Long-term weight loss outcomes after bariatric surgery: a propensity score study among patients with psychiatric disorders.
Bariatric surgery
Long-term outcomes
Psychiatric disorders
Journal
Surgical endoscopy
ISSN: 1432-2218
Titre abrégé: Surg Endosc
Pays: Germany
ID NLM: 8806653
Informations de publication
Date de publication:
Nov 2023
Nov 2023
Historique:
received:
05
05
2023
accepted:
30
07
2023
medline:
1
11
2023
pubmed:
13
9
2023
entrez:
12
9
2023
Statut:
ppublish
Résumé
To analyze the safety and long-term result of bariatric surgery in patients with psychiatric disorders. From January 2009 to December 2018, n = 961 patients underwent bariatric surgery in a tertiary center. Among them, two groups of patients were created: a group of patients with psychiatric disorders (PG) and a group without psychiatric disorders (CG), using a propensity score matched (PSM). Primary endpoint was long-term outcomes and secondary endpoints were the postoperative morbidity 90 days after surgery, late morbidity, occurrence of psychiatric adverse events, and resolution of obesity-related comorbidities. Analysis with PSM permitted to compare 136 patients in each group, with a ratio 1:1. TWL% at 2 years in the PG was 32.7% versus 36.6% in the CG (p = 0.002). Overall surgical morbidity was higher in the PG than the CG (28% vs 17%, p = 0.01). Severe surgical complications were not statistically significant (4% vs 3%, p = 0.44). Psychiatric adverse events were significantly more frequent in the PG than in the CG. The resolution of obesity comorbidities was equivalent for both groups at 2 years. Substantial weigh loss was reported among patients with psychiatric disorders receiving bariatric surgery at the cost of more non-severe surgical complications. Further, a psychiatric postoperative follow-up visit may be warranted for patients with preoperative psychiatric disorders, given the incidence of psychiatric adverse events.
Identifiants
pubmed: 37700014
doi: 10.1007/s00464-023-10343-z
pii: 10.1007/s00464-023-10343-z
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
8362-8372Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
Références
Biener A, Cawley J, Meyerhoefer C (2017) The high and rising costs of obesity to the US health care system. J Gen Intern Med 32(Suppl 1):6–8. https://doi.org/10.1007/s11606-016-3968-8
doi: 10.1007/s11606-016-3968-8
pmcid: 5359159
OCDE (2021) Panorama santé OCDE 2021. OCDE, Paris
doi: 10.1787/fea50730-fr
Enquête épidémiologique nationale sur le surpoids et l’obésité. Odoxa. http://www.odoxa.fr/sondage/enquete-epidemiologique-nationale-sur-le-surpoids-et-lobesite/ . Accessed 26 Oct 2022
Syn NL et al (2021) Association of metabolic-bariatric surgery with long-term survival in adults with and without diabetes: a one-stage meta-analysis of matched cohort and prospective controlled studies with 174,772 participants. Lancet Lond Engl 397(10287):1830–1841. https://doi.org/10.1016/S0140-6736(21)00591-2
doi: 10.1016/S0140-6736(21)00591-2
Sjöholm K et al (2022) Association of bariatric surgery with cancer incidence in patients with obesity and diabetes: long-term results from the Swedish obese subjects study. Diabetes Care 45(2):444–450. https://doi.org/10.2337/dc21-1335
doi: 10.2337/dc21-1335
Halimi S (2019) Chirurgie bariatrique: état des lieux en France en 2019. Méd Mal Métab 13(8):677–686. https://doi.org/10.1016/S1957-2557(19)30210-X
doi: 10.1016/S1957-2557(19)30210-X
