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Yıl:2020; Cilt: 12; Sayı: 3>> Özet
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Psikiyatride Güncel Yaklaşımlar; 2020;12(3):409-420
Tıkınırcasına Yeme Bozukluğunun Obezite Cerrahisi Tedavi Sürecine Etkisi
E Çoşkun, E Deveci, B İnce
FMV Işık Üniversitesi, İstanbul
Geçmişten günümüze yaygınlığı hızla devam eden obezite, fiziksel, sosyal, çevresel ve psikolojik etkileri olan bir hastalıktır. Obezitenin birçok sebebinin olması ve eşlik eden hastalıkların bulunması, tanı alma ve tedavi sürecinde ciddi sonuçlarla karşılaşılmasına yol açmaktadır. Obezite tedavisi için seçilen yöntem kişinin beden kitle indeksine ve eşlik eden hastalığın varlığına göre değişiklik göstermektedir. Bu yöntemlerden biri olan, bariatrik ve metabolik cerrahi (obezite cerrahisi) kişinin obezitesine ek olarak sahip olduğu diğer hastalıklara ve cerrahın tercihine göre uygulanmaktadır. Bu konuda bilinmesi gereken en önemli şey; obezite cerrahisinin kapsamlı bir tedaviyi gerektirdiği ve tedavi sürecinin bir ekip ile birlikte yürütülmesi gerektiğidir. Cerrahi operasyon sonrası kişi iç hastalıkları uzmanı, obezite cerrahisi alanında uzmanlaşmış diyetisyen, beslenme ve yeme bozuklukları alanında uzmanlaşmış bir psikiyatrist ya da psikolog tarafından multidisipliner bir yaklaşım ile takip edilmelidir. Operasyon öncesi ve sonrası karşılaşılan, operasyonun başarısını olumsuz yönde etkileyebilen, en önemli sorunlardan biri ise tıkınırcasına yeme bozukluğudur. Bu makalede, tıkınırcasına yeme bozukluğu ve ruhsal durumun obezite cerrahisini nasıl etkilediği üzerinde durulmuştur.
Effect of Binge Eating Disorder on the Treatment Process of Bariatric Surgery
Obesity, which continues to be widespread from past to present, is a disease to have physical, social, environmental and psychological effects. The presence of many causes of obesity and its comorbid diseases results in serious financial consequences in the diagnostic and treatment process. The methods chosen for the treatment of obesity varies according to the person's body mass index and the presence of comorbid disease. One these methods is bariatric and metabolic surgery (obesity surgery), and it isapplied in the case of having additional diseases to patient’s obesity and preferences of surgeon in addition to obesity. The most important thing to know about this issue is that obesity surgery is involved in a very comprehensive treatment. After surgery, the person should be followed with a multidisciplinary approach by an internal medicine specialist, a dietician specializing in bariatric surgery, a psychiatrist or psychologist specializing in nutrition and eating disorders. One of the most important problems encountered before and after the operation, which may adversely affect the success of the operation, is binge eating disorder. This article focuses on how binge eating disorder and mood influence obesity surgery.

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