Randolph J
CMAJ. 1986 Jun 15;134(12):1359-61.
Gastric partitioning, a surgical treatment for morbid obesity, challenges patients to drastically change their eating habits and self-image. Preoperative psychiatric assessment should not be aimed simply at selecting patients in whom there are no psychiatric contraindications. Many patients have some degree of risk for postoperative problems. If the risk factors can be identified before surgery, appropriate pre- and postoperative psychologic intervention may help minimize maladaptation.
胃分隔术是一种治疗病态肥胖的外科手术,它要求患者彻底改变饮食习惯和自我认知。术前的精神科评估不应仅仅着眼于挑选没有精神科禁忌证的患者。许多患者术后都有一定程度的出现问题的风险。如果在手术前能够识别出风险因素,那么适当的术前和术后心理干预可能有助于将适应不良的情况降到最低。