胃旁路手术 (RYGB) 术后患者的心理健康和饮食失调。

Aleksandra Iljin, Michał Wlaźlak, Aneta Sitek, Bogusław Antoszewski, Tomasz Zieliński, Agnieszka Gmitrowicz, Paweł Kropiwnicki, Janusz Strzelczyk
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引用次数: 0

摘要

<b>引言:</b>肥胖症是全球主要健康问题之一,与精神和饮食失调以及不良饮食习惯的发病风险增加有关。减肥手术可以快速减轻肥胖患者的体重,并缓解伴随疾病的症状。</b>目的:</b>术前和术后对Roux-en-Y胃旁路术(RYGB)患者的精神障碍和饮食行为进行评估。</b>结果:</b>RYGB 术后以下指标有所下降:焦虑和多动从 32.81% 降至 21.88%,情绪障碍 - 31.25% 降至 20.31%,药物滥用 - 40.63% 降至 28.13%,情绪化饮食 - 76.56% 降至 29.69%,暴饮暴食 - 50% 降至 6.25%,夜食 - 87.5% 降至 20.31%。术后不良饮食习惯、每日摄入热量和甜饮料、胀气、便秘和腹痛的发生率下降,而食物不耐受和呕吐的发生率上升。胀气、便秘和腹痛的发生率较低,但食物不耐受和呕吐的发生率较高。
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Mental Health, and Eating Disorders in Patients After Roux-en-Y Gastric Bypass Surgery (RYGB).

<b>Introduction:</b> Obesity, as one of the main health problems worldwide, is associated with an increased risk of developing mental and eating disorders and negative eating habits. Bariatric surgery allows for rapid weight loss and alleviates the symptoms of concomitant diseases in obese patients.<b>Aim:</b> Pre- and postoperative estimation of mental disorders and eating behaviors in patients after Roux-en-Y Gastric Bypass (RYGB).<b>Material and methods:</b> Analysis of data from up to 5 years of follow-up including clinical examination and questionnaires.<b>Results:</b> Following parameters decreased after RYGB: anxiety and hyperactivity from 32.81% to 21.88%, mood disorders - 31.25% to 20.31%, substance abuse - 40.63% to 28.13%, emotional eating - 76.56% to 29.69%, binge eating - 50% to 6.25%, night eating - 87.5% to 20.31%. Postoperative rates of: negative eating habits, daily intake of calories and sweetened beverages, flatulence, constipation, and abdominal pain decreased, while the rate of food intolerance and emesis increased.<b>Conclusions:</b> In our patients, the occurrence of: mental and eating disorders, negative eating habits, daily calories, sweetened beverages, coffee intake decreased after weight loss (as a result of RYGB), but water, vegetables and fruit consumption increased. Lower rate of flatulence, constipation, and abdominal pain, but higher of food intolerance and emesis were also confirmed after RYGB.

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