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Obesity Surgery
Published in: Obesity Surgery 11/2017

01-11-2017 | Original Contributions

Long-Term Food Tolerance After Bariatric Surgery: Comparison of Three Different Surgical Techniques

Authors: Oscar Cano-Valderrama, Andrés Sánchez-Pernaute, Miguel A. Rubio-Herrera, Inmaculada Domínguez-Serrano, Antonio J. Torres-García

Published in: Obesity Surgery | Issue 11/2017

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Abstract

Background

Food tolerance has been related to quality of life after bariatric surgery. However, long-term results about this issue are quite limited. The aim of this study was to evaluate the long-term food tolerance in obese patients submitted to surgery, comparing the results between gastric bypass (GBP), long alimentary modified biliopancreatic diversion (MBPD), and long alimentary modified duodenal switch (MDS).

Methods

A cross-sectional analytic study was performed. Food tolerance was studied with a questionnaire based on subjective alimentary satisfaction, tolerance to different foods, and frequency of vomiting and regurgitation. A food tolerance score was obtained (1 point being the worst possible tolerance and 27 points being a perfect one). Information was obtained with a telephone interview.

Results

One hundred ninety-six patients submitted to bariatric surgery were included. Ninety-nine patients were submitted to GBP, 54 to MBPD, and 43 to MDS. One hundred and sixty-one patients (82.1%) were not lost during a mean follow-up time of 87.9 months. Mean food tolerance score was 24.2. Tolerance satisfaction was good or excellent in 73.3% of the patients. Red meat was the worst tolerated food, but nearly 80% of the patients could tolerate it without any problem. Mean food tolerance score was 24.6, 24.0, and 23.7 for GBP, MBPD, and MDS, respectively. There were no significant differences between these procedures in food tolerance score, alimentary satisfaction, or frequency of vomiting.

Conclusions

Long-term food tolerance after bariatric surgery is good. No differences between GBP, MBPD, and MDS were found.
Literature
1.
Naik RD, Choksi YA, Vaezi MF. Consequences of bariatric surgery on oesophageal function in health and disease. Nat Rev Gastroenterol Hepatol. 2016;13(2):111–9.CrossRefPubMed
2.
Wang G, Agenor K, Pizot J, et al. Accelerated gastric emptying but no carbohydrate malabsorption 1 year after gastric bypass surgery (GBP). Obes Surg. 2012;22(8):1263–7.CrossRefPubMedPubMedCentral
3.
Behrns KE, Smith CD, Sarr MG. Prospective evaluation of gastric acid secretion and cobalamin absorption following gastric bypass for clinically severe obesity. Dig Dis Sci. 1994;39(2):315–20.CrossRefPubMed
4.
van Beek AP, Emous M, Laville M, et al. Dumping syndrome after esophageal, gastric or bariatric surgery: pathophysiology, diagnosis, and management. Obes Rev. 2017;18(1):68–85.CrossRefPubMed
5.
Overs SE, Freeman RA, Zarshenas N, et al. Food tolerance and gastrointestinal quality of life following three bariatric procedures: adjustable gastric banding, Roux-en-Y gastric bypass, and sleeve gastrectomy. Obes Surg. 2012;22(4):536–43.CrossRefPubMed
6.
Suter M, Calmes JM, Paroz A, et al. A new questionnaire for quick assessment of food tolerance after bariatric surgery. Obes Surg. 2007;17(1):2–8.CrossRefPubMed
7.
Ramon JM, Gonzalez CG, Dorcaratto D, et al. Quality of food intake after bariatric surgery: vertical gastrectomy versus gastric bypass. Cir Esp. 2012;90(2):95–101. Calidad de la ingesta alimentaria tras la cirugia bariatrica: gastrectomia vertical vs bypass gastrico. spaCrossRefPubMed
8.
Stumpf MA, Rodrigues MR, Kluthcovsky AC, et al. Analysis of food tolerance in patients submitted to bariatric surgery using the questionnaire quality of alimentation. Arq Bras Cir Dig. 2015;28(Suppl 1):79–83.CrossRefPubMedPubMedCentral
9.
Larrad-Jimenez A, Diaz-Guerra CS, de Cuadros BP, et al. Short-, mid- and long-term results of Larrad biliopancreatic diversion. Obes Surg. 2007;17(2):202–10.CrossRefPubMed
10.
Sanchez-Pernaute A, Perez-Aguirre E, Diez-Valladares L, et al. “Right-angled” stapled latero-lateral duodenojejunal anastomosis in the duodenal switch. Obes Surg. 2005;15(5):700–2.CrossRefPubMed
11.
de Zwaan M, Hilbert A, Swan-Kremeier L, et al. Comprehensive interview assessment of eating behavior 18–35 months after gastric bypass surgery for morbid obesity. Surg Obes Relat Dis. 2010;6(1):79–85.CrossRefPubMed
12.
Facchiano E, Scaringi S, Quartararo G, Alpigiano G, Liscia G, Pavoni V, et al. Do preoperative eating behaviors influence weight loss after biliopancreatic diversion?. Obes Surg. 2013 3.
13.
Sioka E, Tzovaras G, Oikonomou K, et al. Influence of eating profile on the outcome of laparoscopic sleeve gastrectomy. Obes Surg. 2013;23(4):501–8.CrossRefPubMed
14.
Schweiger C, Weiss R, Keidar A. Effect of different bariatric operations on food tolerance and quality of eating. Obes Surg. 2010;20(10):1393–9.CrossRefPubMed
15.
Kafri N, Valfer R, Nativ O, et al. Health behavior, food tolerance, and satisfaction after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2011;7(1):82–8.CrossRefPubMed
16.
Coluzzi I, Raparelli L, Guarnacci L, et al. Food intake and changes in eating behavior after laparoscopic sleeve gastrectomy. Obes Surg. 2016;26(9):2059–67.CrossRefPubMed
17.
Sanchez-Santos R, Masdevall C, Baltasar A, Martinez-Blazquez C, Garcia Ruiz de Gordejuela A, Ponsi E, et al. Short- and mid-term outcomes of sleeve gastrectomy for morbid obesity: the experience of the Spanish National Registry. Obes Surg 2009;19(9):1203–1210.
18.
Godoy CM, Caetano AL, Viana KR, et al. Food tolerance in patients submitted to gastric bypass: the importance of using an integrated and interdisciplinary approach. Obes Surg. 2012;22(1):124–30.CrossRefPubMed
19.
Xanthakos SA. Nutritional deficiencies in obesity and after bariatric surgery. Pediatr Clin N Am. 2009;56(5):1105–21.CrossRef
20.
Freeman RA, Overs SE, Zarshenas N, et al. Food tolerance and diet quality following adjustable gastric banding, sleeve gastrectomy and Roux-en-Y gastric bypass. Obes Res Clin Pract. 2014;8(2):e115–200.CrossRefPubMed
21.
Romy S, Donadini A, Giusti V, et al. Roux-en-Y gastric bypass vs gastric banding for morbid obesity: a case-matched study of 442 patients. Arch Surg. 2012;147(5):460–6.CrossRefPubMed
Metadata
Title
Long-Term Food Tolerance After Bariatric Surgery: Comparison of Three Different Surgical Techniques
Authors
Oscar Cano-Valderrama
Andrés Sánchez-Pernaute
Miguel A. Rubio-Herrera
Inmaculada Domínguez-Serrano
Antonio J. Torres-García
Publication date
01-11-2017
Publisher
Springer US
Published in
Obesity Surgery / Issue 11/2017
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-017-2703-9

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