The Emergence of Depression and Anxiety Disorder in a Patient Following Bariatric Surgery: A Case Report

Year 2021, Volume: 5 Issue: 1, 47 - 50, 24.12.2021

Mazlum Çöpür , Nilüfer Saatcioğlu Tınkır , Sidar Çöpür

Abstract

Psychiatric comorbidities are commonly encountered in obese patients admitted for bariatric surgery among which major depressive disorder and anxiety disorder are the most common types. Although most studies demonstrate a significant reduction in psychiatric complaints at postoperative follow-up, the relationship or mechanism of such effect is not definitive. We report the emergence of major depressive disorder and anxiety disorder in a 57-year old female patient at sixth-month follow-up with no family history of psychiatric disorder or preoperative psychiatric disorder. Symptomatic control has been achieved with selective serotonin reuptake inhibitor therapy. Hereby, we recommend close psychiatric follow-up of bariatric surgery candidates at pre and postoperative periods.

Keywords

Bariatric surgeries, major depressive disorder, anxiety disorders

Bariatrik Cerrahi Sonrası Major Depresyon ve Anksiyete Bozukluğu Gelişimi: Bir Vaka Sunumu

Abstract

Bariyatrik ameliyat için hastaneye başvuran obez hastalarda majör depresyon ve anksiyete bozuklukları başta olmak üzere psikiyatrik hastalıklar sıklıkla görülmektedir. Ameliyat sonrası dönemde psikiyatrik belirtilerde gerileme çok sayıda çalışmada bildirilmiş olmasına rağmen olası ilişkinin mekanizması net değildir. Bu vaka sunumunda ameliyat öncesindeki psikiyatrik değerlendirmesinde herhangi bir psikiyatrik hastalığı veya psikiyatrik hastalıklar açısından aile hikayesi olmayan 57 yaşında bir kadın hastada ameliyat sonrası dönemde major depresyon ve anksiyete bozukluğu gelişimini göstermekteyiz. Hastada seçici serotonin geri alım inhibitörü tedavisiyle semptomatik kontrol sağlanmıştır. Bu bağlamda, bariatrik cerrahi adayı hastaların ameliyat öncesi ve sonrası dönemde yakın psikiyatrik takibi yapılması gerektiğini önermekteyiz.

Keywords

Bariyatrik cerrahiler, major depresif bozukluk, anksiyete bozuklukları

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