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Changes in Frequency Intake of Foods in Patients Undergoing Sleeve Gastrectomy and Following a Strict Dietary Control

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Abstract

Purpose

Dietary intake and food preferences change after bariatric surgery, secondary to gastrointestinal symptoms and dietitian counseling. The aim of this study was to evaluate the changes in the frequency intake of different foods in patients undergoing sleeve gastrectomy and following a strict dietary control.

Patients and Methods

A prospective observational study of all the morbidly obese patients undergoing laparoscopic sleeve gastrectomy as bariatric procedure between 2007 and 2012 was performed. Dietary assessment was performed using the Alimentary Frequency Questionnaire 1991–2002, developed and validated by the Department of Epidemiology of Miguel Hernandez University (Elche, Alicante Spain).

Results

Ninety-three patients were included for analysis, 73 females and 20 males, with a mean preoperative BMI of 46.4 ± 7.9 kg/m2. One year after surgery, excess weight loss was 81.1 ± 8.3% and 5 years after surgery, 79.9 ± 6.4%. Total weight loss at 1 year was 38.8 ± 5.3% and at 5 years, 35.4 ± 4.9%. Postoperatively, a reduction in the intake of dairy products, red meat, deli meat products, shellfish, fried potatoes, sweets, rice, pasta, beer, and processed foods was observed. Vegetables, fruits, and legumes intake increased after surgery. In the first postoperative year, there was a slight intolerance to red meat, fruits, vegetables and legumes, dairy products, pasta, and rice that mostly disappeared 5 years after surgery.

Conclusion

One year after sleeve gastrectomy, calibrated with a 50-French bougie, there are not important problems in the intake of foods a priori difficult to digest. These problems mostly disappeared 5 years after surgery. The decrease intake of other unhealthy foods is mostly based on the dietary counseling.

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Authors and Affiliations

  1. Department of Surgery, Clinica Garcilaso, Madrid, Spain

    Jaime Ruiz-Tovar

  2. Department of Surgery, Universidad Miguel Hernandez, Elche, Alicante, Spain

    Maryana Bozhychko & Jone Miren Del-Campo

  3. Department of Endocrinology, Hospital General Elche, Alicante, Spain

    Evangelina Boix

  4. CHRU, Lille, France

    Lorea Zubiaga

  5. Department of Anaesthesiology, Hospital General Elche, Alicante, Spain

    Jose Luis Muñoz

  6. Department of Surgical Nursery, Clinica Garcilaso, Madrid, Spain

    Carolina Llavero

Authors
  1. Jaime Ruiz-Tovar
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  2. Maryana Bozhychko
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  3. Jone Miren Del-Campo
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  4. Evangelina Boix
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  5. Lorea Zubiaga
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  6. Jose Luis Muñoz
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  7. Carolina Llavero
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Conflict of Interest

The authors declare that they have no conflict of interest.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Statement of Human Rights

All procedures performed in this study were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments.

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Ruiz-Tovar, J., Bozhychko, M., Del-Campo, J.M. et al. Changes in Frequency Intake of Foods in Patients Undergoing Sleeve Gastrectomy and Following a Strict Dietary Control. OBES SURG 28, 1659–1664 (2018). https://doi.org/10.1007/s11695-017-3072-0

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  • DOI: https://doi.org/10.1007/s11695-017-3072-0

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