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P.8.b.005 Assessment of patients with morbid obesity prior to bariatric surgery (sleeve gastrectomy)
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P.8.b. Other topics (clinical)
the intervention there was a significant improvement in HbA1c for Group A (p < 0.0001) and Group B (p = 0.008) and maintenance of the improvement for Group A (p = 0.010) three months after the end of the intervention. There was an improvement in quality of life after the intervention for Group B (p = 0.008), diabetes selfcare for Group A (p = 0.006) and Group B (p = 0.016), and disease cohesion for Group A during intervention and three months after that (p = 0.011 and p = 0.017 respectively). Conclusion: Group therapy (program of psychoeducation and psychotherapy or psychoeducation alone) has a positive influence on glycemic control of T2DM patients while there is also a positive effect on many psychosocial parameters. This positive effect is preserved after the end of the intervention for all metabolic and psychosocial parameters. Finally, as diabetes mellitus type 2 become one of the most serious chronic illnesses the need for future research in this field is high. References [1] Bakomitrou, F., Bousmpoulas, S., Spyropoulou, F., Karadimas, E., Kalantzi-Azizi, A., Vergidou, P, Grozou, A., Spinaris, V. & Pappas, S. (2012). Life Satisfaction and Type 2 Diabetes. Poster in 17th FEND Annual Conference (Berlin, Federation of European Nurses in Diabetes). [2] Bousmpoulas, S., Bakomitrou, F., Tolia, K., Kalantzi-Azizi, A., Karadimas, E., Katopodi, A., Spinaris, V. Galinaki, S., Papazafeiropoulou, A., Lyrakos, G., & Pappas, S. (2012). Stress and Type 2 Diabetes. Poster in 17th FEND Annual Conference (Berlin, Federation of European Nurses in Diabetes). [3] Bakomitrou, F., Bousmpoulas, S., Chatzikalymniou, N., Karadimas, E., Kalantzi-Azizi, A., Fragkos, N., Pappas, S. & Spinaris, V. (2012). Diabetes mellitus type 2: Greek patients’ well-being and attitude towards the disease. Poster in 25th ECNP Congress (Vienna, ECNP).
P.8.b.005 Assessment of patients with morbid obesity prior to bariatric surgery (sleeve gastrectomy) K. Garayeva1 ° , K. Akyuz2 , E. Yuksek1 , G. Gultekın1 , H.E. Taskın3 , M. Taskin3 , S.U. Zengin4 , M. Emul1 1 Medical ˙ school of Cerrahpasa − Istanbul university, Department of Psychiatry, Istanbul, Turkey; 2 Medical school of Cerrahpasa − ˙ Istanbul university, Medical school of Cerrahpasa, Istanbul, ˙ Turkey; 3 Medical school of Cerrahpasa − Istanbul university, Department of General Surgery, Istanbul, Turkey; 4 Medical ˙ school of Cerrahpasa − Istanbul university, Department of Anesthesiology and Reanimatology, Istanbul, Turkey Objective: Obesity is an epidemic and a serious medical condition that is increasing throughout the world, among both in developing and in developed countries [1]. Taking care of the increasing prevalence of obesity and its related morbidity, effective treatment strategies is crucial including bariatric surgery [2]. Laparoscopic sleeve gastrectomy (LSG) is a safe and effective option for bariatric surgery in obesity [3]. Aldaqal et al. have found that patients who applied for LSG had poor self-esteem and poor quality of life. In addition, depressive symptoms were detected in 45% of patients prior to bariatric surgery and preoperative depressive symptoms did not predict postoperative weight outcomes [2]. Here, we aimed to investigate the prevalence of current/past psychiatric history in patients with morbid obesity who were indicated for bariatric surgery and aimed to compare sociodemographic features between patients with psychiatric history and without psychiatric history. Methods: This study is a retrospective study based on data of patients from medical files between years of 2012–2014 in General Surgery Department of Medical School of Cerrahpasa, ˙Istanbul
University. We screened out 146 files of patients who have had bariatric surgery because of morbid obesity. However, 111 files were convenient for the inclusion criteria of the study such as: (i) being 18−70 years old, (ii) morbid obesity (BMI >40 kg/m2 ), (iii) having psychiatric interview note in the files. Chi square and Student’s t tests were used in analyzes. Results: There were 72 female and 39 male participants in the study. The mean age was 40.41±11.52 years while the mean duration of obesity was 17.12±8.19 years. The assessed parameters in patients were as follows: the mean BMI was 50.26±10.14 kg/m2 , mean waist circumference was 124.56±29.97 cm, the mean fasting glycose level 113.31±41.30 mg/dl, mean HDL level was 49.03±12.67 mg/dl, mean