Rummell Christina M, Heinberg Leslie J
Bariatric and Metabolic Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue/M61, Cleveland, OH, 44195, USA,
Obes Surg. 2014 Oct;24(10):1764-70. doi: 10.1007/s11695-014-1315-x.
Research has demonstrated negative effects of both alcohol and tobacco use after bariatric surgery. However, no research to date has examined effects of cannabis use after bariatric surgery, even though cannabis is the most commonly used illicit drug in the USA. Literature review reveals that many practitioners generalize from data regarding alcohol abuse to all substances. Further, many screening protocols fail to differentiate between varying levels of cannabis use. The current report aims to (1) review the relevant literature on marijuana use and its potential consequences among bariatric patients, (2) discuss relevant problems and gaps in this literature, and (3) make preliminary recommendations regarding the assessment and treatment planning of bariatric candidates who disclose marijuana use.
研究表明，减肥手术后饮酒和吸烟均会产生负面影响。然而，尽管大麻是美国最常用的非法药物，但迄今为止尚无研究考察减肥手术后使用大麻的影响。文献综述显示，许多从业者将关于酒精滥用的数据推广到所有物质上。此外，许多筛查方案未能区分不同程度的大麻使用情况。本报告旨在：（1）回顾关于减肥患者使用大麻及其潜在后果的相关文献；（2）讨论该文献中存在的相关问题和差距；（3）就对披露使用大麻的减肥手术候选人的评估和治疗规划提出初步建议。
