Abstract:
BACKGROUND:Depression levels generally decrease substantially following bariatric surgery; however, little is known about bariatric patients who might experience increases in depression following surgery. We examined the frequency of bariatric patients who experienced discernible increases in depression levels following surgery and explored their correlates. METHODS:Participants were 107 patients with extreme obesity who underwent gastric bypass surgery and were followed up at 6 and 12 months postsurgery. Participants completed self-report questionnaires about depression (BDI), eating disorder psychopathology (EDE-Q), self-esteem (RSES), and social functioning (SF-36) at baseline and again at 6 and 12 months postsurgery. RESULTS:Fourteen (13.1 %) participants reported discernible increases (BDI-Increase), 14 (13.1 %) reported discernible decreases (BDI-Decrease), and 79 (73.8 %) did not report discernible changes (no change) in BDI scores from 6 to 12 months postsurgery. Presurgically, there were no differences between the three groups. By 12 months postsurgery, the BDI-Increase group had significantly higher depression scores and significantly lower self-esteem and SF-36 mental component scores than did the other groups. For the BDI-Increase group, BDI Change was significantly associated with body mass index, self-esteem, and SF-36 physical component scores. CONCLUSIONS:Findings highlight that a subgroup of individuals report discernible increases in depressive scores postsurgery and may differ in potentially clinically meaningful ways from those who do not report discernible increases in depressive symptoms. Future research is needed to better understand the long-term trajectory of patients with discernible worsening mood following gastric bypass surgery.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Ivezaj V,Grilo CMdoi
10.1007/s11695-014-1402-zsubject
Has Abstractpub_date
2015-03-01 00:00:00pages
423-9issue
3eissn
0960-8923issn
1708-0428journal_volume
25pub_type
杂志文章相关文献
OBESITY SURGERY文献大全abstract:BACKGROUND AND AIMS:Partially covered self-expandable metallic stents (PCSEMS), although an effective treatment for anastomotic/staple line leaks and strictures, can be difficult to remove. This study examines the effectiveness of the inversion technique for the removal of PCSEMS in the treatment of leaks and stricture...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-017-2811-6
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:The volume of the gastric reservoir appears crucial to explain the success of laparoscopic sleeve gastrectomy (LSG) in the treatment of morbid obesity. The aims of this study were to describe a new, easy model to estimate gastric reservoir volume after LSG; to evaluate the volumetric changes 1 year after sur...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-013-1113-x
更新日期:2014-03-01 00:00:00
abstract:PURPOSE:The disease burden of type 2 diabetes (T2D) costs the military healthcare system an estimated $1.66 billion annually. Thirty-four percent of veterans and 28% of military beneficiaries are obese, a common feature of T2D. Bariatric surgery is a viable treatment for T2D, whether if long-term remission of T2D post-...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-020-05169-w
更新日期:2021-01-29 00:00:00
abstract:BACKGROUND:The purpose of this study was to establish the efficacy of a new surgical technique for the placement of the silicone gastric band (LAP-Band) in the presence of a large (>5 cm) hiatus hernia. METHOD:Hiatus hernias >5 cm were identified by endoscopy and barium meal in 6 patients. Each patient underwent hiata...
