Prevalência de transtornos psiquiátricos após cirurgia bariátrica: uma revisão da literatura
DOI:
https://doi.org/10.25118/2763-9037.2023.v13.651Palavras-chave:
Obesidade, Cirurgia bariátrica, Saúde mentalResumo
Introdução: tendo em vista a epidemia de obesidade em todo o mundo, a cirurgia bariátrica apresenta relevante papel na melhora de desordens clínicas e na qualidade de vida de pacientes obesos. No entanto, é necessário analisar as condições psiquiátricas agravadas ou iniciadas após o procedimento. Objetivos: apresentar as principais alterações psiquiátricas em pacientes submetidos à cirurgia bariátrica. Metodologia: foi realizada revisão narrativa, com levantamento de 24 artigos publicados entre 2019 e 2023, seguida de revisão narrativa de estudos referenciados pelos artigos selecionados. Resultados: são frequentes as alterações psiquiátricas em pacientes pós-bariátrica. Especificamente, há maior prevalência de transtornos por uso de substância, principalmente o álcool, transtornos de humor e alimentares. Conclusão: é necessária a adequada identificação e abordagem de tais agravos, tendo em vista o potencial efeito prejudicial tanto para os resultados da cirurgia, quanto para a própria qualidade de vida destes pacientes.
Downloads
Métricas
Referências
World Health Organization. WHO discussion paper: draft recommendations for the prevention and management of obesity over the life course, including potential targets. Geneva: World Health Organization; 2021. https://cdn.who.int/media/docs/default-source/obesity/who-discussion-paper-on-obesity---final190821.pdf?sfvrsn=4cd6710a_24&download=true
Alshammari SA, Alassiri MA, Allami HA, Almousa HM, Alobaid AS, Ismail DH, Bin Onayq AI. The prevalence of depression and anxiety in post-bariatric surgery patients at King Khalid University Hospital, Riyadh. Cureus. 2022;14(12):e32500. https://doi.org/10.7759/cureus.32500 PMID:36644066 PMCID:PMC9837663 DOI: https://doi.org/10.7759/cureus.32500
Roberts RE, Deleger S, Strawbridge WJ, Kaplan GA. Prospective association between obesity and depression: evidence from the Alameda County Study. Int J Obes Relat Metab Disord. 2003;27(4):514-21. https://doi.org/10.1038/sj.ijo.0802204 PMID:12664085
Lin HY, Huang CK, Tai CM, Lin HY, Kao YH, Tsai CC, Hsuan CF, Lee SL, Chi SC, Yen YC. Psychiatric disorders of patients seeking obesity treatment. BMC Psychiatry. 2013;13:1. https://doi.org/10.1186/1471-244x-13-1 PMID:23281653 PMCID:PMC3543713 DOI: https://doi.org/10.1186/1471-244X-13-1
Jalilvand A, Dewire J, Detty A, Needleman B, Noria S. Baseline psychiatric diagnoses are associated with early readmissions and long hospital length of stay after bariatric surgery. Surg Endosc. 2019;33(5):1661-6. https://doi.org/10.1007/s00464-018-6459-7 PMID:30255332 - PMCID:PMC6461512 DOI: https://doi.org/10.1007/s00464-018-6459-7
Every-Palmer S, Romans SE, Stubbs R, Tomlinson A, Gandhi S, Huthwaite M. Experiences of weight-loss surgery in people with serious mental illness: a qualitative study. Front Psychiatry. 2020;11:419. https://doi.org/10.3389/fpsyt.2020.00419 PMID:32477191 - PMCID:PMC7236816 DOI: https://doi.org/10.3389/fpsyt.2020.00419
Kolotkin RL, Davidson LE, Crosby RD, Hunt SC, Adams TD. Six-year changes in health-related quality of life in gastric bypass patients versus obese comparison groups. Surg Obes Relat Dis. 2012;8(5):625-33. https://doi.org/10.1016/j.soard.2012.01.011 PMID:22386053 - PMCID:PMC3693474 DOI: https://doi.org/10.1016/j.soard.2012.01.011