Allison DB et al (2009) Obesity among those with mental disorders: a National Institute of Mental Health meeting report. Am J Prev Med 36(4):341–350. https://doi.org/10.1016/j.amepre.2008.11.020
doi: 10.1016/j.amepre.2008.11.020
Dawes AJ et al (2016) Mental health conditions among patients seeking and undergoing bariatric surgery: a meta-analysis. JAMA 315(2):150–163. https://doi.org/10.1001/jama.2015.18118
doi: 10.1001/jama.2015.18118
McElroy SL, Keck PE (2012) Obesity in bipolar disorder: an overview. Curr Psychiatry Rep 14(6):650–658. https://doi.org/10.1007/s11920-012-0313-8
doi: 10.1007/s11920-012-0313-8
Fagiolini A, Kupfer DJ, Rucci P, Scott JA, Novick DM, Frank E (2004) Suicide attempts and ideation in patients with bipolar I disorder. J Clin Psychiatry 65(4):509–514. https://doi.org/10.4088/jcp.v65n0409
doi: 10.4088/jcp.v65n0409
Heiskanen TH (2015) Treatment for depression and the risk of weight gain. J Clin Psychiatry 76(6):e828-829. https://doi.org/10.4088/JCP.14com09738
doi: 10.4088/JCP.14com09738
Fagiolini A, Chengappa KNR (2007) Weight gain and metabolic issues of medicines used for bipolar disorder. Curr Psychiatry Rep 9(6):521–528. https://doi.org/10.1007/s11920-007-0071-1
doi: 10.1007/s11920-007-0071-1
Torrent C et al (2008) Weight gain in bipolar disorder: pharmacological treatment as a contributing factor. Acta Psychiatr Scand 118(1):4–18. https://doi.org/10.1111/j.1600-0447.2008.01204.x
doi: 10.1111/j.1600-0447.2008.01204.x
Mannan M, Mamun A, Doi S, Clavarino A (2016) Is there a bi-directional relationship between depression and obesity among adult men and women? Systematic review and bias-adjusted meta analysis. Asian J Psychiatry 21:51–66. https://doi.org/10.1016/j.ajp.2015.12.008
doi: 10.1016/j.ajp.2015.12.008
Fabricatore AN, Crerand CE, Wadden TA, Sarwer DB, Krasucki JL (2006) How do mental health professionals evaluate candidates for bariatric surgery? Survey results. Obes Surg 16(5):567–573. https://doi.org/10.1381/096089206776944986
doi: 10.1381/096089206776944986
Walfish S, Vance D, Fabricatore AN (2007) Psychological evaluation of bariatric surgery applicants: procedures and reasons for delay or denial of surgery. Obes Surg 17(12):1578–1583. https://doi.org/10.1007/s11695-007-9274-0
doi: 10.1007/s11695-007-9274-0
De Luca M et al (2016) Indications for surgery for obesity and weight-related diseases: position statements from the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO). Obes Surg 26(8):1659–1696. https://doi.org/10.1007/s11695-016-2271-4
doi: 10.1007/s11695-016-2271-4
pmcid: 6037181
Haute Autorité de Santé (2009) Obésite—prise en charge chirurgicale chez l’adulte—recommandations. Haute Autorité de Santé, Saint-Denis, p 26
Powers PS, Rosemurgy A, Boyd F, Perez A (1997) Outcome of gastric restriction procedures: weight, psychiatric diagnoses, and satisfaction. Obes Surg 7(6):471–477. https://doi.org/10.1381/096089297765555197
doi: 10.1381/096089297765555197
Hamoui N, Kingsbury S, Anthone GJ, Crookes PF (2004) Surgical treatment of morbid obesity in schizophrenic patients. Obes Surg 14(3):349–352. https://doi.org/10.1381/096089204322917873
doi: 10.1381/096089204322917873
Kinzl JF (2010) Morbid obesity: significance of psychological treatment after bariatric surgery. Eat Weight Disord 15(4):e275–e280. https://doi.org/10.3275/7080
doi: 10.3275/7080
Semanscin-Doerr DA, Windover A, Ashton K, Heinberg LJ (2010) Mood disorders in laparoscopic sleeve gastrectomy patients: does it affect early weight loss? Surg Obes Relat Dis 6(2):191–196. https://doi.org/10.1016/j.soard.2009.11.017
doi: 10.1016/j.soard.2009.11.017
