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ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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vol. 18
Bariatric surgery
Original paper

Prevalence of mental disorders in patients with pathological obesity selected for bariatric surgery in the KOS-BAR nationwide multi-centre pilot programme – a preliminary report

Marta Herstowska
Ada Przygocka-Pieniążek
Karol Grabowski
Łukasz Kaska

Department of Pediatrics, Diabetology and Endocrinology, Medical University of Gdansk, Gdansk, Poland
Department of Psychiatry, Medical University of Gdansk, Gdansk, Poland
Department of Oncological, Transplant and General Surgery, Medical University of Gdansk, Gdansk, Poland
Videosurgery Miniinv 2023; 18 (3): 502–509
Online publish date: 2023/06/22
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Obesity affects over 600,000 people in Poland, and bariatric surgery is a vital part of the multidisciplinary approach to treatment. To improve outcomes, Poland’s public health institutions implemented the KOS-BAR programme, a multicentre nationwide pilot initiative that includes psychiatric evaluations of patients. The aim of this study was to assess the prevalence of mental disorders, verify diagnoses, and evaluate pharmacotherapy efficacy for patients under psychiatric treatment and selected for bariatric surgery. Of the 180 patients evaluated, 40% had a history of mental disorders, with depressive and eating disorders being the most common diagnoses. Patients selected for revision surgery had a higher incidence of depressive and compulsive eating disorders. Psychiatric support can improve patient cooperation and optimize long-term outcomes after bariatric surgery. A more complete evaluation of the psychological profile and depressive disorder’s impact on bariatric treatment outcomes will be the next step for this group of patients.

obesity, bariatric surgery, psychiatric disorders

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