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Patients may be more likely to harm themselves or attempt suicide after weight-loss surgery, a Canadian study suggests.


Researchers followed about 8,800 patients in Ontario for three years before and after they had surgery to lose weight. Gastric-bypass surgery is highly successful for most people, but about one to two per cent of patients have disappointing results, which can lead to self-harm. During the first three years after surgery, 111 patients received emergency care for self-inflicted injuries, or roughly 1 per cent of people in the study. Most of these incidents of self-inflicted harm happened one to three years after bariatric surgeries, suggesting that patients may need more long-term behavioral healthcare than they're getting, said Dr. Surgical weight loss has gained traction in recent years as a growing number of extremely obese patients turn to this option after failing to achieve significant weight loss through diet, exercise or medication. These procedures also come with a risk of overdosing on alcohol or drugs because patients' smaller stomachs and intestines may no longer be able to tolerate the same amounts of libations or medications that they could before surgery.
In the current study, almost three in four of the self-inflicted injuries were identified as intentional drug overdoses. Most of the time, the patients who harmed themselves had been diagnosed with a mental health disorder at some point in the five years preceding surgery.
Rural patients had more than a six-fold greater risk of receiving emergency care for self-inflicted harm after their weight-loss operations, the study found.
One limitation of the study, however, is its use of billing data to identify drug overdoses, which might not be an accurate indicator of whether the act was intentional or accidental, the authors acknowledge. Even so, the findings add to a growing body of evidence linking bariatric surgery to an increased risk of suicide, lead author Junaid Bhatti, a researcher at the Institute for Clinical Evaluative Sciences and the Sunnybrook Research Institute in Toronto. Bariatric surgery patients typically go through psychological screenings before their operations and have intense follow-up care for up to a year afterwards, Bhatti said by email.
By submitting a comment, you accept that CBC has the right to reproduce and publish that comment in whole or in part, in any manner CBC chooses. 9 Herb Blend Is Extra Soothing, Aids Digestion, and Toxin Removal 60 Count Pills New Promotional Pricing! Most of them had a common type of bariatric surgery known as gastric bypass, which helps patients shed excess pounds by reducing stomach capacity from about three pints to the size of a shot glass.


While small, the risk of these emergencies was 54 per cent higher after surgery than it was before.
Instead, it should encourage healthcare providers to target these patients for improved follow-up care, he said. Like all surgery, it isn't risk free, and bariatric operations in particular carry a risk of malnutrition. People over 35 were 76 per cent more likely to be treated for a self-inflicted emergency after surgery than before, and the risk was more than doubled for low-income patients. By submitting your comments, you acknowledge that CBC has the right to reproduce, broadcast and publicize those comments or any part thereof in any manner whatsoever. Effect of high-protein weight loss diet on weight, high-sensitivity c-reactive protein, and cardiovascular risk among overweight and obese women: A parallel study. Please note that comments are moderated and published according to our submission guidelines. Higher protein intake preserves lean mass and satiety with weight loss in pre-obese and obese women.
Moderate carbohydrate, moderate protein weight loss diet reduces cardiovascular disease risk compared to high carbohydrate, low protein diet in obese adults: A randomized clinical trial.
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