Per-Ola Park, Associate Professor1, Anna Maksinen, MD2, Maria Bergstrom, MD, PhD1. 1Department of Surgery, South Alvsborg Hospital, 2Department of Psykiatry, South Alvsborgs Hospital
Introduction: Many studies concerning individuals seeking bariatric surgery indicate a higher prevalence of psychiatric disorder in this population, both before and after surgery, however results are not conclusive. The aim of this study was to investigate changes in psychiatric health after gastric bypass surgery.
Methods: Patients within the catchment area of the department of psychiatry of the South Alvsborg Hospital, operated with gastric bypass surgery during 2011-2012 were identified through the Scandinavian quality registry (SOReg). Patients files were examined and psychiatric diagnoses and alcohol/drug abuse were recorded preoperatively and with a follow up time of 5 years.
Results: A total of 148 operated patients were identified. 48 of these patients had been in contact with the psychiatric department before or after surgery. 7 patients had attempted suicide preoperatively, but no attempts were made postoperatively, all women. 5 patients attempted suicide postoperatively without a previous history of suicidal attempts, 4 men 1 woman. Four patients with a preoperative history of alcohol abuse were identified, all women. These individuals did not seem to abuse alcohol/drugs postoperatively. Postoperatively 9 patients with an alcohol/drug abuse were identified, 3 men, 6 women. None of them had a former history of abuse. 4 of the patient performing suicidal attempts postoperatively, 3 men 1 woman, had a postoperatively emerging alcohol/drug abuse.
Conclusion: Preoperatively known alcohol/drug abuse or suicidal attempts do not seem to predispose for postoperative abusive problems or suicidal behavior. Preoperative identification of individuals prone to alcohol/drug abuse or suicidal attempts seems difficult.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 88032
Program Number: P569
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster