Kübra Sezer Katar, Ayşe Gökçen Gündoğmuş
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摘要

虽然减肥手术是当今治疗肥胖的一种有效方法,但在术前和术后对患者进行生物心理社会评估时,可以发现许多精神障碍。特别是当对饮食失调患者进行手术时,可能会出现不同的成瘾问题和冲动控制障碍。我们提出一个临床病例的病人增加的强迫症状,各种冲动控制问题,并在减肥手术后开始神经性贪食症。另一个使这个病例有趣的特点是,在她的精神治疗中使用氟西汀治疗后发生的锥体外系不良反应。因此,我们的目的是通过讨论减肥手术后出现的精神问题和氟西汀罕见的不良反应,为文献做出贡献。
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Bariyatrik Cerrahi Sonrası Dürtü Kontrol Problemleri ve Fluoksetin Tedavisiyle Ekstrapiramidal Yan Etki Gelişen Bir Olgu Sunumu
Although bariatric surgery is an effective method used in the treatment of obesity today, many psychiatric difficulties are detected when patients are evaluated biopsychosocially during the pre-and postoperative periods. Especially when surgery is used in patients with eating disorders, different addiction problems and impulse control disorders may arise afterward. We present a clinical case of a patient with increased obsessive-compulsive symptoms, various impulsive control problems, and bulimia nervosa starting after bariatric surgery. Another feature that made this case interesting was the extrapyramidal adverse effects that occurred after fluoxetine treatment used for her psychiatric treatment. Our aim, thus, was to contribute to the literature by discussing psychiatric problems evolving after bariatric surgery and the rare adverse effect of fluoxetine.
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