Long-term studies of mental health after the greenville gastric bypass operation for morbid obesity
| Autor: | Gregory S. Waters, Helen D. Meelheim, Melvin Swanson, Walter J. Pories, Harold J. May, Edward G. Flickinger |
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| Rok vydání: | 1991 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Gastric Bypass Alcohol abuse Anxiety Weight loss Diabetes mellitus Weight Loss medicine Humans Derivation Aged Depression business.industry Stomach General Medicine Middle Aged medicine.disease Obesity Mental health Obesity Morbid Surgery Mental Health medicine.anatomical_structure Female medicine.symptom Mental Status Schedule business Follow-Up Studies Psychopathology |
| Zdroj: | The American Journal of Surgery. 161:154-158 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/0002-9610(91)90377-p |
| Popis: | From February 1, 1980, to May 1, 1989, 462 patients underwent the Greenville gastric bypass at the East Carolina University School of Medicine. The operation effectively maintained satisfactory weight loss after 9 years (mean weight preoperatively, 293 Ibs; at 24 months, 179 Ibs; at 96 months, 194 Ibs). The gastric bypass favorably affected non-insulin-dependent diabetes, hypertension, and physical and role functioning. In the most recent 157 patients, our studies were extended to study the effects of the gastric bypass on mental health. The significant improvements in mental health indices that were observed 6 and 12 months after surgery eroded by the end of 2 years. This return of the mental health indices to the preoperative status, plus the late occurrence of 3 suicides and 2 deaths from alcohol abuse among the total 462 patients, suggest that long-term follow-up and continued emotional support are essential ingredients for successful bariatric surgery. |
| Databáze: | OpenAIRE |
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