부산대학교 도서관

Purpose: To review surgical cases with mental disorder at our hospital to determine their clinical features and problems. Materials and Methods: Perioperative data were collected for patients who were admitted to the closed psychiatric ward at our hospital and underwent surgery for gastroenterological disease from 2013 to 2019. Result: During this period, 95 patients with mental disorders underwent surgery. The mental disorders included schizophrenia in 66 patients and dementia in 12, with 65% of patients hospitalized for more than 10 years due to psychiatric illness. Regarding physical disease, there were 59 cases of benign diseases and 36 of gastrointestinal cancer. Of the cancer cases, 30 were in the advanced stage and 1 without symptoms was detected by cancer screening. The mean preoperative serum albumin level was 3.5 g/dl. In terms of body composition, 14 patients (14.8%) were obese and 32 (33.7%) were underweight. Postoperative complications occurred in 18 patients (18.9%). Ileus, urinary tract infection, and aspiration pneumonia were related to medical restraint after surgery. Thirteen patients (13.7%) who did not have a family member or relative experienced difficulty in decision-making. In these cases, the necessity for surgery was decided by surgeons. Conclusion: Physical characteristics and health problems included malnutrition, low level of activity, dysphasia, and poor intestinal peristalsis. Social features and problems included cancer screening and decision-making. Support from a multidisciplinary healthcare team is necessary to solve these problems in this patient population.