Speech Therapy Intervention in Morbidly Obese Undergoing Fobi-Capell Gastroplasty Method

Abstract

Background : The rehabilitation of complications related to oral feeding, resulting from gastroplasty is the competence of the speech therapist, to intervene in mastication and swallowing functions, aiming at quality of life. Aim : Check in the postoperative period the efficiency of stimulation, independent judges in readiness for re-introduction of solid food in morbidly obese undergoing gastroplasty. Method : Cross-sectional study of descriptive and quantitative evaluated mastication and quality of life of 70 morbidly obese patients undergoing gastroplasty, and a group of 35 obese suffered speech therapy. Results : In the evaluation of mastication for group 1 (pre and post speech therapy), the results show that, except for the lack of chewing, the other variables, such as food court, type of mastication, mastication rhythm, jaw movements, bolus size, excessive mastication and fluid intake, demonstrate statistical insignificance. In evaluating the quality of life when compared groups 1 and 2, the results from the questionnaire on quality of life in dysphagia (SWAL-QoL - Quality of Life in Swallowing) total and 11 domains assessed in the questionnaire, were statistically significant. With these results, the group 2 presented unfavorable conditions for quality of life . Conclusion : The stimulation protocol, independent judges in readiness for re-introduction of solid food of these patients in the postoperative period, applied in these conditions of the study, was not the distinguishing factor of the rehabilitation process for the observed period.

Effect of exercise training before and after bariatric surgery: A systematic review and meta‐analysis

“…Contradictory findings were reported regarding weight loss, with two systematic reviews and meta‐analyses reporting greater weight loss in the exercise versus control group 7 , 8 and one review reporting no significant effect. 9 The latter review, 9 however, included two interventions based on respiratory muscle training, 10 , 11 a training modality that is not expected to impact weight loss. This highlights the importance of limiting inclusion criteria to whole‐body exercise training based on aerobic or resistance training, or both, when assessing the effect of exercise on weight loss.…”

The Relation Among the Physical Activity Level During Leisure Time, Anthropometry, Body Composition, and Physical Fitness of Women Underwent of Bariatric Surgery and an Equivalent Group With No Surgery

“…The growing number of obesity in its worst case (BMI≥40 kg/m 2 ) is another concerning scenario 3 , 24 . In this way, the choice to treat obesity by the surgery method is more and more present nowadays, due to its cost effectiveness and short term benefits 3 , 7 , 20 , 30 .…”

Functionality of Upper Gastrointestinal Cancer Patients Which Have Undertaken Surgery in Hospital Phase

“…Among the complications of the surgical procedure, the pulmonary complications are one of the most frequent after abdominal operations and are also responsible for the increase in morbidity and mortality due to the longer period of hospitalization and health-related costs 26 . The complications occur more frequently after procedures in which the surgical incision is made above the umbilical scar 17 , a fact also acknowledged in bariatric patients 20 , 28 . Its incidence is related to the existence of preoperative risk factors 5 and also to perioperative factors, such as anesthesia, central nervous system depression, use of invasive mechanical ventilation, ineffectiveness of cough, pain and immobilization 9 , 17 .…”