Turkiye Klinikleri Journal of Medical Sciences

.: ORIGINAL RESEARCH
Effects of Patients Quality of Alimentation on Long-Term Clinical Outcomes After Laparoscopic AdjustableGastric Band: Prospective-Cohort Clinical Study
Laparoskopik Ayarlanabilir Mide Bandı Sonrası Hastaların Beslenme Kalitelerinin Uzun Dönem Klinik Sonuçlara Etkileri: Prospektif-Kohort Klinik Çalışma
Nihal Zekiye ERDEMa , Fatih Mehmet AVŞARb
aDepartment of Nutrition and Dietetic, İstanbul Medipol University School of Health Sciences, İstanbul, Türkiye
bDepartment of Metabolic and Bariatric Surgery, Ankara Numune Health Practice and Research Center, Ankara, Türkiye
Turkiye Klinikleri J Med Sci. 2023;43(3):269-80
doi: 10.5336/medsci.2022-94459
Article Language: EN
Full Text
ABSTRACT
 Objective: This study, it was aimed to investigate the effect of long-term QA, increasing by nutrition education given by a dietitian, on the clinic (anthropometric measurements and clinical findings) in patients with laparoscopic adjustable gastric band (LAGB) followed by a multidisciplinary team. Material and Methods: In this prospective-cohort clinical study, 93 patients after LAGB were followed by bariatric surgery (BS) team for 3 years. Preoperative; general health, comorbidities and nutritional status were evaluated. Demographic information, biochemical parameters and anthropometric measurements were recorded in the patient follow-up form. Preoperative and postoperative diet therapy was given by the dietitian. They were asked to comply with the postoperative follow-up schedules. With a valid and reliable QA form, general satisfaction for the foods consumed, daily main-intermediate meals, food tolerance, vomiting and regurgitation evaluated. The highest score, 27, indicated that QA was the best. Antropometric measurements, biochemical parameters and QA were evaluated. Results: At the end of the 3rd year with patients, it was determined that weight loss and excessive body weight loss rate increased (p<0.05). It was determined that fasting blood glucose, C-reactive protein, triglyceride, cholesterol, decreased. In the 3rd year, there was a correlation between excessive body weight loss rate (r=+0.0251) with QA. Of the biochemical parameters, C-reactive protein, magnesium, high-density lipoprotein, serum iron binding and QA were observed to have a significant correlation. Conclusion: Patients were monitored by a BS team were seen to improve food tolerance with increased QA in the long term. The increase in QA was found to have positive effects on the clinic.

Keywords: Quality of alimentation; weight loss; food tolerance; bariatric surgery; long-term clinical outcome
ÖZET
 Amaç: Bu çalışmada, multidisipliner bir ekiple takip edilen laparoscopic adjustable gastric band (LAGB)'li hastalara, diyetisyen tarafından verilen beslenme eğitimiyle artan uzun dönemli BK'lerinin kliniğe (antropometrik ölçümler ve klinik bulgular) etkisinin araştırılması amaçlandı. Gereç ve Yöntemler: Bu prospektif-kohort klinik çalışmada, LAGB sonrası 93 hasta bariatrik cerrahi ekibi tarafından 3 yıl süreyle takip edildi. Cerrahi öncesi genel sağlık, komorbiditeler ve beslenme durumları değerlendirildi. Demografik bilgileri, biyokimyasal parametreleri ve antropometrik ölçümleri hasta takip formuna kaydedildi. Diyetisyen tarafından preop ve postop diyet tedavisi verildi. Cerrahi sonrası takip programlarına uymaları istendi. Geçerlilik ve güvenilirliği yapılan BK formu ile tüketilen besinlere karşı genel tatminkârlık durumu, günlük tüketilen ana-ara öğünler, besin toleransı, kusma-regürjitasyon durumları değerlendirildi. En yüksek puan olan 27, QA'nın en iyi olduğunu gösterdi. Antropometrik ölçümleri, biyokimyasal parametreleri ve BK'leri değerlendirildi. Bulgular: Hastaların 3. yılın sonunda ağırlık kaybı ve fazla ağırlığın kaybı yüzdesinin arttığı saptandı (p<0,05). Açlık kan şekeri, C-reaktif protein, trigliserid, kolesterol, düşük dansiteli lipoproteinin düştüğü belirlendi. İlk sırada kırmızı et ve ekmek olmak üzere farklı besinlerin toleransında problemler görüldü. Üçüncü yılda BK puanıyla aşırı vücut ağırlığı kaybı oranı (r=+0,0251) arasında korelasyon görüldü. Biyokimyasal parametrelerden C-reaktif protein, magnezyum, yüksek dansiteli lipoprotein, serum demir bağlama kapasitesi ile BK arasında anlamlı korelasyon saptandı. Sonuç: Bariatrik cerrahi ekibiyle takip edilen LAGB'li hastaların, uzun dönemde artan BK ile besin toleransının iyileştiği görüldü. Beslenme kalitesindeki artışın kliniğe olumlu etkileri saptandı.

Anahtar Kelimeler: Beslenme kalitesi; ağırlık kaybı; besin toleransı; bariatrik cerrahi; uzun dönem klinik sonuçlar
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