TY - JOUR
T1 - Psychosocial considerations in the combined bariatric surgery and organ transplantation population
T2 - A review of the overlapping pathologies and outcomes
AU - Fipps, David C.
AU - Sinha, Shirshendu
AU - Diwan, Tayyab S.
AU - Clark, Matthew M.
N1 - Publisher Copyright:
© 2022 Lippincott Williams and Wilkins. All rights reserved.
PY - 2022/12/1
Y1 - 2022/12/1
N2 - 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.
AB - 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.
KW - bariatric surgery
KW - candidacy
KW - psychiatry
KW - psychosocial assessment
KW - transplantation surgery
UR - http://www.scopus.com/inward/record.url?scp=85140856965&partnerID=8YFLogxK
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U2 - 10.1097/MOT.0000000000001023
DO - 10.1097/MOT.0000000000001023
M3 - Review article
C2 - 36103143
AN - SCOPUS:85140856965
SN - 1087-2418
VL - 27
SP - 514
EP - 522
JO - Current opinion in organ transplantation
JF - Current opinion in organ transplantation
IS - 6
ER -