Our Summary

The research paper investigates the rate of depression in patients after they have undergone a type of weight loss surgery called Sleeve Gastrectomy (SG), particularly in Iranian patients. The study involved 307 patients who had the surgery at Erfan Niayesh hospital. They were followed for 20 to 24 months and were evaluated based on a standard system for classifying diseases and health problems.

Before the surgery, 30.2% of these patients were found to be depressed. After the surgery, the rate of depression increased to 37.7%. This increase was statistically significant, meaning it was unlikely to have occurred by chance. The research also found that other factors like body mass index (BMI), presence of abnormal amount of lipids in the blood (dyslipidaemia), positive feelings about body size, and weight loss were also significantly associated with the rates of depression.

Furthermore, those who were divorced had a higher risk of experiencing depression after the surgery. In conclusion, the study found that there is a significant increase in the prevalence of depression after sleeve gastrectomy, and this risk is influenced by several other factors. This information could be useful for people considering this surgery and their doctors to weigh the potential risks and benefits.

FAQs

  1. What is the prevalence of depression after Sleeve Gastrectomy according to the study?
  2. What factors were found to be statistically significant in relation to post-operative depression after Sleeve Gastrectomy?
  3. Does the study suggest that Sleeve Gastrectomy could increase the risk of depression?

Doctor’s Tip

One helpful tip a doctor might tell a patient about gastrectomy is to be aware of the potential risk of developing depression after the procedure. It is important for patients to discuss any concerns or symptoms of depression with their healthcare provider and seek support if needed. Additionally, maintaining a healthy lifestyle and following post-operative recommendations can help reduce the risk of depression and improve overall well-being.

Suitable For

Patients who are typically recommended for gastrectomy include those who are severely obese (with a BMI of 40 or higher), have obesity-related health conditions such as diabetes, high blood pressure, or sleep apnea, and have not been able to lose weight through diet and exercise. Additionally, patients with a history of gastrointestinal disorders such as gastric ulcers or cancer may also be recommended for gastrectomy. It is important for patients to undergo a thorough evaluation by a healthcare provider to determine if gastrectomy is the right treatment option for them.

Timeline

Before gastrectomy:

  1. Consultation with a healthcare provider to discuss weight loss options
  2. Pre-operative evaluations, including blood tests, imaging studies, and consultations with other specialists
  3. Pre-operative dietary and lifestyle changes to prepare for surgery
  4. Education and counseling on the risks and benefits of gastrectomy
  5. Informed consent process to ensure the patient understands the procedure and its potential outcomes

After gastrectomy:

  1. Recovery period in the hospital, usually 1-2 days
  2. Follow-up appointments with the surgical team to monitor healing and progress
  3. Gradual reintroduction of solid foods and adjustment of dietary habits
  4. Monitoring of weight loss and potential complications
  5. Continued support and guidance from a multidisciplinary team, including dietitians, psychologists, and physical therapists
  6. Long-term follow-up to monitor weight loss maintenance and address any issues that may arise post-surgery.

What to Ask Your Doctor

  1. What is the likelihood of developing depression after gastrectomy surgery?
  2. Are there any specific risk factors that may increase the likelihood of developing depression post-surgery?
  3. What symptoms should I be aware of that may indicate depression after gastrectomy surgery?
  4. How can depression be effectively managed and treated after gastrectomy surgery?
  5. Are there any support groups or resources available for patients who may be experiencing depression after gastrectomy surgery?
  6. How soon after surgery should I seek help if I am experiencing symptoms of depression?
  7. Are there any lifestyle changes or strategies that can help prevent or reduce the risk of developing depression after gastrectomy surgery?
  8. Will I need to undergo regular mental health screenings or check-ins post-surgery to monitor for signs of depression?
  9. How does the presence of depression after gastrectomy surgery impact long-term weight loss success and overall health outcomes?
  10. Are there any alternative treatment options or therapies available for managing depression after gastrectomy surgery?

Reference

Authors: Kheirvari M, Anbara T. Journal: Endocrinol Diabetes Metab. 2021 Oct;4(4):e00282. doi: 10.1002/edm2.282. Epub 2021 Jun 23. PMID: 34505417