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Psychosocial Evaluation and Management of Weight Loss Surgery Patients

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Perioperative Psychiatry

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Abstract

There has been an alarming increase in obesity rates in the USA, other industrialized countries, and even in developing countries in the last few decades. Obesity-related diseases including hypertension, hyperlipidemia, and cardiovascular disease have also been on the rise with their associated costs. Weight loss surgery (WLS) is one of the few effective and durable treatment options for obesity, reducing morbidity and mortality associated with obesity as well as complications. As a part of their preparation for WLS, patients are required to have a psychosocial evaluation, but there is significant variability in the structure of this evaluation and in the credentialing and training of the clinicians performing this evaluation. Presurgical psychological evaluation could guide the patient and the WLS program to achieve the desired goal of weight loss, thus improving the patient’s medical and psychological well-being. This chapter summarizes the current WLS procedures and trends in their utilization and describes domains of the pre-WLS psychological evaluation and post-WLS psychopharmacology to optimize psychiatric care of WLS patients.

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Notes

  1. 1.

    The primary outcome was weight loss at 90 days, and other clinical outcomes included ED visits and readmissions, post-WLS, and the use of narcotic pain medications.

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  1. Department of Psychiatry, Yale University, New Haven, CT, USA

    Raymone Shenouda MD

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  2. Department of Psychiatry, University of Rochester Medical Center, Rochester, NY, USA

    Mark A. Oldham

  3. Department of Psychiatry, University of Rochester Medical Center, Rochester, NY, USA

    Hochang Benjamin Lee

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Shenouda, R. (2019). Psychosocial Evaluation and Management of Weight Loss Surgery Patients. In: Zimbrean, P., Oldham, M., Lee, H. (eds) Perioperative Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-319-99774-2_12

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