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The risk of suicide in obese people increases after surgery



Posted on 25/01/09 2:02:54 PMCET

MADRID, January 25 (EUROPA PRESS) –

The risk of suicide and self-harm in obese people increases during the post-operative process after bariatric surgery, as demonstrated during the GGTOG Third Symposium of the Gallic Heavy Obesity Treatment Group (GGTOG).

In addition, it is also approached that other studies confirm changes in interpersonal relationships after baritone surgery and increase the number of divorces and divorces. In this sense, during the appointment he insisted on the need for careful monitoring of the psychiatric level of the patient.

Other psychological aspects in the cases of baritone surgery or high weight loss are the treatment of obesity and post-operative addiction.

This consideration has led to a new line of research that finds similarities in the brain activity of drug-addicted and obese individuals. In particular, in reducing the number of D2 dopamine receptors associated with the pleasure and pay chains. As a result, there are suggestions to consider obesity as a mental illness.

On the other hand, most studies confirm that the frequency of alcohol and drug use in obese people is similar to that of the general population, although after baritone surgery there is a certain risk of increased consumption. "It is important to monitor this risk in postoperative follow-up," says psychologist Carlos Delgado-Calve.

SAFE SURGERY

Intervention interventions in the treatment of severe obesity are also examined during the day. It has to be done "by a multidisciplinary team and treatment should be controlled for life as the patient is at the center of therapy," according to Santiago Javier Baltar, a member of the obesity surgery team at Santiago University Hospital.

According to his estimates, the excess weight lost after the interventions varies depending on the techniques. 47% of the weight was lost after the gastric band; 60% after vertical gastrectomy; 68% after gastric bypass and 80% after duodenal crossing.

In addition, as explained by the physician, all of these are performed with laparoscopy with minimal morbidity and mortality, less than 0.5%. Also, with these operations, type 2 diabetes can be solved between 50 and 98 percent of cases depending on the technique used, as indicated on the day.

"IMPORTANT ROLE" IN THE PRIMARY CARE

The national coordinator of the SEMERGEN group of primary care physicians, Dr. Jose Manuel Fernandes, has rated obesity as a "challenge" for any time in the healthcare system.

Six out of every ten Spaniards have an excessive weight that affects their cardiovascular health and has a frequency in various types of cancer. In this connection, Fernandez emphasizes the "important role" of primary care for the approach to obesity.

It refers to "the health education of the population in healthy lifestyle habits, a key pillar of prevention and treatment," he said. Similarly, "after a bariatric surgery, the family doctor is the most appropriate resource to analyze specific complications such as vitamin or mineral deficiency conditions, vomiting syndrome or diarrhea, malnutrition and mental health control," Fernandez concluded.


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