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Gastric Emptying and Food Tolerance Following Banded and Non-banded Roux-en-Y Gastric Bypass

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Abstract

Introduction

Gastric emptying (GE) and food tolerance (FT) can be altered after Roux-en-Y gastric bypass (RYGB) has been performed, especially when it involved the use of a restrictive mechanism (such as a silastic ring).

Aim

To assess GE and FT in patients who underwent banded (BRYGB) or non-banded Roux-en-Y gastric bypass (RYGB).

Methods

Forty-seven BRYGB patients and 47 RYGB patients underwent gastric emptying scintigraphy (GES) and FT assessment (by means of a questionnaire) between 6 months and 2 years postoperatively.

Results

GES was performed on average 11.7 ± 5.0 months (6 to 24) postoperatively. T½ medians (time taken for the gastric radioactivity to decrease to half of the original value in the gastric pouch) in the RYGB and BRYGB groups were 48.7 min (40.6–183.0 min) and 56.3 min (41.1–390.9 min), respectively (p = 0.031). The median of total questionnaire scores was 24 points (18–27) in the RYGB group and 20 points (13–27) in the BRYBG group (p < 0.001).

Conclusions

The band (silastic ring) delays GE time and does not affect patient satisfaction or food tolerance to vegetables, bread, or rice, but does affect tolerance to the intake of meat, salad, and pasta. The best tolerated foods are vegetables, salad, and fish. Banded patients are more likely to regurgitate and vomit. Gastric emptying does not affect FT.

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Authors and Affiliations

  1. Department of Surgery, Santa Casa of São Paulo Medical School, Rua Cesário Mota Jr, 61, São Paulo, SP, CEP 02112-020, Brazil

    Galzuinda Maria Figueiredo Reis, Carlos Alberto Malheiros & Fábio Rodrigues Thuler

  2. Department of Surgery, Santa Casa of Belo Horizonte, Av. Francisco Sales, 1111 - Santa Efigênia, Belo Horizonte, MG, CEP 30150-221, Brazil

    Galzuinda Maria Figueiredo Reis, Omar Lopes Cançado Júnior & Mauro Lima Faria

  3. Department of Surgery School of Medicine, Federal University of Minas Gerais (UFMG), Av. Prof. Alfredo Balena, 190 - Santa Efigênia, Belo Horizonte, MG, CEP 30130-100, Brazil

    Paulo Roberto Savassi-Rocha & Vicente Guerra Filho

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  1. Galzuinda Maria Figueiredo Reis
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  3. Paulo Roberto Savassi-Rocha
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Correspondence to Galzuinda Maria Figueiredo Reis.

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Figueiredo Reis, G.M., Malheiros, C.A., Savassi-Rocha, P.R. et al. Gastric Emptying and Food Tolerance Following Banded and Non-banded Roux-en-Y Gastric Bypass. OBES SURG 29, 560–568 (2019). https://doi.org/10.1007/s11695-018-3561-9

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  • DOI: https://doi.org/10.1007/s11695-018-3561-9

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