Division of Upper GI and General Surgery, Department of Surgery, Keck School of Medicine of USC, 1510 San Pablo St., Suite 514, Los Angeles, CA, 90033, USA.
Department of Medicine, Cedars Sinai Medical Center, Los Angeles, CA, USA.
Surg Endosc. 2022 Jul;36(7):4650-4673. doi: 10.1007/s00464-022-09147-4. Epub 2022 Mar 11.
Although there is evidence to support the relationship between abuse history and obesity, the association between abuse history and outcomes after bariatric surgery is not well-established. We aimed to summarize the current literature examining this relationship, as well as provide clinical recommendations to optimize postoperative outcomes.
PubMed and SCOPUS databases were queried to identify relevant published studies.
Overall, 20 studies were included. Rates of the various types of abuse reported in the bariatric surgery population varied widely across studies, as did the methodology used to assess it. The majority of studies found no significant associations between abuse history and postoperative weight loss outcomes. The literature examining the relationship between abuse history and postoperative psychiatric outcomes was less conclusive.
Most current evidence demonstrates that abuse history is not associated with weight loss outcomes after bariatric surgery. Literature on postoperative psychiatric outcomes is mixed, and more robust studies are needed to further investigate the relationship between abuse history and postoperative psychiatric outcomes. Importantly, abuse history should not preclude patients from undergoing bariatric surgery. Of note, patients may benefit from careful monitoring for emotional distress and worsening of psychiatric comorbidities after surgery and psychiatric counseling and treatment when indicated.
尽管有证据支持虐待史与肥胖之间的关系，但虐待史与减重手术后结果之间的关联尚未得到充分证实。我们旨在总结目前检查这种关系的文献，并提供优化术后结果的临床建议。
检索 PubMed 和 SCOPUS 数据库以确定相关的已发表研究。
总体而言，纳入了 20 项研究。在接受减重手术的人群中，各种类型的虐待报告率在不同的研究中差异很大，评估方法也不同。大多数研究发现，虐待史与术后体重减轻结果之间没有显著关联。关于虐待史与术后精神科结果之间关系的文献则不太确定。
目前的大多数证据表明，虐待史与减重手术后的体重减轻结果无关。关于术后精神科结果的文献存在分歧，需要更有力的研究来进一步探讨虐待史与术后精神科结果之间的关系。重要的是，虐待史不应阻止患者接受减重手术。值得注意的是，患者可能会受益于术后仔细监测情绪困扰和精神合并症的恶化，并在需要时提供心理咨询和治疗。
