Psychological changes in morbidly obese patients after sleeve gastrectomy.
BACKGROUND
The aim of this study is to observe the psychological changes at one year postop in a group of patients undergoing laparoscopic vertical sleeve gastrectomy (GVL) and multidisciplinary follow- up.


METHODS
A total of 46 patients with a BMI-35 or higher, who were selected for GVL, completed psychological testing. After GVL surgery, patients received psychological, nutritional, and medical attention during 12 months, and they retook the same tests.


RESULTS
Psychological tests showed an improvement on almost all scales tested, except perfectionism. The most significant change was in the benchmark for Eating Disorders with an improvement of 89% for bulimia (P<.01), and 55% for body dissatisfaction (P<.01) and ineffectiveness (P<.01). In quality of life there was an improvement of 57% in the change in health status (P<.01).


CONCLUSIONS
During our study, a protocol involving GVL and multidisciplinary follow-ups seems proved to be an effective intervention for improving bulimic symptoms and quality of living. The results of these psychological changes are similar to Roux-en-Y Gastric bypass but different to vertical banded gastroplasty or adjustable gastric band, according to previous studies. However, long-term studies are necessary to confirm this trend.
Clínica Obésitas, Hospital 9 de Octubre, Valencia, España. Electronic address: consultasdepacientes@clinicasobesitas.com.
Yolanda
Y
Melero
Bariatric & Metabolic, Clínica Obésitas, Hospital 9 de Octubre, Valencia, España.
José Vicente
JV
Ferrer
Bariatric & Metabolic, Clínica Obésitas, Hospital 9 de Octubre, Valencia, España.
Angel
A
Sanahuja
Clínica Obésitas, Hospital 9 de Octubre, Valencia, España.
Lydia
L
Amador
Clínica Obésitas, Hospital 9 de Octubre, Valencia, España.
Denise
D
Hernando
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D015391:Gastroplasty / Q000379:methods / Q000523:psychology*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D009767:Obesity, Morbid / Q000523:psychology* / Q000601:surgery*; D011795:Surveys and Questionnaires
Bulimia; Calidad de vida; Eating disorders; Quality of life; Sleeve gastrectomy; Trastornos de la conducta alimentaria; Tubo gástrico