Details

Autor(en) / Beteiligte

• Dupont, Ludovic
• Alves, Arnaud
• Bui, Eric
• Lee Bion, Adrien
• Meunier, Hugo
• Briant, Anaïs
• Parienti, Jean-Jacques
• Menahem, Benjamin

Titel

Long-term weight loss outcomes after bariatric surgery: a propensity score study among patients with psychiatric disorders

Ist Teil von

• Surgical endoscopy, 2023-11, Vol.37 (11), p.8362-8372

Ort / Verlag

New York: Springer US

Erscheinungsjahr

2023

Quelle

springer (창간호~2014)

Beschreibungen/Notizen

• Introduction To analyze the safety and long-term result of bariatric surgery in patients with psychiatric disorders. Material and methods 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. Results 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. Conclusion 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.