Mini/one anastomosis gastric bypass in an obese depressive patient

Abstract

Introduction. There is a high prevalence of psychiatric disorders in patients who are preparing for metabolic operation especially depression. Mini/one anastomosis gastric bypass (MGB/OAGB) is a bariatric operation with the possibility of complete restoration of the digestive tract or ?tailoring? of a biliopancreatic limb if the patient's weight regains. We present an obese patient with depression who underwent the first MGB/OAGB in Serbia with a follow-up period of one year. Case outline. An obese patient with a body weight of 144 kilograms and a body mass index (BMI) of 46.8 kg/m2 and depression as an accompanying comorbidity, underwent MGB/OAGB with a follow-up period of one year. The operation was performed using the inventor's technique in his presence and the recovery was uneventful. The patient completely stops taking psychiatric therapy, or any other, with no compliance and has completely social restitution. After the follow-up period, he loses 49 kg, actually BMI = 30. 9 kg/m? and the percentage of excess weight loss (%EWL) is 73.1 %. Conclusion. In psychiatric obese patients, a metabolic procedure should be carefully selected. MGB/OAGB proved to be a successful bariatric procedure in our patient, leading to remission of depression and discontinuation of psychiatric therapy, but also to a significant reduction in body weight in the period of one year after surgery.