Universität zu Köln

Fuchs, Hans F., Laughter, Vanessa, Harnsberger, Cristina R., Broderick, Ryan C., Berducci, Martin, DuCoin, Christopher, Langert, Joshua, Sandler, Bryan J., Jacobsen, Garth R., Perry, William and Horgan, Santiago (2016). Patients with psychiatric comorbidity can safely undergo bariatric surgery with equivalent success. Surg. Endosc., 30 (1). S. 251 - 259. NEW YORK: SPRINGER. ISSN 1432-2218

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Abstract

Introduction Patients with psychiatric disorder were reported to have a poor outcome in bariatric surgery. Few studies have examined the outcome of laparoscopic sleeve gastrectomy (LSG) and laparoscopic adjustable gastric banding (LAGB) in patients with psychiatric history. We aimed to compare excess weight loss (%EWL) in patients with and without psychiatric comorbidities who underwent LSG or LAGB. Methods Patients undergoing LSG or LAGB were identified from our prospective database. A multidisciplinary team evaluated all patients preoperatively, including a psychological evaluation. Patients with the diagnosis of depression, anxiety, bipolar disorder, and schizophrenia were included in the psychiatric comorbidity group (PSY). Others were included in group NON-PSY. All patients were first screened to be psychologically stable to undergo surgery. Initial BMI and %EWL at 3, 6, and 12 months postoperatively were compared. Results A total of 590 patients (81.4 % women), with a median BMI of 43.8 kg/m(2) (range 30-99) who underwent LSG (n = 222) or LAGB (n = 368) from January 2006 to June 2013, were identified. Psychiatric comorbidities that were well controlled at the time of surgery were found in 188 patients (31.9 %). Diagnostic criteria for depression were met in 154 patients (26.1 %), 75 patients suffered from anxiety (12.7 %), 9 from bipolar disorder, and 4 from schizophrenia (0.7 %). Initial BMI was not different between the two groups. No significant difference in %EWL between the groups was found during follow-up (44.13 vs. 43.37 %EWL, respectively, at 1 year; p = 0.76). When LSG and LAGB patients were analyzed as subsets, again no difference in %EWL at 1 year was found for PSY vs. NON-PSY (LSG: 51.56 vs. 54.86 %EWL; LAGB: 38.48 vs. 38.45 %EWL, all p = ns). In multivariate analysis, the differences from unadjusted analysis persisted. Conclusion These findings demonstrate that a similar %EWL can be achieved in patients undergoing LSG or LAGB despite the presence of well-controlled psychiatric comorbidity.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Fuchs, Hans F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Laughter, Vanessa UNSPECIFIED UNSPECIFIED UNSPECIFIED Harnsberger, Cristina R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Broderick, Ryan C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Berducci, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED DuCoin, Christopher UNSPECIFIED UNSPECIFIED UNSPECIFIED Langert, Joshua UNSPECIFIED UNSPECIFIED UNSPECIFIED Sandler, Bryan J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Jacobsen, Garth R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Perry, William UNSPECIFIED UNSPECIFIED UNSPECIFIED Horgan, Santiago UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-291406
DOI:	10.1007/s00464-015-4196-8
Journal or Publication Title:	Surg. Endosc.
Volume:	30
Number:	1
Page Range:	S. 251 - 259
Date:	2016
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1432-2218
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language Y GASTRIC BYPASS; WEIGHT-LOSS; MORBID-OBESITY; SLEEVE GASTRECTOMY; BIPOLAR DISORDER; DEPRESSION; OUTCOMES; ADULTS Multiple languages Surgery Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/29140