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睡眠相关进食障碍:减重手术前评估的重要性——病例报告

Sleep related eating disorder: Importance of prebariatric evaluation-A case report.

作者信息

Sevinçer Güzin Mukaddes, Hızlı Sayar Gökben

机构信息

Istanbul Gelisim University, Department of Psychology, Istanbul, Turkey.

Üsküdar University, Department of Psychiatry, Istanbul, Turkey.

出版信息

Obes Res Clin Pract. 2017 May-Jun;11(3):360-363. doi: 10.1016/j.orcp.2016.08.010. Epub 2016 Sep 7.

Abstract

Sleep-related eating disorder (SRED) is a parasomnia characterised by recurrent episodes of eating after arousal from sleep, occurring in an unconscious and involuntary manner. It has been reported mainly in association with the use of psychotropic medications. This case report is of a patient diagnosed with a sleep-related eating disorder associated with amnesia in the postoperative period following bariatric surgery. Such eating episodes without awareness in postoperative period might have devastating results by disturbing compliance with suggested eating behaviours. Although it is a rare condition, SRED should be screened for among bariatric surgery candidates, and those affected should be directed for the appropriate treatment. Also whether SRED should be considered a contraindications to bariatric should be considered.

摘要

睡眠相关进食障碍(SRED)是一种异态睡眠,其特征为从睡眠中觉醒后反复出现进食发作,以无意识和非自主的方式发生。主要报道其与使用精神药物有关。本病例报告的患者在减肥手术后的术后期间被诊断为与失忆相关的睡眠相关进食障碍。术后这种无意识的进食发作可能会干扰对建议饮食行为的依从性,从而产生灾难性后果。尽管这是一种罕见病症,但在减肥手术候选者中应筛查SRED,对受影响者应给予适当治疗。此外,还应考虑SRED是否应被视为减肥手术的禁忌证。

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