Steinmann WC, Suttmoeller K, Chitima-Matsiga R, Nagam N, Suttmoeller NR, Halstenson NA (2011) Bariatric surgery: 1-year weight loss outcomes in patients with bipolar and other psychiatric disorders. Obes Surg 21(9):1323–1329. https://doi.org/10.1007/s11695-011-0373-6
doi: 10.1007/s11695-011-0373-6
Hayden MJ, Murphy KD, Brown WA, O’Brien PE (2014) Axis I disorders in adjustable gastric band patients: the relationship between psychopathology and weight loss. Obes Surg 24(9):1469–1475. https://doi.org/10.1007/s11695-014-1207-0
doi: 10.1007/s11695-014-1207-0
Fuchs HF et al (2016) Patients with psychiatric comorbidity can safely undergo bariatric surgery with equivalent success. Surg Endosc 30(1):251–258. https://doi.org/10.1007/s00464-015-4196-8
doi: 10.1007/s00464-015-4196-8
Shelby SR, Labott S, Stout RA (2015) Bariatric surgery: a viable treatment option for patients with severe mental illness. Surg Obes Relat Dis 11(6):1342–1348. https://doi.org/10.1016/j.soard.2015.05.016
doi: 10.1016/j.soard.2015.05.016
Fisher D et al (2017) Mental illness in bariatric surgery: a cohort study from the PORTAL network. Obes Silver Spring Md 25(5):850–856. https://doi.org/10.1002/oby.21814
doi: 10.1002/oby.21814
Thomson L, Sheehan KA, Meaney C, Wnuk S, Hawa R, Sockalingam S (2016) Prospective study of psychiatric illness as a predictor of weight loss and health related quality of life one year after bariatric surgery. J Psychosom Res 86:7–12. https://doi.org/10.1016/j.jpsychores.2016.04.008
doi: 10.1016/j.jpsychores.2016.04.008
Kalarchian MA et al (2016) Psychiatric disorders and weight change in a prospective study of bariatric surgery patients: a 3-year follow-up. Psychosom Med 78(3):373–381. https://doi.org/10.1097/PSY.0000000000000277
doi: 10.1097/PSY.0000000000000277
pmcid: 5041300
Archid R et al (2019) Patients with schizophrenia do not demonstrate worse outcome after sleeve gastrectomy: a short-term cohort study. Obes Surg 29(2):506–510. https://doi.org/10.1007/s11695-018-3578-0
doi: 10.1007/s11695-018-3578-0
Vermeer KJ, Monpellier VM, Cahn W, Janssen IMC (2020) Bariatric surgery in patients with psychiatric comorbidity: significant weight loss and improvement of physical quality of life. Clin Obes 10(4):e12373. https://doi.org/10.1111/cob.12373
doi: 10.1111/cob.12373
pmcid: 9285938
Tækker L, Lunn S (2019) The effect of mental health on weight loss after bariatric surgery. Dan Med J 66(2):A5532
Brito ME et al (2020) Patients with schizophrenia undergoing gastric bypass surgery: a case series study. Obes Surg 30(10):3813–3821. https://doi.org/10.1007/s11695-020-04702-1
doi: 10.1007/s11695-020-04702-1
Saiki A et al (2019) Background characteristics and postoperative outcomes of insufficient weight loss after laparoscopic sleeve gastrectomy in Japanese patients. Ann Gastroenterol Surg 3(6):638–647. https://doi.org/10.1002/ags3.12285
doi: 10.1002/ags3.12285
pmcid: 6875950
Legatto T, Taylor VH, Kidane B, Anvari M, Hensel JM (2021) The impact of psychiatric history and peri-operative psychological distress on weight loss outcomes 1 year after bariatric surgery. Obes Surg. https://doi.org/10.1007/s11695-021-05781-4
doi: 10.1007/s11695-021-05781-4
Gautier T, Sarcher T, Contival N, Le Roux Y, Alves A (2013) Indications and mid-term results of conversion from sleeve gastrectomy to Roux-en-Y gastric bypass. Obes Surg 23(2):212–215. https://doi.org/10.1007/s11695-012-0782-1
doi: 10.1007/s11695-012-0782-1
Contival N, Menahem B, Gautier T, Le Roux Y, Alves A (2018) Guiding the non-bariatric surgeon through complications of bariatric surgery. J Visc Surg 155(1):27–40. https://doi.org/10.1016/j.jviscsurg.2017.10.012
