Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Obesity Surgery
Published in: Obesity Surgery 2/2019

01-02-2019 | Original Contributions

Food Intolerance 1 Year After Banded Roux-En-Y Gastric Bypass

Authors: Renata Cristina Gobato, Everton Cazzo, Letícia Baltieri, Débora Aparecida Oliveira Modena, Elinton Adami Chaim

Published in: Obesity Surgery | Issue 2/2019

Login to get access

Abstract

The purpose of this study is to evaluate the food intolerance after banded Roux-en-Y gastric bypass (RYGB), correlating the data of food ingestion.

Methods

This is an observational prospective study, which evaluated the individuals before and 3, 6, and 12 months after banded RYGB. We performed an anthropometric evaluation and an assessment of the habitual food ingestion and applied a food tolerance questionnaire.

Results

The study group was comprised of 75 individuals, 89% of them female, with a percentual weight loss of 29.73 ± 6.79%. The observed results were that food intolerance increased over time and 1 year after surgery, only 2.7% reported to ingest any type of food, while the greatest difficulty was related to red meat (80%). Regarding vomits, after surgery, this proportion significantly increased after 3, 6, and 12 months. Preoperatively, the mean protein ingestion was 98 g, which decreased to 50 g after 3 and 6 months and to 51 g after 12 months. As a conclusion, food intolerance significantly increased following banded RYGB, leading to a crescent dissatisfaction regarding food and an increase in the vomits frequency.
Literature
1.
Bloomberg RD, Fleishman A, Nalle JE, et al. Nutritional deficiencies following bariatric surgery: what have we learned? Obes Surg. 2005;15:145–54.CrossRefPubMed
2.
Valezi AC, Junior JM, Menezes MA, et al. Weight loss outcome after silastic ring Roux-en-Y gastric bypass: 8 years of follow-up. Obes Surg. 2010;20:1491–5.CrossRefPubMed
3.
Suter M, Clames JM, Paroz A, et al. A new questionnaire for quick assessment of food tolerance after bariatric surgery. Obes Surg. 2007;17:2–8.CrossRefPubMed
4.
Shai I, Henkin Y, Weitzman S, et al. Determinants of long-term satisfaction after vertical banded gastroplasty. Obes Surg. 2003;13:269–74.CrossRefPubMed
5.
Taddeucci RJ, Madan AK, Ternovits CA, et al. Laparoscopic re-operations for band removal after open banded gastric bypass. Obes Surg. 2007;17:35–8.CrossRefPubMed
6.
Faria SL, Faria OP, Cardeal MA. Comparison of weight loss, food consumption and frequency of vomiting among Roux-en-Y gastric bypass patients with or without constriction ring. Arq Bras Cir Dig. 2014;27:43–6.CrossRefPubMedPubMedCentral
7.
Capella RF, Capella JF, Mandec H, et al. Vertical banded gastroplasty-gastric bypass: preliminary report. Obes Surg. 1991;1:389–95.CrossRefPubMed
8.
Fobi MA, Lee H. The surgical technique of the Fobi-pouch operation for obesity (the transected Silastic® vertical gastric bypass). Obes Surg. 1998;8:283–8.CrossRefPubMed
9.
Stubbs RS, O’brien I, Jurikova L. What ring size should be used in association with vertical gastric bypass? Obes Surg. 2006;16:1298–303.CrossRefPubMed
10.
Love AL, Billett HH. Obesity, bariatric surgery, and iron deficiency: true, true, true and related. Am J Hematol. 2008;83:403–9.CrossRefPubMed
11.
Alvarez-Leite JI. Nutrient deficiencies secondary to bariatric surgery. Curr Opin Clin Nutr Metab Care. 2004;7:569–75.CrossRefPubMed
12.
Faria SL, Faria OP, Cardeal M de A, et al. Diet-induced thermogenesis and respiratory quotient after Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2012;8:797–802.CrossRefPubMed
13.
