Our Summary

This research studied the behaviors of patients before and after obesity surgery. It found that roughly a quarter of the patients reported self-harming behaviors both before and after the surgery. The total number of self-harm behaviors didn’t change significantly post-surgery. However, these behaviors were strongly linked to mental health issues, such as depression and suicidal thoughts, especially after the surgery. The study suggests that health professionals should screen patients for self-harming tendencies both before and after obesity surgery. More research is needed to fully understand these behaviors and their relationship with obesity surgery.

FAQs

  1. What percentage of patients reported self-harming behaviors before and after obesity surgery according to the research?
  2. Did the number of self-harm behaviors change drastically after the surgery?
  3. Why does the study suggest health professionals to screen patients for self-harming tendencies both before and after obesity surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about obesity surgery is to make sure to prioritize their mental health both before and after the procedure. It’s important to seek support from mental health professionals if needed and to be aware of any self-harming behaviors that may arise. Additionally, maintaining a healthy lifestyle and following the recommended diet and exercise plan post-surgery can help ensure long-term success and overall well-being.

Suitable For

Patients who are typically recommended for obesity surgery are those who have a body mass index (BMI) of 40 or higher, or a BMI of 35 or higher with obesity-related health conditions such as type 2 diabetes, hypertension, or sleep apnea. These patients have typically tried other weight loss methods without success and are at high risk for complications associated with obesity.

Additionally, patients who have a strong commitment to making lifestyle changes, including diet and exercise, are also good candidates for obesity surgery. It is important for patients to understand the risks and benefits of the surgery and be willing to follow post-operative guidelines for long-term success.

Patients who have a history of self-harming behaviors or mental health issues may also be recommended for obesity surgery, but it is important for these patients to receive additional support and monitoring to ensure their safety and well-being throughout the surgical process and recovery.

Timeline

Before obesity surgery:

  • Patient consults with healthcare provider about weight loss options
  • Patient undergoes physical and psychological evaluations to determine eligibility for surgery
  • Patient receives counseling on lifestyle changes and diet modifications
  • Patient may have to lose a certain amount of weight before surgery
  • Patient may attend support groups or counseling sessions to prepare for the surgery

After obesity surgery:

  • Patient undergoes surgery and begins the recovery process
  • Patient follows a strict diet and exercise regimen to aid in weight loss
  • Patient attends follow-up appointments with healthcare provider to monitor progress
  • Patient may experience physical side effects such as nausea, vomiting, or dumping syndrome
  • Patient may experience emotional challenges such as body image issues or changes in relationships
  • Patient may attend support groups or counseling sessions to navigate life after surgery.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with obesity surgery?
  2. What are the different types of obesity surgery available and which one would be most suitable for me?
  3. What are the expected outcomes of the surgery in terms of weight loss and overall health improvement?
  4. What lifestyle changes will I need to make before and after the surgery to ensure its success?
  5. How will the surgery affect my mental health and what support will be available to me?
  6. What is the long-term follow-up care plan after the surgery?
  7. Will I need to take any additional supplements or medications after the surgery?
  8. How will the surgery impact my ability to exercise and engage in physical activity?
  9. Are there any dietary restrictions or guidelines I will need to follow post-surgery?
  10. What are the chances of the surgery not being successful and what are the alternative options available if that happens?

Reference

Authors: Thomas TA, Tilk K, Klassen K, Pommnitz M, Wunder R, Mall JW, Köhler H, de Zwaan M, Meyer G, Hüttl TP, Müller A. Journal: Obes Surg. 2024 Oct;34(10):3579-3591. doi: 10.1007/s11695-024-07439-3. Epub 2024 Aug 13. PMID: 39134834