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- Title
Food Tolerance and Quality of Alimentation Following Laparoscopic Sleeve Gastrectomy Calibrated with a 50-Fr Bougie: Long-Term Results.
- Authors
Ruiz-Tovar, Jaime; Bozhychko, Maryana; Del-Campo, Jone Miren; Zubiaga, Lorea; Llavero, Carolina
- Abstract
<bold>Background: </bold>Adjustable gastric banding and vertical banded gastroplasty are associated with the worst postoperative food tolerance of all bariatric techniques. However, food tolerance tends to improve over time. The aim of this study was to assess food tolerance and diet quality in patients undergoing a sleeve gastrectomy, 1 and 5 years after surgery.<bold>Patients and Methods: </bold>A prospective observational study of all the morbidly obese patients undergoing laparoscopic sleeve gastrectomy was performed. Food tolerance was assessed using the Quality of Alimentation questionnaire validated in bariatric patients.<bold>Results: </bold>Ninety-three patients were analyzed. One year after surgery, mean excess weight loss (EWL) was 81.1% ± 8.3%, and 5 years after surgery, mean EWL was 79.9% ± 6.4%. Preoperatively, 39.8% of patients perceived their eating patterns as good or excellent, 1 year after surgery, 79.6% and 5 years postoperatively, 86%. One year after surgery, the patients reported some difficulty in tolerance of rice, pasta, and red meat. Five years after surgery, these difficulties disappeared and very few patients just refer some tolerance difficulties with red meat. One year after surgery, 10% of the patients reported that they suffered postprandial vomiting often and 22% rarely. Five years postoperatively, only 8% of subjects describe rarely vomiting.<bold>Conclusion: </bold>After sleeve gastrectomy, the patients recognize an improvement in the quality of alimentation. During the first postoperative year, they present tolerance problems with rice, pasta, and red meat, and that disappeared 5 years after surgery.
- Subjects
GASTRECTOMY complications; BARIATRIC surgery; STOMACH surgery complications; GASTRIC banding; NUTRITION; LAPAROSCOPIC surgery; FOOD habits; GASTRECTOMY; LAPAROSCOPY; LONGITUDINAL method; PATIENT satisfaction; POSTOPERATIVE period; WEIGHT loss; MORBID obesity; TREATMENT effectiveness; MEDITERRANEAN diet
- Publication
Journal of Laparoendoscopic & Advanced Surgical Techniques, 2018, Vol 28, Issue 6, p721
- ISSN
1092-6429
- Publication type
journal article
- DOI
10.1089/lap.2017.0601