Gece yeme bozukluğu ve uyku kalitesini ameliyat ile tedavi etmek mümkün mü? Obezite cerrahisinin faydaları

Amaç: Bu çalışma, bariatrik cerrahi sonrası morbid obezitesi olan hastalarda uyku kalitesi ve gece yeme sendromunun değerlendirilmesi amacıyla yapılmıştır. Gereç ve Yöntem: Morbid obezitesi olan ve tüp mide ameliyatı yapılan hastalar değerlendirildi. Vücut Kitle İndeksi (BKİ), Hamilton Depresyon Derecelendirme Ölçeği (HAM-D), Hamilton Anksiyete Derecelendirme Ölçeği (HAM-A), Gece Yeme Anketi (NEQ), Pittsburgh Uyku Kalitesi İndeksi (PSQI) ve ameliyat öncesi ve sonrası değerleri Berlin Uyku Anketi (BSQ) karşılaştırıldı. Bulgular: Çalışmamıza 18-65 yaşları arasında (36,36±10,37) obezite cerrahisi planlanan toplam 82 cerrahi adayı katıldı. Hastalardan 5’i ameliyat sonrası 6. ay kontrollerine çeşitli nedenlerle gelmediği için 77 hasta ile çalışmamızı tamamladık. Adayların ameliyat öncesi ve sonrası standart psikiyatrik muayeneleri yapıldı ve çalışma hakkında bilgilendirildikten sonra yazılı onamları alındı. Ameliyat öncesi ortalama VKİ değeri 44,53±4,33, HAM-A değeri 4,96±6,14, HAM-D değeri 3,82±3,84, PUKİ değeri 4,69±3,64 ve NEQ puanı 15,94±7,94 olarak bulundu. Ameliyat sonrası 6. ay değerlendirmelerinde ortalama VKİ değeri 30,74±3,55, HAM-A değeri 2,39±3,47, HAM-D değeri 1,57±2,39, PUKİ değeri 1,48±1,42 ve NEQ puanı 5,58±5 olarak bulundu. 3.06. Ortalama EWL değeri 61,71±10,58 olarak bulundu. Sonuç: Sonuç olarak, morbid obezite anksiyete, depresyon ve gece yeme sendromuna neden olabilir ve bunlara paralel olarak uyku kalitesini bozabilir. Bariatrik cerrahi sonrası bu klinik durumların düzeldiğini gözlemledik.

Anahtar Kelimeler:

Uyku, gece yeme sendromu, obezite cerrahisi

Is it possible to treat night eating disorder and sleep quality with surgery? Benefits of obesity surgery

Aim: This study was conducted to assess sleep quality and night eating syndrome in patients with morbid obesity after bariatric surgery. Material and Method: Patients with morbid obesity who underwent sleeve gastrectomy were evaluated. The preoperative and postoperative values of Body Mass Index (BMI), Hamilton Rating Scale for Depression (HAM-D), Hamilton Anxiety Rating Scale (HAM-A), Night Eating Questionnaire (NEQ), Pittsburgh Sleep Quality Index (PSQI), and Berlin Sleep Questionnaire (BSQ) were compared. Results: A total of 82 surgery candidates who were aged between 18 and 65 (36.36±10.37) were planned for bariatric surgery participated in our study. We completed our study with 77 patients since 5 of the patients did not come to their postoperative 6th-month controls for various reasons. Standard psychiatric examinations of the candidates were performed before and after the surgery, and their written consent was obtained after they had been informed about the study. Mean preoperative BMI value was found as 44.53±4.33, HAM-A value as 4.96±6.14, HAM-D value as 3.82±3.84, PSQI value as 4.69±3.64, and NEQ score as 15.94±7.94. In the 6th month evaluations after surgery, the mean BMI value was found as 30.74±3.55, HAM-A value as 2.39±3.47, HAM-D value as 1.57±2.39, PSQI value as 1.48±1.42, and NEQ score as 5.58±3.06. The mean EWL value was found as 61.71±10.58. Conclusion: In conclusion, morbid obesity may cause anxiety, depression, and night eating syndrome and may impair sleep quality in parallel to them. We observed that these clinical conditions improved after bariatric surgery.

Keywords:

Bariatric surgery, sleep, night eating syndrome,

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