Chaim EA, Pareja JC, Gestic MA, et al. Preoperative multidisciplinary program for bariatric surgery: a proposal for the Brazilian public health system. Arq Gastroenterol. 2017;54:70–4.CrossRefPubMed
14.
National Institutes of Health. Gastrointestinal surgery for severe obesity. NIH Consens Statement. 1991;9:1–20.
15.
Institute of Medicine. Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids. Washington (DC): National Academy Press; 2005.
16.
Marchioni DML, Slater B, Fisberg RM. Application of dietary reference intakes for assessment of individuals. Rev Nutr. 2004;17:207–16.CrossRef
17.
Magro DO, Ueno M, Coelho-Neto JS, et al. Long-term weight loss outcomes after banded Roux-en-Y gastric bypass: a prospective 10-year follow-up study. Surg Obes Relat Dis. 2018;14(7):910–7.CrossRefPubMed
18.
Stabe C, Vasques ACJ, Lima MMO, et al. Neck circumference as a simple tool for identifying the metabolic syndrome and insulin resistance: results from the Brazilian metabolic syndrome study. Clin Endocrinol. 2013;78:874–81.CrossRef
19.
Namazi N, Larijani B, Surkan PJ, et al. The association of neck circumference with risk of metabolic syndrome and its components in adults: a systematic review and meta-analysis. Nutr Metab Cardiovasc Dis. 2018;28(7):657–74.CrossRefPubMed
20.
Ben-Noun L, Sohar E, Laor A. Neck circumference as a simple screening measure for identifying overweight and obese patients. Obes Res. 2001;9:470–7.CrossRefPubMed
21.
Boerlage TCC, van de Laar AWJM, Westerlaken S, et al. Gastrointestinal symptoms and food intolerance 2 years after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Br J Surg. 2017;104:393–400.CrossRefPubMed
22.
Wurtman RJ. Food consumption, neurotransmitter synthesis, and human behaviour. Experientia Suppl. 1983;44:356–69.CrossRefPubMed
23.
Moize V, Geliebter A, Gluck ME, et al. Obese patients have inadequate protein intake related to protein intolerance up to 1 year following Roux-en-Y gastric bypass. Obes Surg. 2003;13:23–8.CrossRefPubMed
24.
Gobato RC, Chaves DFS, Chaim EA. Micronutrient and physiologic parameters before and 6 months after RYGB. Surg Obes Relat Dis. 2014;10:944–51.CrossRefPubMed
25.
Heber D, Greenway FL, Kaplan LM, et al. Endocrine and nutritional management of the post-bariatric surgery patient: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2010;95:4823–43.CrossRefPubMed
Metadata
Title
Food Intolerance 1 Year After Banded Roux-En-Y Gastric Bypass
Authors
Renata Cristina Gobato
Everton Cazzo
Letícia Baltieri
Débora Aparecida Oliveira Modena
Elinton Adami Chaim
Publication date
01-02-2019
Publisher
Springer US
Published in
Obesity Surgery / Issue 2/2019
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-018-3544-x

Other articles of this Issue 2/2019

Obesity Surgery 2/2019 Go to the issue

Original Contributions

A Higher Preoperative Glycemic Profile Is Associated with Rapid Gastric Emptying After Sleeve Gastrectomy for Obese Subjects

Original Contributions

Safety and Feasibility of a Lower-Cost Stapler in Bariatric Surgery

Original Contributions

Bariatric Surgery Did Not Increase the Risk of Gallstone Disease in Obese Patients: a Comprehensive Cohort Study

Letter to Editor/LED Reply

Invited Response Letter: Our Experience Regarding the Association Between Gastrointestinal Stromal Tumor and Bariatric Surgery. A Response to a Letter “Gastrointestinal Stromal Tumor After Laparoscopic Sleeve Gastrectomy: Be Awake Before, During, and After a Bariatric Procedure”

Brief Communication

Psychological Support and Well-being in Post-Bariatric Surgery Patients

Letter to the Editor

Reply to Gagner’s Letter RE Features of MGB and OAGB