Department of Psychology, Eastern Michigan University, Ypsilanti, Michigan 48197, USA.
Surg Obes Relat Dis. 2010 Nov-Dec;6(6):615-21. doi: 10.1016/j.soard.2009.12.008. Epub 2010 Jan 20.
In 2006, Brighton Hospital (Brighton, Michigan), a comprehensive substance abuse treatment facility, began observing increasing admissions who reported a history of bariatric surgery. Data on the magnitude of this postoperative outcome is lacking. The hospital instituted procedures to better track this variable in the electronic medical records at admission to estimate the prevalence of bariatric surgery history among substance abuse treatment admissions.
The data analyzed for the present report included the electronic medical record data obtained from 7199 patients admitted from 2006 to 2009 and the chart review data from 54 bariatric patients and 54 controls.
The findings suggested that 2-6% of recent admissions were positive for a bariatric surgery history. The substance abuse treatment patients with a bariatric surgery history were significantly more likely to be women and nonsmokers. The bariatric and nonbariatric patients were equally likely to have been diagnosed with alcohol dependence; however, bariatric patients were significantly more likely to also have a diagnosis of alcohol withdrawal. Relative to the matched control cases, the alcohol-dependent bariatric patients reported consuming a significantly greater maximum quantity of drinks per drinking day.
A bariatric surgery history might be overrepresented in substance use programs and such patients' recovery efforts might pose unique challenges.
2006 年，布莱顿医院（密歇根州布莱顿），一家综合性的药物滥用治疗机构，开始注意到越来越多报告有减重手术史的入院患者。关于这种术后结果的规模数据尚缺乏。医院制定了更好地在电子病历中跟踪这一变量的程序，以便在入院时评估物质滥用治疗入院患者中减重手术史的流行程度。
本报告分析的数据包括 2006 年至 2009 年期间从 7199 名患者获得的电子病历数据，以及对 54 名减重患者和 54 名对照患者的图表回顾数据。
结果表明，最近入院的患者中，有 2-6%有减重手术史。有减重手术史的物质滥用治疗患者更有可能是女性和不吸烟者。有减重手术史和无减重手术史的患者同样可能被诊断为酒精依赖；然而，减重患者更有可能同时被诊断为酒精戒断。与匹配的对照病例相比，酒精依赖的减重患者报告每天饮酒的最大饮用量明显更大。
减重手术史可能在物质使用计划中占比较大，此类患者的康复努力可能会带来独特的挑战。
