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Titolo:
Adaptability and compliance of the obese patient to restrictive gastric surgery in the short term
Autore:
Pessina, A; Andreoli, M; Vassallo, C;
Indirizzi:
Prof E Morelli Clin Inst, Dept Surg, Pavia, Italy Prof E Morelli Clin Inst Pavia Italy Clin Inst, Dept Surg, Pavia, Italy
Titolo Testata:
OBESITY SURGERY
fascicolo: 4, volume: 11, anno: 2001,
pagine: 459 - 463
SICI:
0960-8923(200108)11:4<459:AACOTO>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
MORBID-OBESITY; WEIGHT-LOSS; BARIATRIC SURGERY; BYPASS-SURGERY; EATING BEHAVIOR;
Keywords:
morbid obesity; bariatric surgery; gastric restrictive surgery; vomiting; psychopathology; patient selection; psychosocial factors; weight outcome predictors;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
18
Recensione:
Indirizzi per estratti:
Indirizzo: Pessina, A Ist Cura Citta Pavia, Dept Surg, Via Parco Vecchio 25, I-27100 Pavia, Italy Ist Cura Citta Pavia Via Parco Vecchio 25 Pavia Italy I-27100
Citazione:
A. Pessina et al., "Adaptability and compliance of the obese patient to restrictive gastric surgery in the short term", OBES SURG, 11(4), 2001, pp. 459-463

Abstract

Background: Low compliance, as well as recurrent vomiting, are often pointed out as the main causes of both postoperative technical complications andpoor weight loss. Methods: 50 patients were examined. All underwent preoperative psychological assessment through an intensive clinical interview. Between October 1999and January 2000, all the patients underwent vertical banded gastroplasty (VBG). Excess Weight Loss (EWL) was followed, and the number of vomiting episodes was recorded at 1, 3 and 6 months after surgery. Results: 3 different groups of patients could be distinguished: 1) those with no vomiting and good weight loss; 2) those with sporadic vomiting and fairly good weight loss; and 3) those with frequent vomiting and poorer weight loss. However, this last group of patients was not homogeneous and should be divided into 2 subgroups: 1) patients who lose weight, while vomiting;2) patients who do not lose weight, while vomiting. Conclusions: The experience of vomiting is a crucial cross-roads. The influence of psychosocial factors was noticed in all patients. The absence of psychosocial stressors, together with realistic expectations and a strong motivation to change, should be considered as reliable and replicable predictors of success. However, even those patients with accentuated psychologicaldifficulties were able to succeed in coping with them, and achieved a goodweight outcome, with good effects on the psychic side. Therefore, the evidence of psychological disorders cannot be taken as an absolute criterion ofselection/exclusion of candidates for the operation. Accurate presurgical education and postoperative psychological support are likely to increase the patient's compliance and the percentage of successful cases.

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Documento generato il 25/01/20 alle ore 06:17:11