Literature Review of Psychotropic Medication Recommendations for Patients with History of Bariatric Surgery
Abstract
In the United States, approximately 228,000 patient under went bariatric surgery in 2017. Of those patients, 20-50% had previously been diagnosed with a mood disorder. Psychiatric consult teams and primary outpatient psychiatrists are commonly tasked with the responsibility of modifying psychotropic dosages following such surgeries. The three most common bariatric surgeries are the gastric sleeve (59%), Roux-en-Y gastric bypass (18%), and the laparoscopic adjustable gastric band (2.77%). Of these three procedures, the Roux-en-Y gastric bypass has been the most heavily researched in regards to pharmacokinetic changes occurring after bariatric surgery. Roux-en-Y gastric bypass: Surgeon creates a gastric pouch allowing approximately one ounce of food vs typical allowance of two-three pints of food. This pouch bypasses the proximal 50-150cm of small intestine and attaches to the jejunum further distally in the small intestine.
Document Details
- Document Type
- Technical Report
- Publication Date
- Jul 07, 2020
- Accession Number
- AD1103229
Entities
People
- Abby Lozano
- Alyssa Smith
- Christopher Jackson
- Daniel Glassman
- Daniel Lozano
- Patrick Notini
- Sara Gutierrez
Organizations
- 59th Medical Wing