doi: 10.1016/j.jviscsurg.2017.10.012
Thorell A et al (2016) Guidelines for perioperative care in bariatric surgery: Enhanced Recovery After Surgery (ERAS) Society recommendations. World J Surg 40(9):2065–2083. https://doi.org/10.1007/s00268-016-3492-3
doi: 10.1007/s00268-016-3492-3
Clavien PA et al (2009) The Clavien–Dindo classification of surgical complications: five-year experience. Ann Surg 250(2):187–196. https://doi.org/10.1097/SLA.0b013e3181b13ca2
doi: 10.1097/SLA.0b013e3181b13ca2
Corcelles R et al (2016) Total weight loss as the outcome measure of choice after Roux-en-Y gastric bypass. Obes Surg 26(8):1794–1798. https://doi.org/10.1007/s11695-015-2022-y
doi: 10.1007/s11695-015-2022-y
Gorin AA, Raftopoulos I (2009) Effect of mood and eating disorders on the short-term outcome of laparoscopic Roux-en-Y gastric bypass. Obes Surg 19(12):1685–1690. https://doi.org/10.1007/s11695-008-9685-6
doi: 10.1007/s11695-008-9685-6
de Zwaan M et al (2011) Anxiety and depression in bariatric surgery patients: a prospective, follow-up study using structured clinical interviews. J Affect Disord 133(1–2):61–68. https://doi.org/10.1016/j.jad.2011.03.025
doi: 10.1016/j.jad.2011.03.025
Castaneda D, Popov VB, Wander P, Thompson CC (2019) Risk of suicide and self-harm is increased after bariatric surgery—a systematic review and meta-analysis. Obes Surg 29(1):322–333. https://doi.org/10.1007/s11695-018-3493-4
doi: 10.1007/s11695-018-3493-4
Auge M, Menahem B, Savey V, Lee Bion A, Alves A (2022) Long-term complications after gastric bypass and sleeve gastrectomy: what information to give to patients and practitioners, and why? J Visc Surg 159(4):298–308
doi: 10.1016/j.jviscsurg.2022.02.004
Troisi A (2022) Emergence of bariatric psychiatry as a new subspecialty. World J Psychiatry 12(1):108–116. https://doi.org/10.5498/wjp.v12.i1.108
doi: 10.5498/wjp.v12.i1.108
pmcid: 8783166
Darwich AS, Pade D, Ammori BJ, Jamei M, Ashcroft DM, Rostami-Hodjegan A (2012) A mechanistic pharmacokinetic model to assess modified oral drug bioavailability post bariatric surgery in morbidly obese patients: interplay between CYP3A gut wall metabolism, permeability and dissolution. J Pharm Pharmacol 64(7):1008–1024. https://doi.org/10.1111/j.2042-7158.2012.01538.x
doi: 10.1111/j.2042-7158.2012.01538.x
Brown RM, Guerrero-Hreins E, Brown WA, le Roux CW, Sumithran P (2021) Potential gut-brain mechanisms behind adverse mental health outcomes of bariatric surgery. Nat Rev Endocrinol 17(9):549–559. https://doi.org/10.1038/s41574-021-00520-2
doi: 10.1038/s41574-021-00520-2
Lorico S, Colton B (2020) Medication management and pharmacokinetic changes after bariatric surgery. Can Fam Physician Med Fam Can 66(6):409–416
Santamaría MM et al (2018) Systematic review of drug bioavailability following gastrointestinal surgery. Eur J Clin Pharmacol 74(12):1531–1545. https://doi.org/10.1007/s00228-018-2539-9
doi: 10.1007/s00228-018-2539-9
Bland CM, Quidley AM, Love BL, Yeager C, McMichael B, Bookstaver PB (2016) Long-term pharmacotherapy considerations in the bariatric surgery patient. Am J Health Syst Pharm 73(16):1230–1242. https://doi.org/10.2146/ajhp151062
doi: 10.2146/ajhp151062
Dahan A, Porat D, Azran C, Mualem Y, Sakran N, Abu-Abeid S (2019) Lithium toxicity with severe bradycardia post sleeve gastrectomy: a case report and review of the literature. Obes Surg 29(2):735–738. https://doi.org/10.1007/s11695-018-3597-x
doi: 10.1007/s11695-018-3597-x