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
REFERENCES:
  1. Mechanick JI, Apovian C, Brethauer S, Garvey WT, Joffe AM, Kim J, et al. Clinical practice guidelines for the perioperative nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures-2019 update: cosponsored by American Association of Clinical Endocrinologists/American College of Endocrinology, The Obesity Society, American Society for Metabolic & Bariatric Surgery, Obesity Medicine Association, and American Society of Anesthesiologists. Surg Obes Relat Dis. 2020;16(2):175-247. [Crossref]  [PubMed] 
  2. Buchwald H, Oien DM. Metabolic/bariatric surgery worldwide 2011. Obes Surg. 2013;23(4):427-36. [Crossref]  [PubMed] 
  3. Via MA, Mechanick JI. Nutritional and micronutrient care of bariatric surgery patients: current evidence update. Curr Obes Rep. 2017;6(3):286-96. [Crossref]  [PubMed] 
  4. Freire RH, Borges MC, Alvarez-Leite JI, Toulson Davisson Correia MI. Food quality, physical activity, and nutritional follow-up as determinant of weight regain after Roux-en-Y gastric bypass. Nutrition. 2012;28(1):53-8. [Crossref]  [PubMed] 
  5. Schweiger C, Weiss R, Keidar A. Effect of different bariatric operations on food tolerance and quality of eating. Obes Surg. 2010;20(10):1393-9. [Crossref]  [PubMed] 
  6. Figueiredo Reis GM, Malheiros CA, Savassi-Rocha PR, Cançado Júnior OL, Thuler FR, Faria ML, et al. Gastric emptying and food tolerance following banded and non-banded roux-en-Y gastric bypass. Obes Surg. 2019;29(2):560-8. [Crossref]  [PubMed] 
  7. Fried M, Hainer V, Basdevant A, Buchwald H, Deitel M, Finer N, et al; Bariatric Scientific Collaborative Group Expert Panel. Interdisciplinary European guidelines for surgery for severe (morbid) obesity. Obes Surg. 2007;17(2):260-70. [Crossref]  [PubMed] 
  8. Buzby GP, Knox LS, Crosby LO, Eisenberg JM, Haakenson CM, McNeal GE, et al. Study protocol: a randomized clinical trial of total parenteral nutrition in malnourished surgical patients. Am J Clin Nutr. 1988;47(2 Suppl):366-81. [Crossref]  [PubMed] 
  9. Bishop CW, Bowen PE, Ritchey SJ. Norms for nutritional assessment of American adults by upper arm anthropometry. Am J Clin Nutr. 1981;34(11):2530-9. [Crossref]  [PubMed] 
  10. World Health Organization. Waist circumference and waist-hip ratio. Report of a WHO expert consultation. Relationships of waist circumference and waist-hip ratio to disease risk and mortality. World Health Organization; 2011. p.12-8. [Link] 
  11. Gastrointestinal surgery for severe obesity: National Institutes of Health Consensus Development Conference Statement. Am J Clin Nutr. 1992;55(2 Suppl):615S-9S. [Crossref]  [PubMed] 
  12. Fielding GA, Allen JW. A step-by-step guide to placement of the LAP-BAND adjustable gastric banding system. Am J Surg. 2002;184(6B):26S-30S. [Crossref]  [PubMed] 
  13. Angrisani L, Vitiello A, Santonicola A, Hasani A, De Luca M, Iovino P. Roux-en-Y gastric bypass versus sleeve gastrectomy as revisional procedures after adjustable gastric band: 5-year outcomes. Obes Surg. 2017;27(6):1430-7. [Crossref]  [PubMed] 
  14. Busetto L, Valente P, Pisent C, Segato G, de Marchi F, Favretti F, et al. Eating pattern in the first year following adjustable silicone gastric banding (ASGB) for morbid obesity. Int J Obes Relat Metab Disord. 1996;20(6):539-46. [PubMed] 
  15. Suter M, Calmes JM, Paroz A, Giusti V. A new questionnaire for quick assessment of food tolerance after bariatric surgery. Obes Surg. 2007;17(1):2-8. [Crossref]  [PubMed] 
  16. Kafri N, Valfer R, Nativ O, Shiloni E, Hazzan D. Health behavior, food tolerance, and satisfaction after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2011;7(1):82-8. [Crossref]  [PubMed] 
  17. Sakçak I, Avşar MF, Hamamci EO, Bostanoğlu S, Sonişik M, Bostanoğlu A, et al. Comparison of early and late changes in immunoglobulins and acute phase reactants after laparoscopic adjustable gastric banding in patients with morbid obesity. Obes Surg. 2010;20(5):610-5. [Crossref]  [PubMed] 
  18. Favretti F, Segato G, Ashton D, Busetto L, De Luca M, Mazza M, et al. Laparoscopic adjustable gastric banding in 1,791 consecutive obese patients: 12-year results. Obes Surg. 2007;17(2):168-75. [Crossref]  [PubMed] 
