| Title |
Patients with psychiatric comorbidity can safely undergo bariatric surgery with equivalent success
|
|---|---|
| Published in |
Surgical Endoscopy, April 2015
|
| DOI | 10.1007/s00464-015-4196-8 |
| Pubmed ID | |
| Authors |
Hans F. Fuchs, Vanessa Laughter, Cristina R. Harnsberger, Ryan C. Broderick, Martin Berducci, Christopher DuCoin, Joshua Langert, Bryan J. Sandler, Garth R. Jacobsen, William Perry, Santiago Horgan |
| Abstract |
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. 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. 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. These findings demonstrate that a similar %EWL can be achieved in patients undergoing LSG or LAGB despite the presence of well-controlled psychiatric comorbidity. |
X Demographics
The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Indonesia | 1 | 33% |
| Thailand | 1 | 33% |
| Unknown | 1 | 33% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 2 | 67% |
| Science communicators (journalists, bloggers, editors) | 1 | 33% |
Mendeley readers
The data shown below were compiled from readership statistics for 79 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 79 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 12 | 15% |
| Student > Bachelor | 9 | 11% |
| Student > Doctoral Student | 8 | 10% |
| Other | 8 | 10% |
| Researcher | 8 | 10% |
| Other | 15 | 19% |
| Unknown | 19 | 24% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 22 | 28% |
| Psychology | 9 | 11% |
| Nursing and Health Professions | 8 | 10% |
| Social Sciences | 5 | 6% |
| Neuroscience | 3 | 4% |
| Other | 7 | 9% |
| Unknown | 25 | 32% |
Attention Score in Context
This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 April 2015.
All research outputs
#14,868,083
of 25,505,015 outputs
Outputs from Surgical Endoscopy
#2,947
of 6,889 outputs
Outputs of similar age
#135,271
of 280,242 outputs
Outputs of similar age from Surgical Endoscopy
#26
of 69 outputs
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So far Altmetric has tracked 6,889 research outputs from this source. They receive a mean Attention Score of 4.0. This one has gotten more attention than average, scoring higher than 56% of its peers.
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We're also able to compare this research output to 69 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 62% of its contemporaries.