Bariyatrik Cerrahi Sonrası Dürtü Kontrol Problemleri ve Fluoksetin Tedavisiyle Ekstrapiramidal Yan Etki Gelişen Bir Olgu Sunumu

Abstract

Bariatrik cerrahi günümüzde obezite tedavisinde kullanılan etkili bir yöntem olmakla birlikte hastaların operasyon öncesi ve sonrası süreci biyopsikososyal açıdan değerlendirildiğinde birçok psikiyatrik zorluğu da beraberinde getirebilmektedir. Özellikle yeme bozukluğu tanısı olan obez hastalarda uygulanan bu cerrahi işlem sonrasında farklı bağımlılıklar ya da dürtü bozuklukları gelişebilmektedir. Sunacağımız olguda kişi geçirdiği bariyatrik cerrahi sonrası çeşitli impulsif davranış problemleri geliştirmiştir. Bu olguyu ilginç kılan bir diğer özellik ise hastada gelişen impuls problemlerin tedavisinde uygulanan fluoksetin tedavisi sonrası ortaya çıkan ekstrapiramidal yan etkilerdir. Bu olguda bariyatrik cerrahi sonrasında gelişen psikiyatrik problemler ve nadir görülen bir ilaç yan etkisi tartışılarak literatüre katkı sağlanması hedeflenmiştir.

Keywords

• bariatrik cerrahi
• fluoksetin
• obezite
• siyalore
• trikotilomani

Impulse Control Problems Following Bariatric Surgery and Extrapyramidal Adverse Effects with Fluoxetine: A Case Report

Abstract

Although bariatric surgery is an effective method used in the treatment of obesity today, many psychiatric difficulties are detected when patients are evaluated biopsychosocially during the pre-and postoperative periods. Especially when surgery is used in patients with eating disorders, different addiction problems and impulse control disorders may arise afterward. We present a clinical case of a patient with increased obsessive-compulsive symptoms, various impulsive control problems, and bulimia nervosa starting after bariatric surgery. Another feature that made this case interesting was the extrapyramidal adverse effects that occurred after fluoxetine treatment used for her psychiatric treatment. Our aim, thus, was to contribute to the literature by discussing psychiatric problems evolving after bariatric surgery and the rare adverse effect of fluoxetine.

Keywords

• bariatric surgery
• fluoxetine; obesity
• sialorrhea
• trichotillomania
• obsessive compulsive disorder

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