  19. Burton PR, Ooi GJ, Laurie C, Anderson M, Parker K, Paul E, et al. Changes in outcomes, satiety and adverse upper gastrointestinal symptoms following laparoscopic adjustable gastric banding. Obes Surg. 2017;27(5):1240-9. [Crossref]  [PubMed] 
  20. Ponce J, Dixon JB; 2004 ABS Consensus Conference. Laparoscopic adjustable gastric banding. Surg Obes Relat Dis. 2005;1(3):310-6. [Crossref]  [PubMed] 
  21. McGrice M, Don Paul K. Interventions to improve long-term weight loss in patients following bariatric surgery: challenges and solutions. Diabetes Metab Syndr Obes. 2015;8:263-74. [Crossref]  [PubMed]  [PMC] 
  22. Freeman RA, Overs SE, Zarshenas N, Walton KL, Jorgensen JO. Food tolerance and diet quality following adjustable gastric banding, sleeve gastrectomy and Roux-en-Y gastric bypass. Obes Res Clin Pract. 2014;8(2):e115-200. [Crossref]  [PubMed] 
  23. Overs SE, Freeman RA, Zarshenas N, Walton KL, Jorgensen JO. Food tolerance and gastrointestinal quality of life following three bariatric procedures: adjustable gastric banding, Roux-en-Y gastric bypass, and sleeve gastrectomy. Obes Surg. 2012;22(4):536-43. [Crossref]  [PubMed] 
  24. Lee WJ, Lee YC, Ser KH, Chen JC, Chen SC. Improvement of insulin resistance after obesity surgery: a comparison of gastric banding and bypass procedures. Obes Surg. 2008;18(9):1119-25. [Crossref]  [PubMed] 
  25. Sakcak İ, Avşar FM, Erdem NZ, Hamamacı EO, Bostanoglu S, Sonisik M, et al. Changes in comorbid diseases in morbidly obese patients treated by laparoscopic adjustable gastric banding. Pak J Med Sci. 2010;26(1):6-10. [PubMed] 
  26. Pontiroli AE, Pizzocri P, Librenti MC, Vedani P, Marchi M, Cucchi E, et al. Laparoscopic adjustable gastric banding for the treatment of morbid (grade 3) obesity and its metabolic complications: a three-year study. J Clin Endocrinol Metab. 2002;87(8):3555-61. [Crossref]  [PubMed] 
  27. Godoy CM, Caetano AL, Viana KR, Godoy EP, Barbosa AL, Ferraz EM. Food tolerance in patients submitted to gastric bypass: the importance of using an integrated and interdisciplinary approach. Obes Surg. 2012;22(1):124-30. [Crossref]  [PubMed] 
  28. Ernst B, Thurnheer M, Wilms B, Schultes B. Differential changes in dietary habits after gastric bypass versus gastric banding operations. Obes Surg. 2009;19(3):274-80. [Crossref]  [PubMed] 
  29. Cano-Valderrama O, Sánchez-Pernaute A, Rubio-Herrera MA, Domínguez-Serrano I, Torres-García AJ. Long-term food tolerance after bariatric surgery: comparison of three different surgical techniques. Obes Surg. 2017;27(11):2868-72. [Crossref]  [PubMed] 
  30. Coluzzi I, Raparelli L, Guarnacci L, Paone E, Del Genio G, le Roux CW, et al. Food intake and changes in eating behavior after laparoscopic sleeve gastrectomy. Obes Surg. 2016;26(9):2059-67. [Crossref]  [PubMed] 
  31. Stumpf MA, Rodrigues MR, Kluthcovsky AC, Travalini F, Milléo FQ. Analysis of food tolerance in patients submitted to bariatric surgery using the questionnaire quality of alimentation. Arq Bras Cir Dig. 2015;28 Suppl 1(Suppl 1):79-83. [Crossref]  [PubMed]  [PMC] 
  32. Suter M, Giusti V, Worreth M, Héraief E, Calmes JM. Laparoscopic gastric banding: a prospective, randomized study comparing the Lapband and the SAGB: early results. Ann Surg. 2005;241(1):55-62. [Crossref]  [PubMed]  [PMC] 
  33. de A Godoy CM, Aprígio LCS, de Godoy EP, Furtado MC, Coelho D, de Souza LBR, et al. Food tolerance and eating behavior after roux-en-Y gastric bypass surgery. Obes Surg. 2018;28(6):1540-5. [Crossref]  [PubMed] 
  34. Lee WJ, Wang W, Yu PJ, Wei PL, Huang MT. Gastrointestinal quality of life following laparoscopic adjustable gastric banding in Asia. Obes Surg. 2006;16(5):586-91. [Crossref]  [PubMed] 
  35. de Zwaan M, Hilbert A, Swan-Kremeier L, Simonich H, Lancaster K, Howell LM, et al. Comprehensive interview assessment of eating behavior 18-35 months after gastric bypass surgery for morbid obesity. Surg Obes Relat Dis. 2010;6(1):79-85. [Crossref]  [PubMed] 

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