Risk of substance use disorder after bariatric surgery: A systematic review of the literature - 07/07/24
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Highlights |
• | A risk of substance use disorder seems to appear about 2 years after bariatric surgery. |
• | This risk mainly involves alcohol use disorder. |
• | Patients with no history of substance use are also concerned. |
• | Risk factors include young age, male gender, history of psychiatric disorder, and bypass surgery. |
• | Cautious patient selection and a close long-term follow-up after surgery are necessary. |
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.
Le texte complet de cet article est disponible en PDF.Keywords : Bariatric surgery, Alcohol use disorder, Substance use disorder, Addiction
Plan
Vol 5
Article 100051- 2024 Retour au numéro
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