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Surgical treatment of obesity: some considerations on the transformations of the eating impulse

Le traitement chirurgical de l'obésité: considérations sur les trans-formations de l'impulsion alimentaire

Tratamento cirúrgico da obesidade: algumas considerações sobre as transformações no impulso alimentar

El tratamiento quirúrgico de la obesidad: consideraciones sobre las trans-formaciones del impulso alimentario

This study aims at understanding the alteration of the eating impulse arising after bariatric surgery. Hunger is transformed after surgery, with satiety being quickly achieved, but not the sensation of satiation. There is an evident misunderstanding between hunger as non-satiety and as dissatisfaction, with anguish emerging as the resulting affect, which surgery does not correct. In-depth psychological treatment is crucial as the surgery creates new emotional demands for the patient.

Bariatric surgery; obesity; psychoanalysis; qualitative method


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