Conference paper
LIAISON PSYCHIATRY AND BARIATRIC SURGERY: DOUBLE STANDARDS What are the possibilities for the systematization of the pre-operative psychiatric assessment in Belgium?
Denis Jacques
; Université Catholique de Louvain, Psychopathology and Psychosomatic Unit, Mont-Godinne University Hospital, Yvoir, Belgium
Christine Reynaert
; Université Catholique de Louvain, Psychopathology and Psychosomatic Unit, Mont-Godinne University Hospital, Yvoir, Belgium
Nicolas Zdanowicz
; Université Catholique de Louvain, Psychopathology and Psychosomatic Unit, Mont-Godinne University Hospital, Yvoir, Belgium
Abstract
Background: In the context of health care in Belgium, the psychological or psychiatric opinion of a multidisciplinary team is
required in the assessment of bariatric surgery candidates. In clinical practice, a wide variety of liaison psychiatry assessment
methods exist.
Subjects and methods: On the basis of a post-operative psychiatric comorbidity case report and a literature review on "liaison
psychiatry and bariatric surgery" we aim to identify opportunities for the systematization of bariatric pre-surgery psychiatric
evaluation.
Results: The bariatric pre-surgery evaluation must be rigorous and founded on evidence-based medicine. On this basis, specific
psychiatric criteria may be defined and researched in assessments. The issue remains for psychiatric comorbidities that develop after
surgery and for which a preventive framework should be sustained in the liaison psychiatry approach.
Conclusions: The aim of the research is to support an improved systematization of the psychological assessments of preoperative
bariatric surgery candidates. We believe that systematic evaluation tools should be defined for the identification of
possible absolute or relative contra-indications and that a preventive approach to post-operative psychiatric disorders should be
included in this assessment
Keywords
bariatric surgery; liaison psychiatry; eating disorder
Hrčak ID:
264914
URI
Publication date:
30.8.2016.
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