Risk of substance use disorder after bariatric surgery: A systematic review of the literature

La Presse Médicale Open Pub Date : 2024-01-01 DOI:10.1016/j.lpmope.2024.100051

Yohann Vergès , Caroline Carquet , Céline Meunier , Aurore Palmaro , Julie Dupouy

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引用次数: 0

Abstract

Objective

In relation with the growing literature suggesting an increased risk of alcohol or other substance use disorder after bariatric surgery, we aimed to review the risk of any substance use disorder in patients undergoing bariatric surgery.

Methods

A systematic review of the relevant literature was conducted from November 2019 to December 2021, using PubMed, Cochrane and Web of science.

Results

In total, 44 articles were included in the review. Most of the studies find out an increased risk of alcohol and drugs use disorders two years after surgery, with a large proportion of new onset. Young age, males, history of psychiatric disorder and bypass surgery were potential risk factors. An increased risk of substance use disorder regarding to analgesics or psychotropic drugs was retrieved in 5 out of 8 studies. Results for tobacco use were conflicting.

Conclusion

We showed that an increased risk of substance use disorder seems to appear 2 years after bariatric surgery, concerning not only preoperative users, but also new users.

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减肥手术后出现药物使用障碍的风险：文献系统回顾

目的鉴于越来越多的文献表明减肥手术后酗酒或其他药物使用障碍的风险增加，我们旨在对接受减肥手术的患者出现任何药物使用障碍的风险进行回顾。大多数研究发现，术后两年酗酒和吸毒的风险增加，其中很大一部分是新发病例。年轻、男性、精神病史和搭桥手术是潜在的风险因素。在 8 项研究中，有 5 项发现使用镇痛药或精神药物导致药物使用障碍的风险增加。结论：我们的研究表明，减肥手术 2 年后出现药物使用障碍的风险似乎会增加，这不仅涉及术前使用者，也涉及新使用者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

La Presse Médicale Open

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