Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN.
Department of Psychiatry, Yale School of Medicine, New Haven, CT.
J Acad Consult Liaison Psychiatry. 2023 May-Jun;64(3):267-276. doi: 10.1016/j.jaclp.2023.02.001. Epub 2023 Feb 9.
We present the case of a 42-year-old female with major depressive disorder who received a Roux-en-Y gastric bypass and subsequently decompensated in her depression symptoms and began newly engaging in problematic alcohol use. Top experts in the consultation-liaison field, specifically bariatric surgery psychiatry, provide guidance for this commonly encountered clinical case based on their experience and a review of the available literature. Key teaching points include the presurgical psychosocial assessment, pertinent perioperative psychopharmacology, and problematic alcohol use after bariatric surgery.
我们报告了一例 42 岁女性患者，她患有重度抑郁症，接受了 Roux-en-Y 胃旁路手术，随后抑郁症状恶化，并开始出现新的、有问题的酒精使用。肥胖手术精神病学领域的顶尖专家根据他们的经验和对现有文献的回顾，为这个常见的临床病例提供了指导。关键教学要点包括术前心理社会评估、相关围手术期精神药理学以及肥胖手术后的酒精使用问题。
