Marchesi Doglas Gobbi, Ciriaco Jovana Gobbi Marchesi, Miguel Gustavo Peixoto Soares, Batista Gustavo Adolfo Pavan, Cabral Camila Pereira, Fraga Larissa Carvalho
- Federal University of Espírito Santo, Department of Surgical Clinics, Vitória, Espírito Santo State, Brazil.
- Federal University of Espírito Santo, Department of Internal Medicine, Vitória Espírito Santo State, Brazil.
Rev Col Bras Cir. 2017 Mar-Apr;44(2):140-146. doi: 10.1590/0100-69912017002006.
to analyze possible negative effects of Attention Deficit Hyperactivity Disorder (ADHD) on the success of bariatric surgery.
we evaluated forty patients undergoing bariatric surgery and with regular post-operative follow-up of at least one year. To all, we applied the questionnaire advocated in the fourth edition of the Diagnostic and Statistical Manual (DSM-IV) of the American Psychiatric Association for ADHD, as well as analyzed their postoperative data.
fifteen (38%) patients presented a positive questionnaire for ADHD. Patients with ADHD presented higher BMI than patients without the disorder (45.8 vs. 40.9 kg/m2, p=0.017), and the difference remained in all postoperative stages. There was no statistically significant difference in surgery success (33.3% x 66.7%, p=0.505) or in BMI reduction (30.71% x 31.88%, p=0.671) one year after the procedure.
ADHD patients have a higher BMI. However, the presence of ADHD does not influence the success of bariatric surgery and the reduction of BMI.
分析注意力缺陷多动障碍（ADHD）对减肥手术成功率可能产生的负面影响。
我们评估了40例接受减肥手术且术后定期随访至少一年的患者。我们对所有人应用了美国精神病学协会《精神疾病诊断与统计手册》（DSM-IV）第四版中倡导的用于ADHD的问卷，并分析了他们的术后数据。
15例（38%）患者ADHD问卷呈阳性。ADHD患者的BMI高于无该疾病的患者（45.8 vs. 40.9 kg/m²，p = 0.017），且这种差异在所有术后阶段均存在。术后一年，手术成功率（33.3%对66.7%，p = 0.505）或BMI降低幅度（30.71%对31.88%，p = 0.671）无统计学显著差异。
ADHD患者的BMI较高。然而，ADHD的存在并不影响减肥手术的成功率和BMI的降低。