journal_title:Obesity surgery
pub_type: 临床试验,杂志文章
doi:10.1381/096089299765553511
更新日期:1999-04-01 00:00:00
abstract:BACKGROUND:The laparoscopic sleeve gastrectomy (LSG) is now the most commonly performed bariatric surgery in the world. Multiple studies have demonstrated the equivalence between the LSG and Roux-en-Y gastric bypass (RYGB) with regard to weight loss and comorbidity resolution. Few studies have examined the differences ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-019-04178-8
更新日期:2020-02-01 00:00:00
abstract:BACKGROUND:Obesity is increasing in Turkey. The first experience with vertical banded gastroplasty (VBG) with regular intermediate-term follow-up in the Aegean Region of Turkey is presented. METHODS:From November 1993 to August 1999, 40 morbidity obese patients underwent VBG. The patients were evaluated on the basis o...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089201321209387
更新日期:2001-08-01 00:00:00
abstract:BACKGROUND:Anastomotic ulcers (AUs) after Roux-en-Y gastric bypass (RYGB) occur in up to 16% of patients. In an international survey among members of the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO), current preventative and therapeutic strategies in AU were analyzed. METHODS:An I...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-013-1152-3
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:Upper gastrointestinal pathologies are common in bariatric patients. Preoperative esophagogastroduodenal endoscopy (EGD) should detect and treat pathologies that might alter the type of bariatric surgery. However, clinical consequences of these findings are often insignificant. The aim of this study was to a...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-017-2622-9
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:The temporary use of the BioEnterics Intragastric Balloon (BIB) in morbidly obesity is increasing worldwide. The aim of this study is the evaluation of the efficacy of this device in a large population, in terms of weight loss and its influence on co-morbidities. METHODS:Data were retrospectively recruited ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/0960892055002202
更新日期:2005-09-01 00:00:00
abstract:OBJECTIVES:The study aimed to evaluate the changes in thyroid function and the risk of thyroid tumors after Roux-en-Y gastric bypass (RYGB) surgery. MATERIALS AND METHODS:This was a retrospective study of 117 patients with type 2 diabetes (T2D) and obesity who underwent laparoscopic RYGB (LRYGB) and were followed up f...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-017-2684-8
更新日期:2017-10-01 00:00:00
abstract::A 57-year-old 132-kg female (BMI 48.6) with end-stage cardiac failure is presented. Because of a progressive cardiomyopathy, the patient required a heart transplant. However, before receiving the transplant, major weight loss was deemed to be mandatory. Supervised dieting had manifestly failed, and thus a highly effec...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089202321088282
更新日期:2002-06-01 00:00:00
abstract:BACKGROUND:Most bariatric treatments employ gastric volume reduction. However, there has been no appropriate tool that could assess the anatomical factors of the stomach, and few studies have investigated proper stomach measurement for bariatric treatment. Thus, this study aimed to objectively estimate the individual s...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-019-04189-5
更新日期:2020-02-01 00:00:00
abstract:BACKGROUND:The effects of pneumoperitoneum (PPM) on respiratory mechanics during bariatric surgery were investigated. PATIENTS AND METHODS:10 patients with BMI 50.5+/-8 kg/m(2) (range 40.9- 66.8) who underwent laparoscopic adjustable gastric banding with the Swedish band under general anesthesia were studied. Besides ...
journal_title:Obesity surgery
pub_type: 临床试验,杂志文章
doi:10.1381/096089204322857582
更新日期:2004-02-01 00:00:00
abstract:BACKGROUND:Obesity is considered as a risk factor for many functional digestive disorders. The aim of the present study was to evaluate the prevalence and the association of functional digestive symptoms affecting the upper and the lower digestive tract in patients eligible for bariatric surgery. METHODS:Before surger...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-011-0396-z
更新日期:2012-03-01 00:00:00
abstract::This review examines the energetics and metabolic parameters which influence the effectiveness of gastric restrictive surgery in achieving weight loss in the clinically severely obese patient. Among the subjects discussed are the metabolic determinants and consequences of obesity, energy expenditure and its components...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089294765558700
更新日期:1994-05-01 00:00:00
abstract:BACKGROUND:Overweight and obesity independently increase cardiovascular risk, while even modest weight loss can result in clinically significant improvements in cardiovascular risk and reduce long-term mortality. Lowering the body mass index (BMI) threshold for bariatric surgery to those with moderate obesity might be ...
journal_title:Obesity surgery
pub_type: 杂志文章,评审
doi:10.1007/s11695-013-0877-3
更新日期:2013-07-01 00:00:00
abstract::We aimed to systematically review the literature comparing the safety of one-step versus two-step revisional bariatric surgery from laparoscopic adjustable gastric banding (LAGB) to Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG). There is debate on the safety of removing the gastric band and performing rev...
journal_title:Obesity surgery
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s11695-016-2082-7
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:Many operations are currently used for morbid obesity, and every procedure appears to have advantages, drawbacks and failures. Re-operation is a part of bariatric surgery practice that is necessary in the event of failure. We analyzed the reasons for failure in the bariatric re-operation group. METHODS:From...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089200321593733
更新日期:2000-12-01 00:00:00
abstract:BACKGROUND:Obesity impairs quality of life, but the perception of the impairment could be different from one country to another. The purpose was to compare weight-related quality of life (QOL) between cohorts from Spain and North America. METHODS:A cross-sectional case-control study was performed between two populatio...
