN;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Physical, Chemical & Earth Sciences
Physical, Chemical & Earth Sciences
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
120
Recensione:
Indirizzi per estratti:
Citazione:
L.K.G. Hsu et al., "NONSURGICAL FACTORS THAT INFLUENCE THE OUTCOME OF BARIATRIC SURGERY -A REVIEW", Psychosomatic medicine, 60(3), 1998, pp. 338-346

Abstract

Objective: Severe obesity tie, at least 100% overweight or body mass index greater than or equal to 40 kg/m(2)) is associated with significant morbidity and increased mortality. It is apparently becoming more common in this country. Conventional weight-loss treatments are usually ineffective for severe obesity and bariatric surgery is recommended as a treatment option. However, longitudinal data on the long-term outcome of bariatric surgery are sparse. Available data indicate that theoutcome of bariatric surgery, although usually favorable in the shortterm, is variable and weight regain sometimes occurs at 2 years aftersurgery. The objective of this study is to present a review of the outcome of bariatric surgery in three areas: weight loss and improvementin health status, changes in eating behavior, and psychosocial adjustment. The study will also review how eating behavior, energy metabolism, and psychosocial functioning may affect the outcome of bariatric surgery. Suggestions for additional research in these areas are made. Method: Literature review. Results: On average, most patients lose 60% of excess weight after gastric bypass and 40% after vertical banded gastroplasty. In about 30% of patients, weight regain occurs at 18 monthsto 2 years after surgery. Binge eating behavior, which is common among the morbidly obese, may recur after surgery and is associated with weight regain. Energy metabolism may affect the outcome of bariatric surgery, but it has not been systematically studied in this population. Presurgery psychosocial functioning does not seem to affect the outcome of surgery, and psychosocial outcome is generally encouraging over the short term, but there are reports of poor adjustment after weight loss, including alcohol abuse and suicide. Conclusions: Factors leadingto poor outcome of bariatric surgery, such as binge eating and lowered energy metabolism, should be studied to improve patient selection and outcome. Long-term outcome data on psychosocial functioning are lacking. Longitudinal studies to examine the long-term outcome of bariatric surgery and the prognostic indicators are needed.

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Documento generato il 25/11/20 alle ore 09:59:08