Stumpf Matheo Augusto Morandi, Rodrigues Marcos Ricardo da Silva, Kluthcovsky Ana Claudia Garabeli Cavalli, Travalini Fabiana, Milléo Fábio Quirillo
Department of Medicine, State University of Ponta Grossa, Ponta Grossa, PR, Brazil.
Arq Bras Cir Dig. 2015;28 Suppl 1(Suppl 1):79-83. doi: 10.1590/S0102-6720201500S100021.
Due to the increased prevalence of obesity in many countries, the number of bariatric surgeries is increasing. They are considered the most effective treatment for obesity. In the postoperative there may be difficulties with the quality of alimentation, tolerance to various types of food, as well as vomiting and regurgitation. Few surveys are available to assess these difficulties in the postoperative.
To perform a systematic literature review about food tolerance in patients undergoing bariatric surgery using the questionnaire "Quality of Alimentation", and compare the results between different techniques.
A descriptive-exploratory study where the portals Medline and Scielo were used. The following headings were used in english, spanish and portuguese: quality of alimentation, bariatric surgery and food tolerance. A total of 88 references were found, 14 used the questionnaire "Quality of Alimentation" and were selected.
In total, 2745 patients were interviewed of which 371 underwent to gastric banding, 1006 to sleeve gastrectomy, 1113 to Roux-en-Y gastric bypass, 14 to biliopancreatic diversion associated with duodenal switch, 83 were non-operated obese, and 158 non-obese patients. The questionnaire showed good acceptability. The biliopancreatic diversion with duodenal switch had the best food tolerance in the postoperative when compared to other techniques, but it was evaluated in a single article with a small sample. The longer the time after the operation, the better is the food tolerance. Comparing the sleeve gastrectomy and the Roux-en-Y gastric bypass, there are still controversial results in the literature. The gastric banding had the worst score of food tolerance among all the techniques evaluated.
The questionnaire is easy and fast to assess the food tolerance in patients after bariatric surgery. Biliopancreatic diversion with duodenal switch had the best food tolerance in the postoperative when compared to sleeve gastrectomy and the Roux-en-Y gastric bypass. Gastric banding still remains in controversy, due it presented the worst score.
由于许多国家肥胖症患病率上升，减肥手术的数量也在增加。减肥手术被认为是治疗肥胖症最有效的方法。术后可能在营养质量、对各种食物的耐受性以及呕吐和反流方面存在困难。目前很少有调查可用于评估术后的这些困难。
使用“营养质量”问卷对接受减肥手术患者的食物耐受性进行系统的文献综述，并比较不同技术之间的结果。
一项描述性探索性研究，使用了Medline和Scielo数据库。使用英语、西班牙语和葡萄牙语检索了以下主题词：营养质量、减肥手术和食物耐受性。共找到88篇参考文献，其中14篇使用了“营养质量”问卷并被选中。
总共采访了2745名患者，其中371例行胃束带术，1006例行袖状胃切除术，1113例行Roux-en-Y胃旁路术，14例行胆胰分流术联合十二指肠转位术，83例为未手术的肥胖患者，158例为非肥胖患者。该问卷显示出良好的可接受性。与其他技术相比，胆胰分流术联合十二指肠转位术术后食物耐受性最佳，但仅在一篇小样本文章中进行了评估。术后时间越长，食物耐受性越好。比较袖状胃切除术和Roux-en-Y胃旁路术，文献中的结果仍存在争议。在所有评估技术中，胃束带术的食物耐受性得分最差。
该问卷易于快速评估减肥手术后患者的食物耐受性。与袖状胃切除术和Roux-en-Y胃旁路术相比，胆胰分流术联合十二指肠转位术术后食物耐受性最佳。胃束带术仍存在争议，因为其得分最差。