journal_title:Obesity surgery
pub_type: 杂志文章,多中心研究
doi:10.1007/s11695-012-0791-0
更新日期:2013-04-01 00:00:00
abstract:BACKGROUND:Laparoscopic sleeve gastrectomy (LSG) is the most preferred technique in morbidly obese patients for weight loss. There is a controversy about the routine preoperative evaluation of the stomach and the routine microscopic examination of all LSG specimens. Our aim is to analyze the results of both preoperativ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-017-3014-x
更新日期:2018-05-01 00:00:00
abstract:BACKGROUND:To understand the role of ghrelin in the mechanism of action of laparoscopic sleeve gastrectomy (LSG), a prospective cohort case-control study to assess the expression of ghrelin-producing cells (GPC) in two groups of patients was designed. METHODS:Specimens of resected stomach from 26 obese patients who un...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-018-3401-y
更新日期:2018-11-01 00:00:00
abstract:BACKGROUND:The degree to which U.S. bariatric surgeons use multidisciplinary methods to evaluate patients is unknown. METHODS:We conducted a national survey of practising bariatric surgeons, mailed in 3 waves from September-December 2004, to describe and determine predictors of surgeons' approach to the multidisciplin...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089206775222096
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:Postprandial hypoglycaemia is a severe complication of Roux-en-Y gastric bypass (RYGBP). Acarbose, an α-glucosidase inhibitor (AGI), is employed in its treatment. Several studies have shown that AGIs increase the postprandial levels of glucagon-like peptide 1 (GLP-1). However, an excessive level of GLP-1 is ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-011-0581-0
更新日期:2012-04-01 00:00:00
abstract:BACKGROUND:Certain risk factors for arteriosclerosis are associated with obesity, e.g. hypertension, insulin resistance, the high triglyceride - low HDL pattern. One aim in treating morbid obesity is to reduce these risk factors. This study was designed to follow metabolic risk factors after weight loss in 165 morbidly...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089298765554980
更新日期:1998-02-01 00:00:00
abstract:BACKGROUND:The laparoscopic gastric plication (LGP) is a relative new bariatric procedure that has gained popularity over the last few years, but no real consensus exists and the evidence is unclear, especially in its real efficacy, safety, and durability. METHODS:Retrospective study analyzing the records patients sub...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-016-2242-9
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Intraoperative and early postoperative complications in patients operated for morbid obesity were assessed. METHODS:114 morbidly obese patients underwnent gastric banding (non-adjustable or adjustable). The influence of body mass index (BMI), age and preoperative morbidity on the occurrence of postoperative...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089201321577929
更新日期:2001-04-01 00:00:00
abstract::The aim of this study was to evaluate the mid-term outcomes of the laparoscopic ileal interposition associated to a sleeve gastrectomy (LII-SG) for the treatment of morbid obesity. The procedure was performed in 120 patients: 71 women and 49 men with mean age of 41.4 years. Mean body mass index (BMI) was 43.4 ± 4.2 kg...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-010-0232-x
更新日期:2011-05-01 00:00:00
abstract:BACKGROUND:To compare changes in bone mineral density (BMD) in patients with morbid obesity and type 2 diabetes (T2D) a year after being randomized to metabolic gastric bypass (mRYGB), sleeve gastrectomy (SG), and greater curvature plication (GCP). We also analyzed the association of gastrointestinal hormones with skel...
journal_title:Obesity surgery
pub_type: 杂志文章,随机对照试验
doi:10.1007/s11695-019-04127-5
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:A clinical pathway for gastric bypass surgery (GBS) implemented at our institution in 1999 resulted in reduced costs and decreased variability in patient care. However, a reanalysis of GBS hospital costs identified a 16% incidence of "cost outliers". We hypothesized that analysis of clinical variables would ...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1381/096089203321136557
更新日期:2003-02-01 00:00:00
abstract:BACKGROUND:Traditionally, small intestinal bacterial overgrowth (SIBO) is diagnosed when there is an early peak in breath hydrogen or methane. Given unclear intestinal transit time in Roux-en-Y gastric bypass (RYGB) patients, it is unknown if the traditional approach at diagnosing SIBO is adequate in this patient popul...
journal_title:Obesity surgery
pub_type: 杂志文章
doi:10.1007/s11695-018-3575-3
更新日期:2019-03-01 00:00:00