Accession Number:

AD1103229

Title:

Literature Review of Psychotropic Medication Recommendations for Patients with History of Bariatric Surgery

Descriptive Note:

Technical Report

Corporate Author:

59 MDW San Antonio United States

Report Date:

2020-07-07

Pagination or Media Count:

1.0

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.

Subject Categories:

  • Medicine and Medical Research
  • Pharmacology

Distribution Statement:

APPROVED FOR PUBLIC RELEASE