Buchwald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K, Schoelles K. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292(14):1724-37. https://doi.org/10.1001/jama.292.14.1724 PMID:15479938 DOI: https://doi.org/10.1001/jama.292.14.1724
Mingrone G, Panunzi S, De Gaetano A, Guidone C, Iaconelli A, Nanni G, Castagneto M, Bornstein S, Rubino F. Bariatric-metabolic surgery versus conventional medical treatment in obese patients with type 2 diabetes: 5 year follow-up of an open-label, single-centre, randomised controlled trial. Lancet. 2015;386(9997):964-73. https://doi.org/10.1016/s0140-6736(15)00075-6 PMID:26369473 DOI: https://doi.org/10.1016/S0140-6736(15)00075-6
Bringel Neto LL. Transtornos mentais em pacientes submetidos à cirurgia bariátrica: revisão integrativa de literatura [trabalho de conclusão de curso]. Foz do Iguaçu: Universidade Federal da Integração Latino-Americana; 2021. https://dspace.unila.edu.br/handle/123456789/6157
Bianciardi E, Raimondi G, Samela T, Innamorati M, Contini LM, Procenesi L, Fabbricatore M, Imperatori C, Gentileschi P. Neurocognitive and psychopathological predictors of weight loss after bariatric surgery: a 4-year follow-up study. Front Endocrinol (Lausanne). 2021;12:662252. https://doi.org/10.3389/fendo.2021.662252 PMID:34025579 PMCID:PMC8131828 DOI: https://doi.org/10.3389/fendo.2021.662252
Burnatowska E, Surma S, Olszanecka-Glinianowicz M. Relationship between mental health and emotional eating during the covid-19 pandemic: a systematic review. Nutrients. 2022;14(19):3989. https://doi.org/10.3390/nu14193989 PMID:36235642 - PMCID:PMC9573278 DOI: https://doi.org/10.3390/nu14193989
Almandoz JP, Xie L, Schellinger JN, Mathew MS, Bismar N, Ofori A, Kukreja S, Schneider B, Vidot D, Messiah SE. Substance use, mental health and weight-related behaviours during the covid-19 pandemic in people with obesity. Clin Obes. 2021;11(2):e12440. https://doi.org/10.1111/cob.12440 PMID:33539652 PMCID:PMC7988649 DOI: https://doi.org/10.1111/cob.12440
Messiah SE, Uppuluri M, Xie L, Schellinger JN, Mathew MS, Ofori A, Kukreja S, Schneider B, Dunn SH, Tavakkoli A, Almandoz JP. Substance use, mental health, and weight-related behaviors during the covid-19 pandemic among metabolic and bariatric surgery patients. Obes Surg. 2021;31(8):3738-48. https://doi.org/10.1007/s11695-021-05488-6 PMID:34041701 PMCID:PMC8154548 DOI: https://doi.org/10.1007/s11695-021-05488-6
Monteleone AM, Globus I, Cascino G, Klomek AB, Latzer Y. Psychopathology predicts mental but not physical bariatric surgery outcome at 3-year follow-up: a network analysis study. Eat Weight Disord. 2022;27(8):3331-40. https://doi.org/10.1007/s40519-022-01463-x PMID:36029369 - PMCID:PMC9803758 DOI: https://doi.org/10.1007/s40519-022-01463-x
Dawes AJ, Maggard-Gibbons M, Maher AR, Booth MJ, Miake-Lye I, Beroes JM, Shekelle PG. Mental health conditions among patients seeking and undergoing bariatric surgery: a meta-analysis. JAMA. 2016;315(2):150-63. https://doi.org/10.1001/jama.2015.18118 PMID:26757464 DOI: https://doi.org/10.1001/jama.2015.18118
Roberts RE, Deleger S, Strawbridge WJ, Kaplan GA. Prospective association between obesity and depression: evidence from the Alameda County Study. Int J Obes Relat Metab Disord. 2003;27(4):514-21. https://doi.org/10.1038/sj.ijo.0802204 PMID:12664085 DOI: https://doi.org/10.1038/sj.ijo.0802204
Reslan S, Saules KK, Greenwald MK, Schuh LM. Substance misuse following Roux-en-Y gastric bypass surgery. Subst Use Misuse. 2014;49(4):405-17. https://doi.org/10.3109/10826084.2013.841249 PMID:24102253 DOI: https://doi.org/10.3109/10826084.2013.841249
