cirurgia bariátrica: aspectos psicológicos e psiquiátricos bariatric surgery: psychological and psychiatric aspects

Clicks: 295
ID: 146807
2004
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Abstract
A cirurgia bariátrica é o método mais eficaz no tratamento da obesidade mórbida e controle do peso em longo prazo. As cirurgias antiobesidade podem ser procedimentos que limitam a capacidade gástrica, ou que interferem na digestão ou, ainda, uma combinação de ambas as técnicas. A maneira mais objetiva para classificar a obesidade é o Índice de Massa Corpórea (IMC). Pessoas com IMC acima de 40 são portadoras de obesidade mórbida. As principais indicações para a cirurgia bariátrica são: obesos com IMC maior que 40 kg/m² ou IMC acima de 35 kg/m², associado com doenças clínicas descompensadas pela própria obesidade. O papel do psicólogo é o de avaliar se o indivíduo está apto emocionalmente para a cirurgia e auxiliá-lo quanto à compreensão de todos os aspectos decorrentes do pré e pós-cirúrgico. Quanto a possíveis contra-indicações psiquiátricas para a cirurgia antiobesidade, não há consenso na literatura.
Bariatric surgery is the only proven effective therapy for long-term control of morbid obesity. This surgery can be broadly divided into procedures that limit the stomach's capacity, that interfere with digestion or a combination of both the techniques. The best way to classify the obesity is the Body Mass Index (BMI). Obesity becomes a serious disease when it is morbid, that is, when the BMI exceeds 40 kg/m². The main indications for the bariatric surgery are individuals with a BMI > 40 or those with a BMI> 35 who also present any comorbidity. Psychological aspects should be evaluated, like if the individual is emotionally prepared for the surgery. Beyond, psychiatric contraindications for bariatric surgery are not well-established.
Reference Key
oliveira2004archivescirurgia Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Verenice Martins de Oliveira;Rosa Cardelino Linardi;Alexandre Pinto de Azevedo
Journal arthritis research & therapy
Year 2004
DOI
10.1590/S0101-60832004000400014
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-60832004000400014
Keywords
bariatric surgery morbid obesity

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