BACKGROUND: It is common for bariatric @entity1 to experience postoperative @entity390 , @entity308 and remorse for several months following surgery. Difficulty exists for the surgeon in delineating the physical from the psychological in treating these @entity1 . Preoperative education, evaluation and preparation, although essential, will not identify nor eliminate all potential problems. METHODS: We report the case history of a @entity1 who ultimately underwent reversal of her gastric bypass. Her symptoms required multiple procedures and hospital admissions for what appeared to be anatomical problems. All procedures were done laparoscopically. RESULTS: The @entity1 's main complaints of persistent @entity390 and @entity490 combined with radiographic evidence of sub-optimal anatomic construct led to multiple operative procedures. Psychological intervention relative to the persistent @entity390 and @entity490 was ineffectual, although the supportive and consistent nature of the psychotherapy relationship was useful in overall @entity1 stability and emotional well being. Complete reversal of the bypass did not effect improvement. Ultimately, the diagnosis of @entity4784 withdrawal prompted the institution of @entity284 treatment with complete cessation of the symptoms of @entity390 and @entity158 . CONCLUSIONS: The diagnosis of @entity3347 can be difficult in the postoperative bariatric @entity1 . Psychological evaluation and support are essential elements of the program throughout the entire course of a @entity1 's treatment experience. Laparoscopic techniques simplified the surgical care of this @entity1 .

XXXX following gastric bypass--a difficult diagnosis.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity3347 :: ('MESH:D013375', 'Disease') :: ['narcotic withdrawal syndrome'] @entity308 :: ('MESH:D003866', 'Disease') :: ['depression'] @entity390 :: ('MESH:D009325', 'Disease') :: ['nausea'] @entity4784 :: ('MESH:D009293', 'Disease') :: ['narcotic'] @entity490 :: ('MESH:D015746', 'Disease') :: ['abdominal pain'] @entity284 :: ('MESH:D008691', 'Chemical') :: ['methadone'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain']
@entity3347 :: (MESH:D013375,Disease) :: ['Narcotic withdrawal syndrome']
