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Psychiatric Causes of Bariatric Surgery Exclusion: A Descriptive Study

Published online by Cambridge University Press:  01 September 2022

C. Vilella Martín ,
P. García Vázquez ,
Y. Barrera García ,
P. Fernández Perea ,
A. Serrano García ,
C. Franch Pato  and
R. Gómez Martínez
C. Vilella Martín*
Affiliation:
Complejo Asistencial Universitario de León, Psychiatry, LEÓN, Spain
P. García Vázquez
Affiliation:
Complejo Asistencial Universitario de León, Psychiatry, LEÓN, Spain
Y. Barrera García
Affiliation:
Complejo Asistencial Universitario de León, Psychiatry, LEÓN, Spain
P. Fernández Perea
Affiliation:
Complejo Asistencial Universitario de León, Psychiatry, LEÓN, Spain
A. Serrano García
Affiliation:
Complejo Asistencial Universitario de León, Psychiatry, LEÓN, Spain
C. Franch Pato
Affiliation:
Complejo Asistencial Universitario de León, Psychiatry, LEÓN, Spain
R. Gómez Martínez
Affiliation:
Complejo Asistencial Universitario de León, Psychiatry, LEÓN, Spain
*
*Corresponding author.

Abstract

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Introduction

The psychopathological causes that advise against a bariatric surgical procedure include any state that puts at risk the modification of habits and beliefs regarding eating behavior, wich condition weight loss and health improvement.

Objectives

To Study the psychiatric profile of patients rejected for bariatric surgery at the Complejo Hospitalario Asistencial de León (León, Spain).

Methods

Retrospective observational study. All patients for whom bariatric surgery procedure has been contraindicated for psychopathological reasons are included. 145 patients were evaluated in the context of the protocol for bariatric surgery. The following diagnostic scales were used as support: Salamanca Questionnaire, Plutchik Impulsivity Scale, Attitudes towards change in patients with eating disorders (ACTA), Bulimia Investigatory Test Edinburgh e, and European Quality of Life-5 Dimensions.

Results

41 Patients were rejected for psychiatric reasons (28.28%). The most frequent diagnoses are impulse control disorder (39%), followed by eating disorder (27%). Other diagnoses found are: depressive disorder (10%), adjustment disorder (5%), personality disorders, intellectual disability and generalized anxiety disorder (3%) 78% of them are women.

Conclusions

Uncontrolled psychiatric pathology is a contraindication to bariatric surgery. Impulse control disorder and eating disorder are related to overweight and obesity, so a diagnosis and treatment are necessary prior planning surgical procedure. Psychopathological variables determine the success of bariatric surgery procedures and it is mandatory to consider them in the process.

Disclosure

No significant relationships.

Keywords

bariatricexclusionsurgeryimpulsive
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S586
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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