Assessment of Bariatric Surgery as an Alternative to Anti-Obesity Strategies

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DOI:

https://doi.org/10.69667/lmj.2517219

Keywords:

Bariatric Surgery, Sleeve Gastrectomy, Psychological Challenges, Obesity, and Depression.

Abstract


This study aimed to assess bariatric obesity surgery as an alternative to anti-obesity strategies. Forty-five bariatric patients were consecutively selected for participation. Information on each patient's demographics, weight, height, and comorbidities was gathered, followed by the use of the Bariatric Quality of Life Questionnaire. 60% of patients reported feeling exhausted prior to the procedure; however, this percentage dramatically decreased to only 33.33% after bariatric surgery. Furthermore, before surgery, 66% of patients had a history of sleep apnea and breathing cessation during sleep, and 46% of patients had a history of snoring. Following the bariatric procedure, these problems were fixed. The psychiatric assessment section indicated that 53.33% of patients experienced depression following gastric surgery. Additionally, 46.66% of patients reported persistent feelings of anger and anxiety. Post-operative concerns included fears of gastric leaks, loss of happiness, diminished passion, remorse after surgery, sleep disorders, and suicidal thoughts, each occurring at varying rates. Only 33.33% of participants had received psychological support. Patients frequently report significant improvements in their health and quality of life after bariatric surgery, which is the most long-lasting and successful treatment option for morbid obesity. However, a significant minority of patients experience psychological complications, including, but not limited to post post-gastric surgery depression, patients always feel angry and have anxiety.

References

Dawes AJ, Maggard-Gibbons M, Maher AR, Booth MJ, Miake-Lye I, Beroes JM, et al. Mental Health Conditions Among Patients Seeking and Undergoing Bariatric Surgery: A Meta-analysis. Jama. 2016;315(2):150-63.

Schauer PR, Kashyap SR, Wolski K, Brethauer SA, Kirwan JP, Pothier CE, et al. Bariatric surgery versus intensive medical therapy in obese patients with diabetes. The New England journal of medicine. 2012;366(17):1567-76.

Kalarchian MA, Marcus MD. Psychiatric comorbidity of childhood obesity. International review of psychiatry (Abingdon, England). 2012;24(3):241-6.

Colquitt JL, Pickett K, Loveman E, Frampton GK. Surgery for weight loss in adults. The Cochrane database of systematic reviews. 2014;2014(8):Cd003641.

Sjöström L, Narbro K, Sjöström CD, Karason K, Larsson B, Wedel H, et al. Effects of bariatric surgery on mortality in Swedish obese subjects. The New England journal of medicine. 2007;357(8):741-52.

Poelemeijer YQM, van der Knaap ETW, Marang-van de Mheen PJ, Demirkiran A, Wiezer MJ, Hazebroek EJ, et al. Measuring quality of life in bariatric surgery: a multicentre study. Surgical endoscopy. 2020;34(12):5522-32.

Kubik JF, Gill RS, Laffin M, Karmali S. The impact of bariatric surgery on psychological health. Journal of obesity. 2013;2013:837989.

Kaila B, Raman M. Obesity: a review of pathogenesis and management strategies. Can J Gastroenterol. 2008;22(1):61-8.

Serdula MK, Mokdad AH, Williamson DF, Galuska DA, Mendlein JM, Heath GW. Prevalence of attempting weight loss and strategies for controlling weight. Jama. 1999;282(14):1353-8.

Law S, Dong S, Zhou F, Zheng D, Wang C, Dong Z. Bariatric surgery and mental health outcomes: an umbrella review. Frontiers in Endocrinology. 2023;14.

Berger M, Gray JA, Roth BL. The expanded biology of serotonin. Annual review of medicine. 2009;60:355-66.

Yano JM, Yu K, Donaldson GP, Shastri GG, Ann P, Ma L, et al. Indigenous bacteria from the gut microbiota regulate host serotonin biosynthesis. Cell. 2015;161(2):264-76.

Hamad GG, Helsel JC, Perel JM, Kozak GM, McShea MC, Hughes C, et al. The effect of gastric bypass on the pharmacokinetics of serotonin reuptake inhibitors. American Journal of Psychiatry. 2012;169(3):256-63.

Demerdash HM, A. SA, and Arida EA. Role of serotonin hormone in weight regain after sleeve gastrectomy. Scandinavian Journal of Clinical and Laboratory Investigation. 2018;78(1-2):68-73.

Roerig JL, Steffen K. Psychopharmacology and Bariatric Surgery. European Eating Disorders Review. 2015;23(6):463-9.

Lloret-Linares C, Bellivier F, Heron K, Besson M. Treating mood disorders in patients with a history of intestinal surgery: a systematic review. International clinical psychopharmacology. 2015;30(3):119-28.

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Published

2025-05-20

How to Cite

Ibrahim Al-osta, Melad Aldhduh, Ayyah Alhanash, Bahiya Alkouhah, Khadeejah Abu Iqfayfah, & Nada Tabal. (2025). Assessment of Bariatric Surgery as an Alternative to Anti-Obesity Strategies. Libyan Medical Journal, 241–246. https://doi.org/10.69667/lmj.2517219

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