The Mental Health and Alcohol Use Implications in Adolescents Post Bariatric Surgery

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Zara Nwosu
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The Mental Health and Alcohol Use Implications in Adolescents Post Bariatric Surgery

The Ongoing Need for Mental Health Treatment in Adolescents Undergoing Bariatric Surgery

Adolescents with severe obesity who undergo bariatric surgery may continue to require mental health treatment after the procedure. This arises from the finding that these individuals have an increased risk for alcohol use disorder post-surgery. As such, it is important to provide comprehensive pre- and post-operative care for adolescents undergoing bariatric surgery, with an emphasis on mental health support and alcohol use prevention.

Cognitive Benefits and Health Improvements Post Bariatric Surgery

A comprehensive study published in JAMA Network Open found that bariatric surgery is associated with cognitive benefits and overall health improvements two years post-surgery. The study involved 133 participants with severe obesity eligible for Roux-en-Y gastric bypass. Remarkably, global cognition was at least 20 percent higher in 42.9 percent of participants at 24 months after surgery. Additionally, changes in brain structure and perfusion were observed, possibly contributing to improved cognitive functions.

Bariatric Surgery in Treating Extreme Obesity in Young People

In the fight against the obesity epidemic, bariatric surgery has been used to treat extreme obesity in young people. A small study focusing on the laparoscopic gastric sleeve procedure in teenagers presented successful results with three patients aged 15 to 17. They experienced significant reductions in weight and BMI. However, the study emphasized the need for larger studies to guide future clinical decisions in addressing obesity.

Postoperative Bariatric Patients' Psychosocial Support for Long-Term Weight Loss and Psychological Wellbeing

A qualitative exploration of postoperative bariatric patients' psychosocial support for long-term weight loss and psychological wellbeing highlighted the importance of an interdisciplinary postoperative approach. Patients favored an integrative, personalized, stepped-care approach pre- and postoperatively. Active participation fostering autonomy and access to ongoing support extending into the long-term was also deemed essential.

Link Between Bariatric Surgery and Cognitive Benefits

A study by Radboud University Medical Center in the Netherlands found a significant link between bariatric surgery and cognitive benefits for individuals with severe obesity. The surgery led to improvements in inflammatory markers, heart health, mental health, and physical activity. Changes in brain structure and perfusion were observed, but the exact mechanisms behind these improvements remain unclear.

Identifying Risk Factors for Therapy Failure Prior to Bariatric Surgery

A study conducted at a German bariatric obesity center aimed to identify risk factors for therapy failure within a multimodal conservative approach (MCA) prior to bariatric surgery. The study found that diverse social, demographic, and health properties did not influence the course of the therapy. However, there was a significant positive correlation between successful loss of BMI and physical well-being, and a negative correlation between mental well-being and self-perceived stress. The study concluded that the current therapeutic approach of preoperative conservative treatment fails to achieve its intended outcome, recommending a different conservative weight loss program from the pre-bariatric setting.