Pepino MY, Okunade AL, Eagon JC, Bartholow BD, Bucholz K, Klein S. Effect of Roux-en-Y gastric bypass surgery: converting 2 alcoholic drinks to 4. JAMA Surg. 2015;150(11):1096-8. https://doi.org/10.1001/jamasurg.2015.1884 PMID:26244751 - PMCID:PMC4886858 DOI: https://doi.org/10.1001/jamasurg.2015.1884
Mellinger JL, Shedden K, Winder GS, Fernandez AC, Lee BP, Waljee J, Fontana R, Volk ML, Blow FC, Lok ASF. Bariatric surgery and the risk of alcohol-related cirrhosis and alcohol misuse. Liver Int. 2021;41(5):1012-9. https://doi.org/10.1111/liv.14805 PMID:33529460 - PMCID:PMC8204517
Ivezaj V, Benoit SC, Davis J, Engel S, Lloret-Linares C, Mitchell JE, Pepino MY, Rogers AM, Steffen K, Sogg S. Changes in alcohol use after metabolic and bariatric surgery: predictors and mechanisms. Curr Psychiatry Rep. 2019;21(9):85. https://doi.org/10.1007/s11920-019-1070-8 PMID:31410716 - PMCID:PMC7057935 DOI: https://doi.org/10.1007/s11920-019-1070-8
Briegleb M, Hanak C. Gastric bypass and alcohol use: a literature review. Psychiatr Danub. 2020;32 Suppl 1:176-9. PMID:32890386
Wong E, Fleishman A, Brem A, Jones DB, Wee CC. High-risk alcohol use and disordered eating behavior before and 1 year after sleeve gastrectomy. Obes Surg. 2022;32(3):593-8. https://doi.org/10.1007/s11695-021-05847-3 PMID:35088252 PMCID:PMC8794632 DOI: https://doi.org/10.1007/s11695-021-05847-3
Mellinger JL, Shedden K, Winder GS, Fernandez AC, Lee BP, Waljee J, Fontana R, Volk ML, Blow FC, Lok ASF. Bariatric surgery and the risk of alcohol-related cirrhosis and alcohol misuse. Liver Int. 2021;41(5):1012-9. https://doi.org/10.1111/liv.14805 PMID:33529460 - PMCID:PMC8204517 DOI: https://doi.org/10.1111/liv.14805
Tvedt H, Stokke R, Lid TG, Selbekk AS. Problematic alcohol use in post-bariatric patients - a qualitative study. Tidsskr Nor Laegeforen. 2023;143(1). https://doi.org/10.4045/tidsskr.22.0449 PMID:36655967 DOI: https://doi.org/10.4045/tidsskr.22.0449
Alyahya RA, Alnujaidi MA. Prevalence and outcomes of depression after bariatric surgery: a systematic review and meta-analysis. Cureus. 2022;14(6):e25651. https://doi.org/10.7759/cureus.25651 PMID:35784972 - PMCID:PMC9249077 DOI: https://doi.org/10.7759/cureus.25651
El Ansari W, Elhag W. Weight regain and insufficient weight loss after bariatric surgery: definitions, prevalence, mechanisms, predictors, prevention and management strategies, and knowledge gaps-a scoping review. Obes Surg. 2021;31(4):1755-66. https://doi.org/10.1007/s11695-020-05160-5 PMID:33555451 - PMCID:PMC8012333 DOI: https://doi.org/10.1007/s11695-020-05160-5
Oltmanns JR, Rivera Rivera J, Cole J, Merchant A, Steiner JP. Personality psychopathology: longitudinal prediction of change in body mass index and weight post-bariatric surgery. Health Psychol. 2020;39(3):245-54. https://doi.org/10.1037/hea0000842 PMID:31944798 - PMCID:PMC7021354 DOI: https://doi.org/10.1037/hea0000842
Huang CW, Tang WJ, Liu YY, Tsai CY, Yeh TS, Liu KH. Predicted weight loss result of laparoscopic sleeve gastrectomy: review of the first 82 consecutive patients in an Asian bariatric unit. Asian J Surg. 2019;42(1):373-8. https://doi.org/10.1016/j.asjsur.2018.06.003 PMID:30585171 DOI: https://doi.org/10.1016/j.asjsur.2018.06.003
Friedman KE, Applegate K, Portenier D, McVay MA. Bariatric surgery in patients with bipolar spectrum disorders: selection factors, postoperative visit attendance, and weight outcomes. Surg Obes Relat Dis. 2017;13(4):643-51. https://doi.org/10.1016/j.soard.2016.10.009 PMID:28169206 - PMCID:PMC5400728 DOI: https://doi.org/10.1016/j.soard.2016.10.009
