Obesity is a leading global epidemic. Bariatric surgery is the only treatment demonstrating substantial long‐term weight loss and medical benefits. However, there is limited research on the psychological outcomes following surgery. Therefore, the primary aim of this study was to systematically review depression, anxiety, and binge eating outcomes at different time points following bariatric surgery and identify whether bariatric surgery significantly reduces psychological symptoms over time. These outcomes were also examined among endoscopic bariatric procedures as a secondary aim. Forty‐eight studies met inclusion criteria. Findings suggested that most patients experience a short‐term reduction in anxiety and depression symptoms from pre‐surgery. Over time, however, these symptoms increase and may even return to pre‐surgery levels. Furthermore, while binge eating was uncommon after surgery, other disordered eating patterns may emerge. Binge eating may also restart over time as the stomach enlarges again. Overall, the complex psychological difficulties faced by individuals with obesity continue after surgery and may contribute to longer‐term weight recidivism. More comprehensive and standardised psychological assessment procedures, including clinical interviews and longer‐term follow‐up, may provide insight into the psychological mechanisms maintaining weight management issues, and may serve as a starting point for improving the long‐term success of patients with obesity.

中文翻译：

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手术和内镜减肥手术后的心理结果：系统评价。

肥胖是全球主要流行病。减肥手术是唯一可证明长期体重减轻和医疗益处的治疗方法。但是，关于手术后心理后果的研究很少。因此，这项研究的主要目的是系统地审查减肥手术后不同时间的抑郁，焦虑和暴饮暴食的结果，并确定减肥手术是否能随着时间的推移显着减轻心理症状。这些结果也作为第二目标在内镜减肥手术中进行了检查。四十八项研究符合纳入标准。研究结果表明，大多数患者术前焦虑和抑郁症状的短期缓解。但是，随着时间的流逝，这些症状会加剧，甚至可能恢复到术前水平。此外，术后暴饮暴食很少见，但其他饮食失调的情况可能会出现。随着时间的流逝，随着胃的再次增大，暴饮暴食也可能会重新开始。总体而言，肥胖患者所面临的复杂的心理困难在手术后仍然存在，并且可能导致长期体重增加。更全面，更标准化的心理评估程序，包括临床访谈和长期随访，可以深入了解维持体重管理问题的心理机制，并且可以作为改善肥胖患者长期成功的起点。肥胖个体所面临的复杂的心理困难在手术后仍在继续，并且可能导致长期体重增加。更全面，更标准化的心理评估程序，包括临床访谈和长期随访，可以深入了解维持体重管理问题的心理机制，并且可以作为改善肥胖患者长期成功的起点。肥胖个体所面临的复杂的心理困难在手术后仍在继续，并且可能导致长期体重增加。更全面，更标准化的心理评估程序，包括临床访谈和长期随访，可以深入了解维持体重管理问题的心理机制，并且可以作为改善肥胖患者长期成功的起点。