Correlation between the number and duration time of meals and the presence of gastrointestinal signs in patients with more than 24 months of bariatric surgery

  • Weany Jacqueline Costa da Conceição Graduanda em Nutrição, Universidade Federal do Pará-UFPA, Faculdade de Nutrição, Belém-PA, Brasil.
  • Bruna Gusmão Gomes Graduanda em Nutrição, Universidade Federal do Pará-UFPA, Faculdade de Nutrição, Belém-PA, Brasil.
  • Vanessa Vieira Lourenço Costa Doutora em Doenças Tropicais-UFPA, Universidade Federal do Pará-UFPA, Faculdade de Nutrição, Belém-PA, Brasil.
  • Daniela Lopes Gomes Doutora em Nutrição Humana-UnB, Universidade Federal do Pará-UFPA, Faculdade de Nutrição, Belém-PA, Brasil.
Keywords: Bariatric surgery, Obesity, Women

Abstract

Introduction: Obesity is a complex chronic illness defined by a positive energy balance between excessive food consumption and energy expenditure, resulting in an excessive growth of adipose tissue. Bariatric surgery, which involves excision and stomach reconstruction, improves nutritional status and quality of life. Objective: The goal of this study is to find a link between the number and duration of meals and the occurrence of gastrointestinal symptoms in individuals who have had bariatric surgery for more than 24 months. Materials and Methods: This was a cross-sectional, descriptive, and analytical study of women between the ages 18 to 59 years who had had bariatric surgery at least two years before the beginning of the study, utilizing RYGB or Vertical Gastrectomy as surgical procedures. During consultations, data were collected using a questionnaire. Results: The analysis revealed that (66%) of the applicants experienced dumping syndrome, with the other most often reported symptoms being nausea (40%), vomiting (24%), and food intolerance (58%), with reduced tolerance to meat, milk, and sweets/sugar. There was also acceptable weight reduction following surgery, although most patients experienced considerable weight rebound. Conclusion: There was an inversely significant relationship between dysphagia and dyspepsia and mealtimes, as well as an inversely significant relationship between vomiting and number of meals. In terms of the anthropometric profile, a direct link between excess weight loss and number of meals was discovered, as well as an inverse correlation between weight recovery and number of meals.

References

-Abell, T. L.; Minocha, A. Gastrointestinal Complications of Bariatric Surgery: Diagnosis and Therapy. The American Journal of the Medical Sciences. Vol. 331. Núm. 4. p. 214-218. 2006.

-Abeso. Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica. Diretrizes brasileiras de obesidade. 2009. ABESO. 2009-2010. Disponível em: http://www.abeso.org.br/.

-Barbieri, A.F.; Mello, R. A. As causas da obesidade: uma análise sob a perspectiva materialista histórica. Revista da Faculdade de Educação Física da UNICAMP. Vol. 10. Núm. 1. p. 133-153. 2012.

-Conselho Federal de Medicina. Resolução CFM Nº 1.942/2010. 2010. Disponível em: <https://sistemas.cfm.org.br/normas/visualizar/resolucoes/BR/2010/1942>.

-Di giorgi, M.; Rosen D. J.; Choi, J. J.; Milone, L.; Schrope, B.; Olivero-Rivera, L.; Restuccia, N.; Yuen, S.; Fisk, M.; Inabnet, W.B.; Bessler, M. Re-emergence of diabetes after gastric bypass in patients with mid- to long-term follow-up. Surg. Obes. Relat. Dis. Vol. 6. Núm. 3. p.249-53. 2010.

-Gloy, V. L.; Briel, M.; Bhatt, D.L.; Kashyap, S. R.; Schauer, P. R.; Mingrone, G.; Bucher, H.C.; Nordmann, A. J. Bariatric surgery versus non-surgical treatment for obesity: a systematic review and meta-analysis of randomised controlled trials. BMJ. Vol. 347. 2013. p. f5934.

