Sukriti Mohan1, Jamil S Samaan2, Agnes Premkumar1, Kamran Samakar3. 1. Division of Upper GI and General Surgery, Department of Surgery, Keck School of Medicine of USC, 1510 San Pablo St., Suite 514, Los Angeles, CA, 90033, USA. 2. Department of Medicine, Cedars Sinai Medical Center, Los Angeles, CA, USA. 3. Division of Upper GI and General Surgery, Department of Surgery, Keck School of Medicine of USC, 1510 San Pablo St., Suite 514, Los Angeles, CA, 90033, USA. kamran.samakar@med.usc.edu.
Abstract
BACKGROUND: Although there is evidence to support the relationship between abuse history and obesity, the association between abuse history and outcomes after bariatric surgery is not well-established. We aimed to summarize the current literature examining this relationship, as well as provide clinical recommendations to optimize postoperative outcomes. METHODS: PubMed and SCOPUS databases were queried to identify relevant published studies. RESULTS: Overall, 20 studies were included. Rates of the various types of abuse reported in the bariatric surgery population varied widely across studies, as did the methodology used to assess it. The majority of studies found no significant associations between abuse history and postoperative weight loss outcomes. The literature examining the relationship between abuse history and postoperative psychiatric outcomes was less conclusive. CONCLUSIONS: Most current evidence demonstrates that abuse history is not associated with weight loss outcomes after bariatric surgery. Literature on postoperative psychiatric outcomes is mixed, and more robust studies are needed to further investigate the relationship between abuse history and postoperative psychiatric outcomes. Importantly, abuse history should not preclude patients from undergoing bariatric surgery. Of note, patients may benefit from careful monitoring for emotional distress and worsening of psychiatric comorbidities after surgery and psychiatric counseling and treatment when indicated.
BACKGROUND: Although there is evidence to support the relationship between abuse history and obesity, the association between abuse history and outcomes after bariatric surgery is not well-established. We aimed to summarize the current literature examining this relationship, as well as provide clinical recommendations to optimize postoperative outcomes. METHODS: PubMed and SCOPUS databases were queried to identify relevant published studies. RESULTS: Overall, 20 studies were included. Rates of the various types of abuse reported in the bariatric surgery population varied widely across studies, as did the methodology used to assess it. The majority of studies found no significant associations between abuse history and postoperative weight loss outcomes. The literature examining the relationship between abuse history and postoperative psychiatric outcomes was less conclusive. CONCLUSIONS: Most current evidence demonstrates that abuse history is not associated with weight loss outcomes after bariatric surgery. Literature on postoperative psychiatric outcomes is mixed, and more robust studies are needed to further investigate the relationship between abuse history and postoperative psychiatric outcomes. Importantly, abuse history should not preclude patients from undergoing bariatric surgery. Of note, patients may benefit from careful monitoring for emotional distress and worsening of psychiatric comorbidities after surgery and psychiatric counseling and treatment when indicated.
Authors: David B Sarwer; Kelly C Allison; Thomas A Wadden; Rebecca Ashare; Jacqueline C Spitzer; Courtney McCuen-Wurst; Caitlin LaGrotte; Noel N Williams; Michael Edwards; Colleen Tewksbury; Jingwei Wu Journal: Surg Obes Relat Dis Date: 2019-02-23 Impact factor: 4.734
Authors: Jodi-Ann Edwards; Christopher Chan; Audrigue Jean-Louis; Julianny Perez; Melvin E Stone; Alexander Schwartzman; Lisa S Dresner; Carla Boutin-Foster; Robert S Kurtz Journal: Am J Surg Date: 2021-12-29 Impact factor: 3.125
Authors: Claire L Le Guen; Neil A King; Huaqing Zhao; Elizabeth P Renza-Stingone; Glenn S Gerhard; Rohit S Soans Journal: Surg Obes Relat Dis Date: 2021-06-24 Impact factor: 4.734