Our Summary

This study looks at the effects of weight loss surgery on people with schizophrenia or bipolar disorder, who often struggle with obesity. The researchers searched through a range of sources and found 44 relevant studies. They found that weight loss surgery can be successful for people with these mental health conditions, with seven out of eight studies showing that patients lost weight after surgery. Moreover, the amount of weight loss was similar to that experienced by people without these mental health conditions. However, most of the studies didn’t look at whether the surgery had any impact on the patients’ mental health symptoms. There were few reported side effects among bipolar patients, and two studies showed no significant worsening of symptoms in patients with schizophrenia after surgery. However, the researchers note that more research is needed, particularly long-term studies and studies involving more patients with schizophrenia.

FAQs

  1. Can weight loss surgery be successful for people with schizophrenia or bipolar disorder?
  2. Does weight loss surgery have any impact on the mental health symptoms of people with schizophrenia or bipolar disorder?
  3. Are there any reported side effects of weight loss surgery among bipolar patients or patients with schizophrenia?

Doctor’s Tip

A doctor might tell a patient considering obesity surgery that while weight loss surgery can be successful for individuals with mental health conditions like schizophrenia or bipolar disorder, it is important to have a thorough discussion with mental health professionals and the surgical team to ensure appropriate care and support before and after the procedure. It is also important to continue with regular follow-up appointments and adhere to the recommended lifestyle changes to achieve the best outcomes.

Suitable For

Patients who are typically recommended 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, high blood pressure, or sleep apnea. Additionally, patients who have not been able to lose weight through diet and exercise alone may be recommended for weight loss surgery. Patients with severe obesity who are at risk for serious health complications may also be considered for obesity surgery.

Timeline

Before obesity surgery, a patient typically undergoes a series of evaluations and consultations with a team of healthcare professionals to determine if they are a good candidate for surgery. This may include meeting with a surgeon, dietitian, psychologist, and other specialists to discuss the risks and benefits of the procedure.

After surgery, the patient will experience a period of recovery and adjustment. This may involve staying in the hospital for a few days, followed by a gradual transition to a liquid diet and then solid foods. The patient will also need to make significant lifestyle changes, including adopting a healthier diet and incorporating regular exercise into their routine.

In the months following surgery, the patient will likely see significant weight loss and improvements in their overall health. They may also experience changes in their relationship with food and their body image. Ongoing support from healthcare professionals, including follow-up appointments and counseling, is important for long-term success.

Overall, obesity surgery can be a life-changing procedure for many patients, leading to improvements in physical health, self-esteem, and quality of life. However, it is important for patients to be aware of the potential risks and complications associated with the surgery and to be prepared for the challenges of post-surgical recovery and lifestyle changes.

What to Ask Your Doctor

  1. What are the potential risks and complications of obesity surgery for someone with my specific mental health condition?

  2. Will my mental health condition affect the success of the surgery and my ability to maintain weight loss long-term?

  3. How will my mental health medications be affected by the surgery, and will I need to make any adjustments to my medication regimen?

  4. Can you recommend a mental health professional or support group to help me navigate the emotional and psychological aspects of weight loss surgery?

  5. How will the surgery impact my overall health and quality of life, including my mental health symptoms?

  6. What are the long-term outcomes for patients with mental health conditions who undergo weight loss surgery?

  7. Are there any specific dietary or lifestyle changes I should make post-surgery to support my mental health and overall well-being?

  8. Will I need additional monitoring or support post-surgery to address any potential mental health concerns that may arise?

  9. How will the surgery impact my ability to participate in therapy or other mental health treatments?

  10. Are there any contraindications or specific considerations for patients with mental health conditions considering weight loss surgery?

Reference

Authors: Kouidrat Y, Amad A, Stubbs B, Moore S, Gaughran F. Journal: Obes Surg. 2017 Jul;27(7):1889-1895. doi: 10.1007/s11695-017-2715-5. PMID: 28508277