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12-09-2023 | Bariatric Surgery

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

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

Published in: Surgical Endoscopy | Issue 11/2023

Abstract

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.

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Title: Long-term weight loss outcomes after bariatric surgery: a propensity score study among patients with psychiatric disorders
Authors: Ludovic Dupont
Arnaud Alves
Eric Bui
Adrien Lee Bion
Hugo Meunier
Anaïs Briant
Jean-Jacques Parienti
Benjamin Menahem
Publication date: 12-09-2023
Publisher: Springer US
Keywords: Bariatric Surgery
Bariatric Surgery
Obesity
Obesity
Published in: Surgical Endoscopy / Issue 11/2023
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-023-10343-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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

Abstract

Introduction

Material and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Material and methods

Results

Conclusion

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