triglyceride level was 155.54±70.45 mg/dl, mean systolic pressure was 126.81±17.65 mmHg and diastolic pressure was 79.38±10.28 mmHg. The current/past psychiatric history was detected in 59.46% of patients (n = 66). There were no significant differences between patients with or without psychiatric history according to marital status, employment, family history of obesity, alcohol, smoking and type of bariatric surgery, age, BMI, waist circumference, duration of obesity, blood sugar, HDL, triglyceride, and systolic/diastolic pressure (p > 0.05). Conclusion: Our analysis of bariatric surgery outcomes database showed that about two thirds of the individuals had current/past psychiatric history. However, there were no differences between patients with or without psychiatric history according to socio-demographic parameters. This study is a descriptive study and it would be kept in mind that assessing systematically of obese patients is highly recommended during pre-surgery period, in relation to the occurrence of psychiatric disorders in addition to clinical and nutritional evaluation [4]. Future research should include long-term, prospective follow-ups to examine the influences of prior psychiatric conditions to the outcome of surgery and weight loss. References [1] Fereidouni, F., Atef-Vahid, M.K., Fathali Lavasani, F., Jamshidi Orak, R., Klonsky, E.D., Pazooki, A. 2014 Are Iranian obese women candidate for bariatric surgery different cognitively, emotionally and behaviorally from their normal weight counterparts? Eat Weight Disord. [Epub ahead of print]. [2] White, M.A., Kalarchian, M.A., Levine, MD., Masheb, R.M., Marcus, M.D., Grilo, C.M. 2015 Prognostic Significance of Depressive Symptoms on Weight Loss and Psychosocial Outcomes Following Gastric Bypass Surgery: A Prospective 24-Month Follow-Up Study. Obes Surg [Epub ahead of print]. [3] Aldaqal, S.M., Sehlo, M.G. 2013 Self-esteem and quality of life in adolescents with extreme obesity in Saudi Arabia: the effect of weight loss after laparoscopic sleeve gastrectomy. Gen Hosp Psychiatry 35, 259–264. [4] Duarte-Guerra, L.S., Coˆelho, B.M., Santo, M.A., Wang, Y.P. 2014 Psychiatric Disorders Among Obese Patients Seeking Bariatric Surgery: Results of Structured Clinical Interviews. Obes Surg [Epub ahead of print].
P.8.b.006 Binge eating disorder and bariatric surgery: a pilot study S. Di Volo1 ° , S. Bolognesi1 , A. Goracci1 , C. Caterini1 , G. Castellani1 , G. Vuolo2 , C. Ciuoli3 , A. Fagiolini1 1 AOUS Siena, Department of Molecular Medicine and Development, Siena, Italy; 2 AOUS Siena, Department of Sugery, Siena, Italy; 3 AOUS Siena, Department of Endocrinology, Siena, Italy Purpose of the study: Binge Eating Disorder is the most prevalent eating disorder [1] and is frequently associated with
P.8.b. Other topics (clinical)
the intervention there was a significant improvement in HbA1c for Group A (p < 0.0001) and Group B (p = 0.008) and maintenance of the improvement for Group A (p = 0.010) three months after the end of the intervention. There was an improvement in quality of life after the intervention for Group B (p = 0.008), diabetes selfcare for Group A (p = 0.006) and Group B (p = 0.016), and disease cohesion for Group A during intervention and three months after that (p = 0.011 and p = 0.017 respectively). Conclusion: Group therapy (program of psychoeducation and psychotherapy or psychoeducation alone) has a positive influence on glycemic control of T2DM patients while there is also a positive effect on many psychosocial parameters. This positive effect is preserved after the end of the intervention for all metabolic and psychosocial parameters. Finally, as diabetes mellitus type 2 become one of the most serious chronic illnesses the need for future research in this field is high. References [1] Bakomitrou, F., Bousmpoulas, S., Spyropoulou, F., Karadimas, E., Kalantzi-Azizi, A., Vergidou, P, Grozou, A., Spinaris, V. & Pappas, S. (2012). Life Satisfaction and Type 2 Diabetes. Poster in 17th FEND Annual Conference (Berlin, Federation of European Nurses in Diabetes). [2] Bousmpoulas, S., Bakomitrou, F., Tolia, K., Kalantzi-Azizi, A., Karadimas, E., Katopodi, A., Spinaris, V. Galinaki, S., Papazafeiropoulou, A., Lyrakos, G., & Pappas, S. (2012). Stress and Type 2 Diabetes. Poster in 17th FEND Annual Conference (Berlin, Federation of European Nurses in Diabetes). [3] Bakomitrou, F., Bousmpoulas, S., Chatzikalymniou, N., Karadimas, E., Kalantzi-Azizi, A., Fragkos, N., Pappas, S. & Spinaris, V. (2012). Diabetes mellitus type 2: Greek patients’ well-being and attitude towards the disease. Poster in 25th ECNP Congress (Vienna, ECNP).
