Bariatric Surgery, Henry Ford Health System, 1 Ford Place, 1C-46, Detroit, MI, 48202, USA.
University of Michigan-Dearborn, Dearborn, MI, USA.
Obes Surg. 2019 Oct;29(10):3365-3370. doi: 10.1007/s11695-019-04076-z.
As nearly one third of transgender individuals in the USA are obese, more transgender patients may pursue bariatric surgery as a means of sustaining weight loss. Transgender individuals, like bariatric surgery patients, have high rates of mood pathology, substance use, abuse, and self-harm behaviors. However, there is no research on transgender bariatric surgery candidates. The aim of this review is to elucidate potential psychosocial risk factors, including sex hormone management, which may impact surgical clearance, presurgical psychosocial assessment, and treatment recommendations.
在美国,几乎有三分之一的跨性别者肥胖,因此可能会有更多的跨性别者选择接受减重手术来维持减肥效果。与减重手术患者一样,跨性别者也存在较高的情绪病理、物质使用、滥用和自残行为。然而,目前还没有针对跨性别减重手术候选人的研究。本综述旨在阐明潜在的社会心理风险因素,包括性激素管理,这些因素可能会影响手术资格、术前社会心理评估和治疗建议。