Psychosocial considerations in the combined bariatric surgery and organ transplantation population: A review of the overlapping pathologies and outcomes

David C. Fipps, Shirshendu Sinha, Tayyab S. Diwan, Matthew M. Clark

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose of reviewThis review highlights the salient data of the psychosocial concerns that influence outcomes of bariatric surgery and organ transplantation.Recent findingsBariatric surgery has emerged as an important intervention with data supporting substantial and sustained weight loss, enhanced quality of life, remission of obesity-related medical comorbidities, and improved long-term patient and graft survival in transplant patients. Depression, suicide, anxiety, posttraumatic stress disorder, alcohol use, adherence, and psychopharmacology considerations can influence outcomes of both these surgeries.SummaryObesity is increasingly prevalent among patients pursuing transplantation surgery, and it is often a factor in why a patient needs a transplant. However, obesity can be a barrier to receiving a transplant, with many centers implementing BMI criteria for surgery. Furthermore, obesity and obesity-related comorbidities after transplant can cause poor outcomes. In this context, many transplant centers have created programs that incorporate interventions (such as bariatric surgery) that target obesity in transplant candidates. A presurgery psychosocial assessment is an integral (and required) part of the process towards receiving a bariatric surgery and/or a transplantation surgery. When conducting a dual (bariatric and transplantation surgery) psychosocial assessment, it is prudent to understand the overlap and differentiation of specific psychosocial components that influence outcomes in these procedures.

Original languageEnglish (US)
Pages (from-to)514-522
Number of pages9
JournalCurrent opinion in organ transplantation
Volume27
Issue number6
DOIs
StatePublished - Dec 1 2022

Keywords

  • bariatric surgery
  • candidacy
  • psychiatry
  • psychosocial assessment
  • transplantation surgery

ASJC Scopus subject areas

  • Immunology and Allergy
  • Transplantation

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