P.8.b.005 Assessment of patients with morbid obesity prior to bariatric surgery (sleeve gastrectomy) K. Garayeva1 ° , K. Akyuz2 , E. Yuksek1 , G. Gultekın1 , H.E. Taskın3 , M. Taskin3 , S.U. Zengin4 , M. Emul1 1 Medical ˙ school of Cerrahpasa − Istanbul university, Department of Psychiatry, Istanbul, Turkey; 2 Medical school of Cerrahpasa − ˙ Istanbul university, Medical school of Cerrahpasa, Istanbul, ˙ Turkey; 3 Medical school of Cerrahpasa − Istanbul university, Department of General Surgery, Istanbul, Turkey; 4 Medical ˙ school of Cerrahpasa − Istanbul university, Department of Anesthesiology and Reanimatology, Istanbul, Turkey Objective: Obesity is an epidemic and a serious medical condition that is increasing throughout the world, among both in developing and in developed countries [1]. Taking care of the increasing prevalence of obesity and its related morbidity, effective treatment strategies is crucial including bariatric surgery [2]. Laparoscopic sleeve gastrectomy (LSG) is a safe and effective option for bariatric surgery in obesity [3]. Aldaqal et al. have found that patients who applied for LSG had poor self-esteem and poor quality of life. In addition, depressive symptoms were detected in 45% of patients prior to bariatric surgery and preoperative depressive symptoms did not predict postoperative weight outcomes [2]. Here, we aimed to investigate the prevalence of current/past psychiatric history in patients with morbid obesity who were indicated for bariatric surgery and aimed to compare sociodemographic features between patients with psychiatric history and without psychiatric history. Methods: This study is a retrospective study based on data of patients from medical files between years of 2012–2014 in General Surgery Department of Medical School of Cerrahpasa, ˙Istanbul
University. We screened out 146 files of patients who have had bariatric surgery because of morbid obesity. However, 111 files were convenient for the inclusion criteria of the study such as: (i) being 18−70 years old, (ii) morbid obesity (BMI >40 kg/m2 ), (iii) having psychiatric interview note in the files. Chi square and Student’s t tests were used in analyzes. Results: There were 72 female and 39 male participants in the study. The mean age was 40.41±11.52 years while the mean duration of obesity was 17.12±8.19 years. The assessed parameters in patients were as follows: the mean BMI was 50.26±10.14 kg/m2 , mean waist circumference was 124.56±29.97 cm, the mean fasting glycose level 113.31±41.30 mg/dl, mean HDL level was 49.03±12.67 mg/dl, mean triglyceride level was 155.54±70.45 mg/dl, mean systolic pressure was 126.81±17.65 mmHg and diastolic pressure was 79.38±10.28 mmHg. The current/past psychiatric history was detected in 59.46% of patients (n = 66). There were no significant differences between patients with or without psychiatric history according to marital status, employment, family history of obesity, alcohol, smoking and type of bariatric surgery, age, BMI, waist circumference, duration of obesity, blood sugar, HDL, triglyceride, and systolic/diastolic pressure (p > 0.05). Conclusion: Our analysis of bariatric surgery outcomes database showed that about two thirds of the individuals had current/past psychiatric history. However, there were no differences between patients with or without psychiatric history according to socio-demographic parameters. This study is a descriptive study and it would be kept in mind that assessing systematically of obese patients is highly recommended during pre-surgery period, in relation to the occurrence of psychiatric disorders in addition to clinical and nutritional evaluation [4]. Future research should include long-term, prospective follow-ups to examine the influences of prior psychiatric conditions to the outcome of surgery and weight loss. References [1] Fereidouni, F., Atef-Vahid, M.K., Fathali Lavasani, F., Jamshidi Orak, R., Klonsky, E.D., Pazooki, A. 2014 Are Iranian obese women candidate for bariatric surgery different cognitively, emotionally and behaviorally from their normal weight counterparts? Eat Weight Disord. [Epub ahead of print]. [2] White, M.A., Kalarchian, M.A., Levine, MD., Masheb, R.M., Marcus, M.D., Grilo, C.M. 2015 Prognostic Significance of Depressive Symptoms on Weight Loss and Psychosocial Outcomes Following Gastric Bypass Surgery: A Prospective 24-Month Follow-Up Study. Obes Surg [Epub ahead of print]. [3] Aldaqal, S.M., Sehlo, M.G. 2013 Self-esteem and quality of life in adolescents with extreme obesity in Saudi Arabia: the effect of weight loss after laparoscopic sleeve gastrectomy. Gen Hosp Psychiatry 35, 259–264. [4] Duarte-Guerra, L.S., Coˆelho, B.M., Santo, M.A., Wang, Y.P. 2014 Psychiatric Disorders Among Obese Patients Seeking Bariatric Surgery: Results of Structured Clinical Interviews. Obes Surg [Epub ahead of print].
P.8.b.006 Binge eating disorder and bariatric surgery: a pilot study S. Di Volo1 ° , S. Bolognesi1 , A. Goracci1 , C. Caterini1 , G. Castellani1 , G. Vuolo2 , C. Ciuoli3 , A. Fagiolini1 1 AOUS Siena, Department of Molecular Medicine and Development, Siena, Italy; 2 AOUS Siena, Department of Sugery, Siena, Italy; 3 AOUS Siena, Department of Endocrinology, Siena, Italy Purpose of the study: Binge Eating Disorder is the most prevalent eating disorder [1] and is frequently associated with