Self-harm Emergencies After Bariatric Surgery

Bhatti, Junaid Ahmad; Nathens, Avery B.; Thiruchelvam, Deva; Grantcharov, Teodor P.; Goldstein, Benjamin I.; Redelmeier, Donald A.

doi:10.1001/jamasurg.2015.3414

Cited by 144 publications

(89 citation statements)

References 60 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Nonetheless, regardless of the type of surgery our patients undergo, there is an increasing appreciation of the cumulative effect of psychiatric disorders that influence long-term outcomes. 5 In this issue of JAMA Surgery, Bhatti and colleagues 6 present an intriguing self-matched longitudinal study assessing the risk of self-harm emergencies in patients who have undergone bariatric surgery. The study has excellent follow-up, with all patients having 3 years of preoperative and postoperative data.…”

mentioning

confidence: 99%

Bariatric Surgery—More Than Just an Operation

Ghaferi

Lindsay-Westphal

2016

JAMA Surg

View full text Add to dashboard Cite

mentioning

confidence: 99%

Bariatric Surgery—More Than Just an Operation

Ghaferi

Lindsay-Westphal

2016

JAMA Surg

View full text Add to dashboard Cite

“…The authors reported an increase in self-harm diagnosis from 0.38 per 100 person-years before to 0.59 per 100 person-years two years after surgery. Supporting the discovery of increased self-harm behavior, a Canadian research group led by Bhatti et al (2016) examined changes in self-harm emergencies after bariatric surgery in a sample of 8,815 adult patients, with a followup for each patient from three years prior to surgery to three years after surgery. Self-harm events rose from 2.33 events per 1000 patients annually pre-surgery to 3.63 events per 1000 patients annually in the postoperative period.…”

Section: Self-harm and Suicidalitymentioning

confidence: 99%

Psychosomatic and Psychosocial Questions Regarding Bariatric Surgery: What Do We Know, or What Do We Think We Know?

Herpertz

Kessler

Jongen

2017

Zeitschrift für Psychosomatische Medizin und Psychotherapie

View full text Add to dashboard Cite

ZusammenfassungPsychosoziale Fragen zur Adipositas-Chirurgie: was SummarySubject: In view of the epidemic increase in severe obesity and the ineffectiveness of conservative weight-loss interventions, bariatric surgery delivers compelling results for patients with class II (BMI ≥ 35 kg/m²) and class III obesity (BMI ≥ 40 kg/m²), not only in reducing weight over the long term, but also in reducing obesity-related somatic comorbidity and improving psychosocial functioning and quality of life. Investigations into the psychosocial aspects of obesity surgery have proliferated over the last 15 years, providing a huge amount of essential research data. Yet the results are partly contradictory and highly dependent on the duration of follow-up. Method: Based of a narrative review, this article provides an overview of the current status and recent developments of the reciprocal effects between bariatric surgery and psychosocial functioning. The review focused on eight domains representing important psychosomatic and psychosocial aspects of bariatric surgery. Results: Especially in cases of class II and III obesity, bariatric surgery is the only means to reduce bodyweight significantly and permanently, though they carry with them the associated risk factors of metabolic, cardiovascular, and oncological diseases. With regard to psychosocial and psychosomatic aspects, studies with a short-term catamnesis (approx. 3 years) speak in favor of an improvement in the quality of life including mental disorders. If we consider studies with longer follow-ups, however, the results are not as uniform. In particular, we observe an increase in harmful alcohol consumption, self-harm behavior, and suicide risk. Discussion: In light of mental well-being and thus also quality of life, bariatric surgery would appear to convey an elevated risk for a minority of patients. Yet identifying these patients before surgery has so far been insufficient.

show abstract

“…Moreover, the suicide rate increases after surgery in patients, particularly in females more than 35 years of age. Hence, preoperative psychiatric analysis of patients in this population is extremely important (19). The antidiabetic benefits of surgery often wane over time.…”

Section: Ignored Issues For Bariatric Surgery In the Present Studiesmentioning

confidence: 99%

Summary of Bariatric Surgery Guideline of the Society of Endocrinology and Metabolism of Turkey

