Behavioral Medicine, Gundersen Health System, 1900 South Avenue, La Crosse, WI 54601, USA.
Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA.
Surg Clin North Am. 2021 Apr;101(2):323-333. doi: 10.1016/j.suc.2020.12.005.
Despite its important treatment implications for obesity and related comorbidities, bariatric surgery requires several behavioral changes that warrant comprehensive evaluation and support before and after surgery. This article outlines emerging scientific and anecdotal evidence for addiction transfer after bariatric surgery. Other common behavioral changes that impact adherence, weight loss, and psychiatric risk after surgery are also reviewed. Last, recommendations for presurgical psychological evaluation and postoperative support are provided.
尽管减重手术对肥胖症及其相关合并症的治疗具有重要意义,但需要进行多项行为改变,这需要在手术前后进行全面评估和支持。本文概述了减重手术后成瘾转移的新出现的科学和传闻证据。还回顾了其他常见的行为改变,这些改变会影响手术后的依从性、体重减轻和精神风险。最后,提供了术前心理评估和术后支持的建议。