Cambio en el patrón de consumo de sustancias posterior a cirugía bariátrica: presentación de un caso clínico

Even though the benefits of bariatric surgery are supported by scientific evidence, its indications and contraindications must be revised to avoid its indiscriminate use. Substance use is more common in patients subjected to bariatric surgery than in the general population. After surgery, an increas...

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Autores principales:	Quevedo,Yamil, Kirsten,Kurt, Ponce de León,Consuelo, Fernández,Alejandro
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2015
Materias:	Alcoholism Bariatric surgery Substance-related disorders
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000100016
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spelling	oai:scielo:S0034-988720150001000162015-08-11Cambio en el patrón de consumo de sustancias posterior a cirugía bariátrica: presentación de un caso clínicoQuevedo,YamilKirsten,KurtPonce de León,ConsueloFernández,Alejandro Alcoholism Bariatric surgery Substance-related disorders Even though the benefits of bariatric surgery are supported by scientific evidence, its indications and contraindications must be revised to avoid its indiscriminate use. Substance use is more common in patients subjected to bariatric surgery than in the general population. After surgery, an increase in alcohol abuse has been reported. We report a 41 years old male, with morbid obesity, alcohol and cocaine use. After bariatric surgery, his alcohol tolerance significantly decreased, increasing the doses of cocaine and starting to consume it without alcohol. His high anxiety level and paranoid delusions, motivated him to seek help in a rehabilitation center where a Substance Dependence Disorder was diagnosed and received initial treatment. The cause of this adverse effect needs further research. Functional and anatomic changes in the digestive tract lead to a greater alcohol absorption and reduced alcohol dehydrogenase activity. Also neurochemical alterations may produce a displacement from compulsive use of food to compulsive use of addictive substances.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.143 n.1 20152015-01-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000100016es10.4067/S0034-98872015000100016
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Alcoholism Bariatric surgery Substance-related disorders
spellingShingle	Alcoholism Bariatric surgery Substance-related disorders Quevedo,Yamil Kirsten,Kurt Ponce de León,Consuelo Fernández,Alejandro Cambio en el patrón de consumo de sustancias posterior a cirugía bariátrica: presentación de un caso clínico
description	Even though the benefits of bariatric surgery are supported by scientific evidence, its indications and contraindications must be revised to avoid its indiscriminate use. Substance use is more common in patients subjected to bariatric surgery than in the general population. After surgery, an increase in alcohol abuse has been reported. We report a 41 years old male, with morbid obesity, alcohol and cocaine use. After bariatric surgery, his alcohol tolerance significantly decreased, increasing the doses of cocaine and starting to consume it without alcohol. His high anxiety level and paranoid delusions, motivated him to seek help in a rehabilitation center where a Substance Dependence Disorder was diagnosed and received initial treatment. The cause of this adverse effect needs further research. Functional and anatomic changes in the digestive tract lead to a greater alcohol absorption and reduced alcohol dehydrogenase activity. Also neurochemical alterations may produce a displacement from compulsive use of food to compulsive use of addictive substances.
author	Quevedo,Yamil Kirsten,Kurt Ponce de León,Consuelo Fernández,Alejandro
author_facet	Quevedo,Yamil Kirsten,Kurt Ponce de León,Consuelo Fernández,Alejandro
author_sort	Quevedo,Yamil
title	Cambio en el patrón de consumo de sustancias posterior a cirugía bariátrica: presentación de un caso clínico
title_short	Cambio en el patrón de consumo de sustancias posterior a cirugía bariátrica: presentación de un caso clínico
title_full	Cambio en el patrón de consumo de sustancias posterior a cirugía bariátrica: presentación de un caso clínico
title_fullStr	Cambio en el patrón de consumo de sustancias posterior a cirugía bariátrica: presentación de un caso clínico
title_full_unstemmed	Cambio en el patrón de consumo de sustancias posterior a cirugía bariátrica: presentación de un caso clínico
title_sort	cambio en el patrón de consumo de sustancias posterior a cirugía bariátrica: presentación de un caso clínico
publisher	Sociedad Médica de Santiago
publishDate	2015
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000100016
work_keys_str_mv	AT quevedoyamil cambioenelpatrondeconsumodesustanciasposterioracirugiabariatricapresentaciondeuncasoclinico AT kirstenkurt cambioenelpatrondeconsumodesustanciasposterioracirugiabariatricapresentaciondeuncasoclinico AT poncedeleonconsuelo cambioenelpatrondeconsumodesustanciasposterioracirugiabariatricapresentaciondeuncasoclinico AT fernandezalejandro cambioenelpatrondeconsumodesustanciasposterioracirugiabariatricapresentaciondeuncasoclinico
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Cambio en el patrón de consumo de sustancias posterior a cirugía bariátrica: presentación de un caso clínico

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