Sabuncu¹,

Kıyıcı²,

Eren³

et al. 2017

Turk J Endocrinol Metab

View full text Add to dashboard Cite

Obesity, defined as a body mass index (BMI) ≥30 kg/m 2 , is a significant public health concern worldwide. In the United States and Turkey, more than 35% of the adults are obese (1-3). Obesity is a serious medical condition associated with several comorbidities including type 2 diabetes, cardiovascular and cerebrovascular diseases, digestive, locomotor and respiratory disorders, cancers S Su um mm ma ar ry y o of f B Ba ar ri ia at tr ri ic c S Su ur rg ge er ry y G Gu ui id de el li in ne e o of f t th he e S So oc ci ie et ty y o of f E En nd do oc cr ri in no ol lo og gy y a an nd d M Me et ta ab bo ol li is sm m o of f T Tu ur rk ke ey y T Tü ür rk ki iy ye e E En nd do ok kr ri in no ol lo oj ji i v ve e M Me et ta ab bo ol li iz zm ma a D De er rn ne eğ ği i B Ba ar ri ia at tr ri ik k C Ce er rr ra ah hi i K Kı ıl la av vu uz zu u Ö Öz ze et ti i Obesity is a common condition affecting approximately one-third of the adult population worldwide. Obesity results in a number of medical, psychosocial and economical problems, in many patients, it is usually difcult to achieve the desired weight loss with medical therapies, several surgical approaches for weight loss have been developed in the recent years and are described as bariatric or metabolic surgery. Though bariatric surgery promotes dramatic and reliable improvement in obesity and related complications, yet proper patient selection and careful selection of the bariatric method along with good pre-and post-operative management is very important for a successful therapy. Therefore, the authors aim to present a short review on the Bariatric Surgery Guideline of the Society of Endocrinology and Metabolism of Turkey. The indications and contraindications for bariatric surgery, description of commonly used bariatric surgical methods, preoperative preparation of obese patients prior to the surgery, early and late postoperative management and follow-up of the patients have been summarized in this review. This review has been written in accordance with the opinions and recommendations of the Hypertension, Lipid Metabolism and Obesity Study Group of the Society of Endocrinology and Metabolism of Turkey. Keywords: Obesity; bariatric surgery; metabolic surgery; indications; contraindications; preoperative evaluation; postoperative following Obezite, dünyadaki yetişkin nüfusun yaklaşık üçte birini etkileyen yaygın bir hastalık olup pek çok tıbbi, psikososyal ve ekonomik problemlere neden olmaktadır. Birçok hastada tıbbi tedaviler ile istenilen kilo kaybının sağlanamaması nedeniyle obezitenin tedavisi için günümüzde çeşitli cerrahi yaklaşımlar geliştirilmiş olup bunlar bariyatrik veya metabolik cerrahi olarak adlandırılmaktadır. Bariyatrik cerrahi sonuçları, obezite ve ilgili komplikasyonlarda çar-pıcı ve uzun süreli iyileşmeyi desteklese de, uygun hastanın ve bariyatrik yöntemin seçimi, ameliyat öncesi ve sonrası değerlendirme ile takip, bariyatrik cerrahinin başarısı için çok önemlidir. Bu nedenle, Türkiye Endokrinoloji ve Metabolizma Derneği Bariyatrik Cerrahi Kı...

show abstract

Self-harm Emergencies After Bariatric Surgery

Abstract: In this study, the risk of self-harm emergencies increased after bariatric surgery, underscoring the need for screening for suicide risk during follow-up.

Cited by 144 publications

References 60 publications

Bariatric Surgery—More Than Just an Operation

Bariatric Surgery—More Than Just an Operation

Psychosomatic and Psychosocial Questions Regarding Bariatric Surgery: What Do We Know, or What Do We Think We Know?

Summary of Bariatric Surgery Guideline of the Society of Endocrinology and Metabolism of Turkey

Contact Info

Product

Resources

About