Chalopin S, Betry C, Coumes S, Wion N, Reche F, Arvieux C, Borel AL. Benefits and risks of bariatric surgery in patients with bipolar disorders. Surg Obes Relat Dis. 2020;16(6):798-805. https://doi.org/10.1016/j.soard.2020.02.010 PMID:32209316 DOI: https://doi.org/10.1016/j.soard.2020.02.010
Bali A, Jaggi AS. An integrative review on role and mechanisms of ghrelin in stress, anxiety and depression. Curr Drug Targets. 2016;17(5):495-507. https://doi.org/10.2174/1389450116666150518095650 PMID:25981609 DOI: https://doi.org/10.2174/1389450116666150518095650
Troisi A. Emergence of bariatric psychiatry as a new subspecialty. World J Psychiatry. 2022;12(1):108-16. https://doi.org/10.5498/wjp.v12.i1.108 PMID:35111582 - PMCID:PMC8783166 DOI: https://doi.org/10.5498/wjp.v12.i1.108
Castaneda D, Popov VB, Wander P, Thompson CC. Risk of suicide and self-harm is increased after bariatric surgery-a systematic review and meta-analysis. Obes Surg. 2019;29(1):322-33. https://doi.org/10.1007/s11695-018-3493-4 PMID:30343409 DOI: https://doi.org/10.1007/s11695-018-3493-4
Conceição E, Teixeira F, Rodrigues T, Lourdes M, Bastos AP, Vaz A, Ramalho S. Comportamentos alimentares problemáticos após cirurgia bariátrica: um estudo com amostra nacional portuguesa. Acta Med Port. 2018;31(11):633-40. https://doi.org/10.20344/amp.9237 PMID:30521456 DOI: https://doi.org/10.20344/amp.9237
Devlin MJ, King WC, Kalarchian MA, Hinerman A, Marcus MD, Yanovski SZ, Mitchell JE. Eating pathology and associations with long-term changes in weight and quality of life in the longitudinal assessment of bariatric surgery study. Int J Eat Disord. 2018;51(12):1322-30. https://doi.org/10.1002/eat.22979 PMID:30520527 - PMCID:PMC6876117 DOI: https://doi.org/10.1002/eat.22979
Watson C, Riazi A, Ratcliffe D. Exploring the experiences of women who develop restrictive eating behaviours after bariatric surgery. Obes Surg. 2020;30(6):2131-9. https://doi.org/10.1007/s11695-020-04424-4 PMID:32060849 - PMCID:PMC7475057 DOI: https://doi.org/10.1007/s11695-020-04424-4
Colles SL, Dixon JB. Night eating syndrome: impact on bariatric surgery. Obes Surg. 2006;16(7):811-20. https://doi.org/10.1381/096089206777822160 PMID:16839476 DOI: https://doi.org/10.1381/096089206777822160
Lydecker JA, Ivezaj V, Grilo CM. Secretive eating and binge eating following bariatric surgery. Int J Eat Disord. 2019;52(8):935-40. https://doi.org/10.1002/eat.23089 PMID:31033037 - PMCID:PMC6687553 DOI: https://doi.org/10.1002/eat.23089
Cassin S, Leung S, Hawa R, Wnuk S, Jackson T, Sockalingam S. Food addiction is associated with binge eating and psychiatric distress among post-operative bariatric surgery patients and may improve in response to cognitive behavioural therapy. Nutrients. 2020;12(10):2905. https://doi.org/10.3390/nu12102905 PMID:32977459 - PMCID:PMC7598202 DOI: https://doi.org/10.3390/nu12102905
Ivezaj V, Wiedemann AA, Lawson JL, Grilo CM. Food addiction in sleeve gastrectomy patients with loss-of-control eating. Obes Surg. 2019;29(7):2071-7. https://doi.org/10.1007/s11695-019-03805-8 PMID:30847764 - PMCID:PMC6544489 DOI: https://doi.org/10.1007/s11695-019-03805-8

Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2023 Mariana Medeiros Reis, Luiz Antônio Coppini Júnior

Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial 4.0 International License.
Debates em Psiquiatria permite que o (s) autor (es) mantenha(m) seus direitos autorais sem restrições. Atribuição-NãoComercial 4.0 Internacional (CC BY-NC 4.0) - Debates em Psiquiatria é regida pela licença CC-BY-NC