Psychological changes in morbidly obese patients after sleeve gastrectomy

Cir Esp. 2014 Jun-Jul;92(6):404-9. doi: 10.1016/j.ciresp.2013.11.003. Epub 2014 Jan 18.
[Article in English, Spanish]

Abstract

Background: The aim of this study is to observe the psychological changes at one year postop in a group of patients undergoing laparoscopic vertical sleeve gastrectomy (GVL) and multidisciplinary follow- up.

Methods: A total of 46 patients with a BMI-35 or higher, who were selected for GVL, completed psychological testing. After GVL surgery, patients received psychological, nutritional, and medical attention during 12 months, and they retook the same tests.

Results: Psychological tests showed an improvement on almost all scales tested, except perfectionism. The most significant change was in the benchmark for Eating Disorders with an improvement of 89% for bulimia (P<.01), and 55% for body dissatisfaction (P<.01) and ineffectiveness (P<.01). In quality of life there was an improvement of 57% in the change in health status (P<.01).

Conclusion: During our study, a protocol involving GVL and multidisciplinary follow-ups seems proved to be an effective intervention for improving bulimic symptoms and quality of living. The results of these psychological changes are similar to Roux-en-Y Gastric bypass but different to vertical banded gastroplasty or adjustable gastric band, according to previous studies. However, long-term studies are necessary to confirm this trend.

Keywords: Bulimia; Calidad de vida; Eating disorders; Quality of life; Sleeve gastrectomy; Trastornos de la conducta alimentaria; Tubo gástrico.

MeSH terms

  • Adult
  • Female
  • Follow-Up Studies
  • Gastroplasty / methods
  • Gastroplasty / psychology*
  • Humans
  • Laparoscopy
  • Male
  • Obesity, Morbid / psychology*
  • Obesity, Morbid / surgery*
  • Surveys and Questionnaires