title: Obesity and co-morbid psychiatric disorders as contraindications for bariatric surgery?-A case study.
abstract: BACKGROUND
  Many patients undergoing bariatric surgery report current or past psychiatric disorders and controversy exists regarding their outcome after bariatric surgery.
  
  
  METHODS
  We present a case of an obese patient with a borderline personality disorder, a recurrent depressive disorder, post-traumatic stress symptoms and binge eating episodes who underwent bariatric surgery.
  
  
  CONCLUSIONS
  Although the psychiatric disorders remained, the procedure contributed to an improvement of the health status and well-being of the patient. Adequate psychological care after the surgical procedure is necessary to enable a long-term stabilization of patients with mental co-morbidities.
  
  
  CONCLUSIONS
  Patients with psychiatric co-morbidities should not be excluded from the procedure if adequate post-operative support is provided.
authors.affiliation: University Hospital Leipzig, Clinic for Psychosomatic Medicine and Psychotherapy, Semmelweisstraße 10, 04103 Leipzig, Germany; Leipzig University Medical Center, Integrated Research and Treatment Center (IFB) AdiposityDiseases Germany, Philipp-Rosenthal-Str. 27 (Rotes Haus, M), 04103 Leipzig, Germany. Electronic address: Carolin.Peterhaensel@medizin.uni-leipzig.de.
authors.forename: C
authors.initials: C
authors.lastname: Peterhänsel
authors.affiliation: University Hospital Leipzig, Clinic for Psychosomatic Medicine and Psychotherapy, Semmelweisstraße 10, 04103 Leipzig, Germany; Leipzig University Medical Center, Integrated Research and Treatment Center (IFB) AdiposityDiseases Germany, Philipp-Rosenthal-Str. 27 (Rotes Haus, M), 04103 Leipzig, Germany.
authors.forename: B
authors.initials: B
authors.lastname: Wagner
authors.affiliation: Leipzig University Medical Center, Integrated Research and Treatment Center (IFB) AdiposityDiseases Germany, Philipp-Rosenthal-Str. 27 (Rotes Haus, M), 04103 Leipzig, Germany; University Hospital Leipzig, Department of Surgery, Clinic for Visceral, Transplantation, Thoracic and Vascular Surgery, Liebigstraße 20, 04103 Leipzig, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Dietrich
authors.affiliation: University Hospital Leipzig, Clinic for Psychosomatic Medicine and Psychotherapy, Semmelweisstraße 10, 04103 Leipzig, Germany; Leipzig University Medical Center, Integrated Research and Treatment Center (IFB) AdiposityDiseases Germany, Philipp-Rosenthal-Str. 27 (Rotes Haus, M), 04103 Leipzig, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Kersting
keywords: Bariatric surgery; Borderline personality disorder; Psychiatric aspects