EFFECTS OF SLEEVEGASTRECTOMY OPERATION ON DEPRESSION, ANXIETY AND QUALITY OF LIFE

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A B S T R A C T Introduction: Obesity is known to be a major risk factors of many diseases such as diabetes, hypertension, cardiovascular diseases, osteoarthritis and sleep apnea. Obesity has also severe effects on psychological status and quality of life (QoL) of patients. Bariatric surgery, especially sleeve gastrectomy is an effectively used method in the treatment of obesity. The objective of this study is to investigate effects of Sleeve Gastrectomy on QoL, and its psychological impacts. Material and Methods: This study included 34 morbid obese patients with a BMI>40 and obese patients with a BMI>35 and comorbidity who were scheduled for Sleeve Gastrectomy surgery in our clinic. All patients gave consent and preoperatively filled the Beck Depression Inventory, Beck Anxiety Inventory and SF36 Health-related Quality of Life Scale. Laparoscopic Sleeve Gastrectomy operation was performed under general anesthesia. Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI) and SF36 Health-related Quality of Life Scale were applied again in the postoperative 6th month. Results: Accordingly, there were strongly significant differences between preoperative and postoperative 6th month evaluation of the patients in terms of BDI, BAI and subdimensions of SF-36 scale including physical functioning, physical role functioning, emotional role functioning, general health perceptions, vitality and mental health (p<0.05). The mean BDI was decreased by 9.41 and BAI by 6.15 points after six months. On the other hand, physical functioning was increased by 8.56, physical role functioning by 1.26, emotional role functioning by 1.1, bodily pain by 2.18 general health perceptions by 2.18, vitality by 7.47, social role functioning by 2.5 and mental health by 6.38 points. Conclusion: Sleeve gastrectomy provides decrease in depression and anxiety scores, causing an increase in quality of life in the early period. Bariatric surgery patients should be followed-up in cooperation with the department of psychiatry. INTRODUCTION Obesity is known to be a major risk factors of many diseases such as diabetes, hypertension, cardiovascular diseases, osteoarthritis and sleep apnea (1). In addition, psychosocial disorders are common among obese patients. In fact, effect of obesity on a poor quality of life has been argued to be greater than that of smoking, alcohol abuse and poverty (2). Especially morbid obese patients face with social exclusion, prejudices, social rejection and isolation(3, 4). Besides the problems caused by obesity, these patients have also to cope with social problems. Although most obese patients are in a normal psychological status, mood disorders are frequently seen especially in morbid obese patients(5). Oynike et al. found no significant difference between obese patients with a BMI value between 30-40 compared to normal population, while they found 5 folds higher depression in obese patients with a BMI >40 kg/m2(6). Histories of patients undergoing bariatric surgery revealed major depression by 19.3% to 28.2%(7). Kim et al. found that depression is the most common comorbidity among adolescents at 68%(8). Bariatric surgery is an effective tratment method in obesity. Sleeve gastrectomy is the most frequently performed obesity surgery method with increased use in recent years. A rapid weight loss is seen within the first 6 months of operation, while a rapid regression is observed in obesity-related comorbidities including hypertension and diabetes(9). Patients also experience positive social changes in their life.In addition, droopness is observed in the body and face following a rapid weight loss. The objective of this study is to investigate effects of sleeve gastrectomy operation on quality of life (QoL) and mental health. MATERIAL AND METHODS This study included 34 morbid obese patients with a BMI>40 and obese patients with a BMI>35 accompanied by comorbidity who were scheduled for Sleeve Gastrectomy surgery in our clinic. The study was approved by Bozok University Ethics Committee. All patients gave consents and preoperatively filled the Beck Depression Inventory, Beck Anxiety Inventory and SF36 Health-related Quality of Life Scale. Age, gender and BMI values were recorded. Laparoscopic Sleeve Gastrectomy was performed under Available Online at http://journalijcar.org International Journal of Current Advanced Research Article History: Received 6th August, 2016 Received in revised form 21st September, 2016 Accepted 16th October, 2016 Published online 28th November, 2016 © Copy Right, Research Alert, 2016, Academic Journals. All rights reserved

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