Mini/one anastomosis gastric bypass in an obese depressive patient

Abstract

Introduction There is a high prevalence of psychiatric disorders, especially depression, in patients who are preparing for metabolic operations. Mini/one anastomosis gastric bypass (MGB/OAGB) is a bariatric operation with the possibility of complete restoration of the digestive tract or “tailoring” of a biliopancreatic limb if the patient regains weight. We present an obese patient with depression who underwent the first MGB/OAGB in Serbia with a follow-up period of one year.

Case outline An obese patient with a body weight of 144 kilograms and a body mass index (BMI) of 46.8 kg/m2 and depression as an accompanying comorbidity underwent MGB/OAGB with a follow-up period of one year. The operation was performed using the inventor’s technique in his presence and the recovery was uneventful. The patient completely stopped taking psychiatric or any other therapy, with no difficulties, and full occupational and social recovery. After the follow-up period, he has lost 49 kg, BMI = 30. 9 kg/m², and the percentage of excess weight loss (%EWL) has been 73.1%.

Conclusion In psychiatric obese patients, a metabolic procedure should be carefully selected. MGB/ OAGB proved to be a successful bariatric procedure in our patient, leading to remission of depression and discontinuation of psychiatric therapy, as well as to a significant reduction in body weight in the period of one year after surgery.

Keywords: mini gastric bypass; one anastomosis; depression; metabolic procedure