Analysis of Food Tolerance in Patients Submitted to Bariatric Surgery Using the Questionnaire Quality of Alimentation

Abstract

Background : Due to the increased prevalence of obesity in many countries, the number of bariatric surgeries is increasing. They are considered the most effective treatment for obesity. In the postoperative there may be difficulties with the quality of alimentation, tolerance to various types of food, as well as vomiting and regurgitation. Few surveys are available to assess these difficulties in the postoperative. Aim : To perform a systematic literature review about food tolerance in patients undergoing bariatric surgery using the questionnaire "Quality of Alimentation", and compare the results between different techniques. Method : A descriptive-exploratory study where the portals Medline and Scielo were used. The following headings were used in english, spanish and portuguese: quality of alimentation, bariatric surgery and food tolerance. A total of 88 references were found, 14 used the questionnaire "Quality of Alimentation" and were selected. Results : In total, 2745 patients were interviewed of which 371 underwent to gastric banding, 1006 to sleeve gastrectomy, 1113 to Roux-en-Y gastric bypass, 14 to biliopancreatic diversion associated with duodenal switch, 83 were non-operated obese, and 158 non-obese patients. The questionnaire showed good acceptability. The biliopancreatic diversion with duodenal switch had the best food tolerance in the postoperative when compared to other techniques, but it was evaluated in a single article with a small sample. The longer the time after the operation, the better is the food tolerance. Comparing the sleeve gastrectomy and the Roux-en-Y gastric bypass, there are still controversial results in the literature. The gastric banding had the worst score of food tolerance among all the techniques evaluated. Conclusion: The questionnaire is easy and fast to assess the food tolerance in patients after bariatric surgery. Biliopancreatic diversion with duodenal switch had the best food tolerance in the postoperative when compared to sleeve gastrectomy and the Roux-en-Y gastric bypass. Gastric banding still remains in controversy, due it presented the worst score.

Changes in gastrointestinal symptoms and food tolerance 6 months following weight loss surgery: associations with dietary changes, weight loss and the surgical procedure

“…It is therefore not known if the increased satiety was perceived as discomfort, equivalent to what has been reported in patients with IBS [ 15 ]. In line with previous studies [ 8 , 10 , 11 , 16 , 19 , 20 ], food intolerance was a common complication after the surgery. The finding of a correlation between increased satiety and reduced food tolerance in the present study implies that the increased satiety was in part an unfavorable outcome.…”

“…However, the impact of food intolerance on the dietary intake in the earlier post-operative period was not examined. In general, food tolerance improves with time [ 19 , 20 ] and it has been shown that patients can establish a diet of nutritional value that is close to that of the general population after a few months of adaption [ 11 ].…”

Body Weight Reduction and Biochemical Parameters of the Patients After RYGB and SG Bariatric Procedures in 12-Month Observation

“…Interestingly, in the study of Stumpf et al, the worst impact on the tolerance of food after the procedure was observed for the least invasive method, i.e. gastric banding (out of three examined methods: gastric banding, SG and RYGB) [ 24 ]. One of the advantages of RYGB seems to be the improvement in glycaemia [ 5 , 18 ].…”

Primer consenso chileno de nutricionistas en cirugía bariátrica

“…Agua, té, té de hierbas, café descafeinado, caldo 1500 a 2000 cc Se suspenden líquidos con sacarosa, 7 -10 días casero, jugos sin sacarosa, agua de cocción de gas y cafeína frutas, gelatina diet, bebida de soya sin azúcar. obstrucción intestinal, que también pueden producir vómitos 21 .…”