People who have suffered a surgery bariatric patients may have an increased risk of developing epilepsy, according to research published in the September 28, 2022 online issue of Neurology®the medical journal of the American Academy of Neurology.
Bariatric surgery, which involves modifying the digestive system, has become a more common treatment for weight loss. While bariatric surgery is an effective treatment for obesity and chronic obesity-related conditions, such as high blood pressure and type 2 diabetes, our research has found that recipients of bariatric surgery are at high risk of ‘epilepsy. »
Jorge G. Burneo, MD, MSPH, study author, Western University in London, Canadaand Fellow of the American Academy of Neurology.
Researchers reviewed medical records from Ontario, Canada, to identify people who had bariatric surgery over a six-year period. After excluding people with a history of seizures, epilepsy, psychiatric disorders, or drug or alcohol abuse, they included 16,958 people who had undergone bariatric surgery in the study. They were compared to 622,514 people suffering from obesity and who had not undergone bariatric surgery. Participants were followed for at least three years.
A total of 73 people, or 0.4%, of those who had bariatric surgery developed epilepsy, compared with 1,260 people, or 0.2%, of those who did not have the operation. After adjusting for other factors that may affect the risk of epilepsy, such as diabetes and high blood pressure, the researchers found that the estimated rates of epilepsy were 50 per 100,000 person-years. in people who have had bariatric surgery and 34 per 100,000 person-years in people who have not had bariatric surgery. Person-years represent both the number of people in the study and the time each person spends in the study.
People who had bariatric surgery had a 45% increased risk of developing epilepsy compared to people who had not had bariatric surgery. People who had a stroke after bariatric surgery were 14 times more likely to develop epilepsy than people who had not had a stroke.
“When considering bariatric surgery, people should talk to their doctor about the benefits and risks,” Burneo said. “Although weight loss has many health benefits, our results suggest that epilepsy is a long-term risk of bariatric surgery for weight loss. Future research should study epilepsy as a potential long-term complication of bariatric surgery, exploring the possible effects of this procedure. »
One limitation of the study is that the researchers were unable to measure obesity status or body mass index (BMI) throughout the study and the researchers say that certain obesity-related conditions obesity could affect the risk of epilepsy.
The study was supported by the Ontario Ministry of Health and Ministry of Long-Term Care and Western University.
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