Abstract
Gastric bypass (GBP) surgery is considered a safe and effective treatment for obesity. However, there is uncertainty regarding the impact of preexisting psychiatric comorbidity on GBP complications. We have investigated whether a psychiatric diagnosis before GBP surgery is associated with delayed discharge (the odds of being in the 90th percentile of length of stay) and rate of reoperation in a nationwide Swedish cohort. Patients undergoing GBP surgery during 2008-2012 were identified and followed up through the National Patient Register and the Prescribed Drug Register. Logistic regression models were fitted to the studied outcomes. Among the 22,539 patients identified, a prior diagnosis of bipolar disorder, schizophrenia, depression, neurotic disorders, ADHD (attention deficit hyperactivity disorder), substance use disorder, eating disorder, personality disorder, or self-harm since 1997 (n = 9480) was found to be associated with delayed discharge after GBP surgery (odds ratio [OR] = 1.47, confidence interval [CI] 1.34-1.62), especially in patients with psychiatric hospitalization exceeding 1 week in the 2 years preceding GBP surgery (OR = 2.06, CI 1.30-3.28), compared with those not hospitalized within psychiatry. Likewise, p...Continue Reading
References
Oct 6, 2005·Psychosomatic Medicine·Andrea U BauchowitzBruce Schirmer
Aug 10, 2006·Pharmacoepidemiology and Drug Safety·Björn WettermarkMåns Rosén
Dec 4, 2008·The Journal of Clinical Endocrinology and Metabolism·Walter J Pories
Mar 17, 2009·BMC Gastroenterology·Jonas F LudvigssonAnders Ekbom
Jun 9, 2009·European Journal of Epidemiology·Jonas F LudvigssonAnders Ekbom
Mar 8, 2011·Obesity Surgery·William C SteinmannNancy A Halstenson
Jun 11, 2011·BMC Public Health·Jonas F LudvigssonPetra Otterblad Olausson
Aug 16, 2011·Acta Psychiatrica Scandinavica·C SellgrenN Långström
Dec 14, 2011·Obesity Surgery·Sven AlfonssonAta Ghaderi
Aug 28, 2012·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·James E MitchellSusan Z Yanovski
Oct 30, 2012·Obesity Surgery·Naama KafriDavid Hazzan
Jul 16, 2013·Australian Health Review : a Publication of the Australian Hospital Association·Aleece MacPhailJoseph E Ibrahim
Apr 23, 2014·Obesity Surgery·Karen B GrotheMark A Frye
Oct 10, 2015·Obesity Surgery·Jennifer HenselValerie Taylor
Jan 13, 2016·JAMA : the Journal of the American Medical Association·Aaron J DawesPaul G Shekelle
Feb 3, 2016·BMC Surgery·Mohamed M Ghoneim, Michael W O'Hara
Apr 23, 2016·Physiology & Behavior·Paola AcetoLiliana Sollazzi
May 18, 2016·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Stephanie SoggLisa West-Smith
Jul 9, 2016·Annals of Surgery·Ylva Trolle LagerrosRobert Bodén
Jul 19, 2016·Annals of Surgery·David C CronChad M Brummett
Nov 16, 2016·Psychosomatics·Hsiang HuangRachel Kester
Feb 9, 2017·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Kelli E FriedmanMegan A McVay
Apr 22, 2017·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·V IvezajS Sogg
Apr 26, 2017·Obesity·David FisherKristina H Lewis
Jul 2, 2017·BMC Psychiatry·Jan SundquistKenneth S Kendler
Oct 29, 2017·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Ryan J MarekLeslie J Heinberg
Jan 14, 2018·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Megan LitzChristopher S Hollenbeak
Apr 19, 2018·The British Journal of Surgery·O BorisenkoA R Ahmed
Apr 28, 2018·Psychosomatics·Karen HoSanjeev Sockalingam
Sep 27, 2018·Surgical Endoscopy·Anahita JalilvandSabrena Noria