Weight Loss and Aggression

Obesity has become an important medical and social problem in western countries today. Although many surgical procedures are performed for obesity, Laparoscopic sleeve gastrectomy (LSG) has become the most common bariatric procedure in obesity. The absence of digestive anastomosis, the absence of mesenteric defects that may cause internal hernias and foreign materials such as gastric band are among the advantages of this surgical method.Obesity is a complex multifactorial disease. Obesity is not a mental disorder, but is associated with serious serious conditions and increases the risk of mental disorders. The social label of obesity will have long-lasting devastating effects on mental health. In addition, obesity is associated with undesirable conditions; Misperception of dietary needs, self-perceived health status and potential social isolation, negative attitude towards appearance, aggression, depression, anxiety, attention deficit/hyperactivity disorder, behavioral problem, and bullying are some of the problems associated with obesity. Body changes are important in the experience of being different from their peers and can result in lowered self-esteem and be a barrier to social functioning. Studies on this condition have shown that obese subjects have poor social functioning and social skills.There are many factors that cause aggression, but obesity is one of them. Although there are many studies examining the relationship between overweight and aggression in children and adolescent patient groups, studies examining the adult patient group are limited. Starting from this point, we aimed to determine the change in aggression after weight loss in patients who underwent LSG surgery in the study we created.

Inclusion Criteria:18 years and older and younger than 64 years old.At least 5 years of morbid obesity (BMI >40 or >35 comorbidity)Patients with temporary or inadequate response (less than 10% of body weight will be considered insufficient) weight loss despite diet for at least 6 months before the operation under the guidance of a dietitian.Exclusion Criteria:Past upper gastrointestinal surgery,Paraesophageal (type 2), mixed (type 3), or sliding hiatal hernias of 3 cm or more,Patients with esophagitis and/or Barrett's metaplasia in upper gastrointestinal system (GIS) endoscopyThose with peripheral vascular disease Those with a history of cerebrovascular accidentPatients with coagulopathyHistory of chronic analgesic usePatients with perioperative complicationsPatients with a previous psychiatric diagnosis other than depressionPatients who lost less than 10% of their initial weight at the 6th month after the operationpatients with chronic alcohol usepatients with recent psychological traumalow-income patients