-Hall, J. E.; Guyton, A. C. Tratado de fisiologia médica. 10ª edição. Rio de Janeiro. Guanabara Kooga. 2002.

-Johnson, L. R. Motilidade. In: Johnson LR. Fundamentos de fisiologia médica. 2ª edição. Rio de Janeiro. Guanabara Koogan. 2000. p. 360-371.

-Kaouk, L.; Hsu, A. T.; Tanuseputro, P.; Jessri, M. Modifiable factors associated with weight regain after bariatric surgery: a scoping review. version 2; peer review: 2 approved. F1000Research. Vol. 8. p. 615. 2020.

-Kenler, H. A.; Brolin R. E.; Cody R. P. Changes in eating behavior after horizontal gastroplasty and Roux-en-Y gastric bypass. Am. J. Clin. Nutr. Vol. 52. Núm. 1 p. 87-92. 1990. doi: 10.1093/ajcn/52.1.87.

-Kushner, R. F.; Sorensen, K. W. Prevention of Weight Regain Following Bariatric Surgery. Curr. Obes. Rep. Vol. 4. Núm. 2. p. 198-206. 2015.

-Loss, A. B.; Souza, A. A. P.; Pitombo, C. A.; Milcent, M.; Madureira, F. A. V. Avaliação da síndrome de dumping em pacientes obesos mórbidos submetidos à operação de bypass gástrico com reconstrução em Y de Roux. Rev. Col. Bras. Cir. Vol. 36. Núm. 5. p.413-419. 2009.

-Monteiro, M. P.; Carneiro, F. P.; Felipe, N. D.; Motta, A. Mastigação e dispepsia funcional: um novo campo de atuação. Revista Cefac. Vol. 7. Núm. 3. p. 340-347. 2005.

-SBCBM. Sociedade Brasileira de Cirurgia Bariátrica e Metabólica. Consenso Bariátrico Brasileiro. 2006. Disponível em: http://www.saudedireta.com.br/docsupload/1425665481consenso_bariatrico.pdf

-Silva, F. B. L.; Gomes, D. L.; Carvalho, K. M. B. Poor diet quality and postoperative time are independent risk factors for weight regain after Roux-en-Y gastric bypass. Nutrition. Vol. 32. Núm. 11-12. p. 1250-1253. 2016.

-Schmidt, I. M.; Duncan, B.B.; Silva, A. G.; Menezes, M. A. Doenças crônicas não transmissíveis no Brasil: Carga e desafios atuais. Saúde no Brasil. Vol. 8. Núm. 12. p937-938. 2011.

-Tack, J.; Deloose, E. Complications of bariatric surgery: Dumping syndrome, reflux and vitamin deficiencies. Best Practice & Research Clinical Gastroenterology. Vol. 28. Núm. 4. p. 741-749. 2014.

-Valezi, A. C.; Brito, S. J.; Junior, J. M.; Brito, E. M. Estudo do padrão alimentar tardio em obesos submetidos à derivação gástrica com bandagem em y - de - roux: comparação entre homens e mulheres. Rev. Col. Bras. Cir. Vol. 35. Núm. 6. p. 387-391. 2008.

-Walter, M.; Marchezan, E.; Avila, L. A. Arroz: composição e características nutricionais. Ciência Rural. Vol. 38. Núm. 4. p. 1184-1192. 2008.

-WHO. World Health Organization. Obesity: preventing and managing the global epidemic: report of a WHO consultation. Geneva. Switzerland. 2000.

Published
2022-08-31
How to Cite
Conceição, W. J. C. da, Gomes, B. G., Costa, V. V. L., & Gomes, D. L. (2022). Correlation between the number and duration time of meals and the presence of gastrointestinal signs in patients with more than 24 months of bariatric surgery. Brazilian Journal of Obesity, Nutrition and Weight Loss, 16(100), 18-27. Retrieved from https://www.rbone.com.br/index.php/rbone/article/view/1926
Section
Scientific Articles - Original