Page 48 - When surgery alone won’t cut it - Valerie Maureen Monpellier

Chapter 2
more research has been conducted. Based on this meta-analysis there is no evidence that patients with symptoms of depression and binge eating have lower weight loss after RYGB. Symptoms other than depression and binge eating are not systemat- ically studied so it cannot be ruled out that they influence surgery effects. There- fore, we advise that decisions regarding bariatric surgery should not be made based on a single psychological diagnosis or questionnaire outcome, but on a thorough screening of each patient by a multidisciplinary team, including a mental health pro- fessional. Compliance and physical activity do seem to positively influence weight loss, and treatment regime should be focused on improving these factors. In addition, follow-up should address psychological problems that might arise post-surgery and affect weight loss on the long-term.
48