Surgical Management of Obesity Among People ...
Document type :
Article dans une revue scientifique
PMID :
Permalink :
Title :
Surgical Management of Obesity Among People with Schizophrenia and Bipolar Disorder: a Systematic Review of Outcomes and Recommendations for Future Research
Author(s) :
Kouidrat, Youssef [Auteur]
Institute of Psychiatry, Psychology & Neuroscience, King's College London
Amad, Ali [Auteur]
Laboratoire Sciences Cognitives et Sciences Affectives - UMR 9193 [SCALab]
Stubbs, Brendon [Auteur]
Institute of Psychiatry, Psychology & Neuroscience, King's College London
Moore, Suzan [Auteur]
Gaughran, Fiona [Auteur]
Institute of Psychiatry, Psychology & Neuroscience, King's College London
Institute of Psychiatry, Psychology & Neuroscience, King's College London
Amad, Ali [Auteur]
Laboratoire Sciences Cognitives et Sciences Affectives - UMR 9193 [SCALab]
Stubbs, Brendon [Auteur]
Institute of Psychiatry, Psychology & Neuroscience, King's College London
Moore, Suzan [Auteur]
Gaughran, Fiona [Auteur]
Institute of Psychiatry, Psychology & Neuroscience, King's College London
Journal title :
Obesity surgery
Abbreviated title :
Obes Surg
Volume number :
27
Pages :
1889-1895
Publication date :
2017-07
ISSN :
1708-0428
English keyword(s) :
Antipsychotics
Bariatric surgery
Bipolar disorder
Psychosis
Schizophrenia
Severe mental illness
Surgery for obesity
Bariatric surgery
Bipolar disorder
Psychosis
Schizophrenia
Severe mental illness
Surgery for obesity
HAL domain(s) :
Sciences cognitives
English abstract : [en]
BACKGROUND: People with schizophrenia or bipolar disorder (BD) exhibit very high levels of obesity. Little is known about the potential benefits/risks of obesity surgery. We conducted a narrative review to summarize the ...
Show more >BACKGROUND: People with schizophrenia or bipolar disorder (BD) exhibit very high levels of obesity. Little is known about the potential benefits/risks of obesity surgery. We conducted a narrative review to summarize the available knowledge on bariatric surgery in people with schizophrenia or BD. METHODS: A systematic search was conducted of major electronic databases from inception to October 2016 for studies investigating bariatric surgery among people with schizophrenia or BD. Data were presented in a narrative synthesis and future research strategies proposed. RESULTS: The electronic database searches identified 44 records. Eight studies (BD, n = 265; schizophrenia: n = 14) were included with a mean study length of 15.7 months (12-24). Seven found that bariatric surgery resulted in weight loss in those with psychiatric disorders with an excess weight loss ranging -31 to -70%. Six studies found that weight loss from bariatric surgery was similar in people with schizophrenia or BD versus controls. However, most of the studies limited their outcomes to only weight loss and did not measure whether obesity surgery affected the status and treatment of psychiatric symptoms. Although few adverse events were reported among patients with BD, data from two studies demonstrated no significant deterioration of psychiatric symptoms post-surgery in people with schizophrenia. CONCLUSIONS: Growing evidence suggests that bariatric surgery may improve short-term weight status among people with BD. However, given the paucity of studies for schizophrenia, and the lack of information on medium-to long-term results, future large-scale high-quality studies are required.Show less >
Show more >BACKGROUND: People with schizophrenia or bipolar disorder (BD) exhibit very high levels of obesity. Little is known about the potential benefits/risks of obesity surgery. We conducted a narrative review to summarize the available knowledge on bariatric surgery in people with schizophrenia or BD. METHODS: A systematic search was conducted of major electronic databases from inception to October 2016 for studies investigating bariatric surgery among people with schizophrenia or BD. Data were presented in a narrative synthesis and future research strategies proposed. RESULTS: The electronic database searches identified 44 records. Eight studies (BD, n = 265; schizophrenia: n = 14) were included with a mean study length of 15.7 months (12-24). Seven found that bariatric surgery resulted in weight loss in those with psychiatric disorders with an excess weight loss ranging -31 to -70%. Six studies found that weight loss from bariatric surgery was similar in people with schizophrenia or BD versus controls. However, most of the studies limited their outcomes to only weight loss and did not measure whether obesity surgery affected the status and treatment of psychiatric symptoms. Although few adverse events were reported among patients with BD, data from two studies demonstrated no significant deterioration of psychiatric symptoms post-surgery in people with schizophrenia. CONCLUSIONS: Growing evidence suggests that bariatric surgery may improve short-term weight status among people with BD. However, given the paucity of studies for schizophrenia, and the lack of information on medium-to long-term results, future large-scale high-quality studies are required.Show less >
Language :
Anglais
Audience :
Non spécifiée
Administrative institution(s) :
Université de Lille
CNRS
CHU Lille
CNRS
CHU Lille
Research team(s) :
Équipe Psychiatrie & Croyance (PsyCHIC)
Submission date :
2019-02-13T14:21:38Z
2020-04-14T13:08:47Z
2020-04-14T13:08:47Z