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Obesity Surgery
Published in: Obesity Surgery 9/2014

01-09-2014 | Original Contributions

Taste, Smell and Appetite Change After Roux-en-Y Gastric Bypass Surgery

Authors: L. Graham, G. Murty, D. J. Bowrey

Published in: Obesity Surgery | Issue 9/2014

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Abstract

Background

It is apparent from day-to-day practice that patients frequently report changes to their appetite, taste and smell after weight loss surgery. There has been surprisingly little written in the literature on this. The aim of the current study was to assess these parameters in a cohort of patients undergoing Roux-en-Y gastric bypass surgery.

Methods

Questionnaires relating to appetite, taste and smell were administered to 188 patients who had undergone Roux-en-Y gastric bypass surgery at our institution during the years 2000–2011.

Results

Responses were received from 103 patients (55 %). Sensory changes in appetite, taste and smell were noted by 97, 73 and 42 % of patients, respectively. Seventy-three percent of patients reported aversion to specific foods after surgery, with meat products the most commonly cited (33 %). Patients who experienced food aversions experienced more postoperative weight loss and reduction in BMI, compared to their counterparts without these features.

Conclusions

This study indicates that subjective changes in appetite, taste and smell are very common after Roux-en-Y gastric bypass. Patients are now routinely counselled about these changes as part of the informed consent process for surgery.
Literature
1.
Welbourne R, Fiennes A, Walton P, et al. The United Kingdom National Bariatric Surgery Registry: First registry Report to March 2010. Henley-on -Thames: Dendrite Clinical Systems Ltd; 2011.
2.
3.
Sjostrom L, Narbro K, Sjostrom CD, et al. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med. 2007;357:741–52.PubMedCrossRef
4.
Kolotkin RL, Crosby RD, Gress RE, et al. Health and health related quality of life: differences between men and women who seek gastric bypass surgery. Surg Obes Relat Dis. 2008;4:651–8.PubMedCentralPubMedCrossRef
5.
Tichansky DS, Boughter JD, Madan AK. Taste change after laparoscopic Roux-en-Y gastric bypass and laparoscopic adjustable gastric band. Surg Obes Relat Dis. 2006;2:440–4.PubMedCrossRef
6.
Harris AM, Griffin SM. Postoperative taste and smell deficit after upper gastrointestinal cancer surgery- an unreported complication. J Surg Oncol. 2003;82:147–50.PubMedCrossRef
7.
Bueter M, Lowenstein C, Ashrafian H, et al. Vagal sparing surgical technique but not stoma size affects body weight loss in rodent model of gastric bypass. Obes Surg. 2010;20:616–22.PubMedCentralPubMedCrossRef
8.
Halmi KA, Mason E, Falk JR, et al. Appetitive behavior after gastric bypass for obesity. Int J Obes. 1981;5:457–64.PubMed
9.
Thirlby RC, Bahiraei F, Randall J, et al. Effect of Roux-en-Y gastric bypass on satiety and food likes: the role of genetics. J Gastrointest Surg. 2006;10:270–7.PubMedCrossRef
10.
Burge JC, Schaumburg JZ, Choban PS, et al. Changes in patients’ taste acuity after Roux-en-Y gastric bypass for clinically severe obesity. J Am Diet Assoc. 1995;95:666–70.PubMedCrossRef
11.
Scruggs DM, Buffington C, Cowan GS. Taste acuity of the morbidly obese before and after gastric bypass surgery. Obes Surg. 1994;4:24–8.PubMedCrossRef
12.
Feng XH, Liu XM, Zhou LH, et al. Expression of glucagon-like peptide-1 in the taste buds of rat circumvallate papillae. Acta Histochem. 2008;110:151–4.PubMedCrossRef
13.
Gerspach AC, Steinert RE, Schonenberger L, et al. The role of the gut sweet taste receptor in regulating GLP-1, PYY, and CCK release in humans. Am J Physiol Endocrinol Metab. 2011;301:E317–25.PubMedCrossRef
14.
15.
Metadata
Title
Taste, Smell and Appetite Change After Roux-en-Y Gastric Bypass Surgery
Authors
L. Graham
G. Murty
D. J. Bowrey
Publication date
01-09-2014
Publisher
Springer US
Published in
Obesity Surgery / Issue 9/2014
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-014-1221-2

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