Abstract
Background
Bariatric patients regularly present with insufficient dietary fibre intake. Adequate dietary fibre is essential for gut function and laxation. This review aims to assess the effect of bariatric surgery on dietary fibre intake and bowel habits.
Methods
This review was conducted using the methodology described by Kable et al. (Nurse Educ Today 8:878–886, 2012) for structured literature reviews.
Results
Post-surgery, patients consume inadequate dietary fibre when compared to recommendations for healthy populations. Food intolerance to fibre-rich foods, food restriction and discomfort with eating are possible causes. Bowel habit changes are likely to be procedure-specific. Only one study has assessed both dietary fibre intake and bowel habits.
Conclusion
Understanding changes in dietary fibre types and bowel habits will be useful to address future dietary interventions.
Similar content being viewed by others
References
El Labban S, Safadi B, Olabi A. The effect of Roux-en-Y gastric bypass and sleeve gastrectomy surgery on dietary intake, food preferences, and gastrointestinal symptoms in post-surgical morbidly obese Lebanese subjects: a cross-sectional pilot study. Obes Surg. 2015;25(12):2393–9. https://doi.org/10.1007/s11695-015-1713-8.
Kruseman M, Leimgruber A, Zumbach F, et al. Dietary, weight, and psychological changes among patients with obesity, 8 years after gastric bypass. J Am Diet Assoc. 2010;110(4):527–34. https://doi.org/10.1016/j.jada.2009.12.028.
McGrice MA, Porter JA. What are gastric banding patients eating one year post-surgery? Obes Surg. 2012;22(12):1855–8. https://doi.org/10.1007/s11695-012-0741-x.
Johnson LK, Andersen LF, Dag H, et al. Dietary changes in obese patients undergoing gastric bypass or lifestyle intervention: a clinical trial. Br J Nutr. 2013;110(1):127–34.
Novais PFS, Rasera I, Leite CVDS, et al. Food intake in women two years or more after bariatric surgery meets adequate intake requirements. Nutr Res. 2012;32(5):335–41. https://doi.org/10.1016/j.nutres.2012.03.016.
National Health and Medical Research Council. Nutrient reference values for Australia and New Zealand including recommended dietary intakes. 2006.
Eswaran S, Muir J, Chey WD. Fiber and functional gastrointestinal disorders. Am J Gastroenterol. 2013;108(5):718–27.
Poylin V, Serrot FJ, Madoff RD, et al. Obesity and bariatric surgery: a systematic review of associations with defecatory dysfunction. Colorectal Dis. 2011;13(6):e92–103. https://doi.org/10.1111/j.1463-1318.2011.02584.x.
Roberson EN, Gould JC, Wald A. Urinary and fecal incontinence after bariatric surgery. Dig Dis Sci. 2010;55(9):2606–13. https://doi.org/10.1007/s10620-010-1190-9.
Afshar S, Kelly SB, Seymour K, et al. The effects of bariatric procedures on bowel habit. Obes Surg. 2016;26(10):2348–54. https://doi.org/10.1007/s11695-016-2100-9.
Potoczna N, Harfmann S, Steffen R, et al. Bowel habits after bariatric surgery. Obes Surg. 2008;18(10):1287–96. https://doi.org/10.1007/s11695-008-9456-4.
Kable AK, Pich J, Maslin-Prothero SE. A structured approach to documenting a search strategy for publication: a 12 step guideline for authors. Nurse Educ Today. 2012;32(8):878–86. https://doi.org/10.1016/j.nedt.2012.02.022.
Coleman K, Norris S, Weston A, Grimmer-Somers K, Hillier S, Merlin T, & Tooher R (2005). NHMRC additional levels of evidence and grades for recommendations for developers of guidelines. Canberra: NHMRC.
Bavaresco M, Paganini S, Lima TP, et al. Nutritional course of patients submitted to bariatric surgery. Obes Surg. 2010;20(6):716–21. https://doi.org/10.1007/s11695-008-9721-6.
Menegati GC, de Oliveira LC, Santos ALA, et al. Nutritional status, body composition, and bone health in women after bariatric surgery at a University Hospital in Rio de Janeiro. Obes Surg. 2016;26(7):1517–24. https://doi.org/10.1007/s11695-015-1910-5.
Chou JJ, Lee WJ, Almalki O, et al. Dietary intake and weight changes 5 years after laparoscopic sleeve gastrectomy. Obes Surg. 2017;27:1–7. https://doi.org/10.1007/s11695-017-2765-8.
Edholm D, Svensson F, Naslund I, et al. Long-term results 11 years after primary gastric bypass in 384 patients. Surg Obes Relat Dis. 2013;9(5):708–13. https://doi.org/10.1016/j.soard.2012.02.011.
Fysekidis M, Bouchoucha M, Bihan H, et al. Decreased prevalence of nonspecific functional bowel disorders and increased constipation in patients after sleeve gastrectomy or gastric banding. Bariatr Surg Pract Patient Care. 2016;11(4):158–64. https://doi.org/10.1089/bari.2016.0030.
Sileri P, Franceschilli L, Cadeddu F, et al. Prevalence of defaecatory disorders in morbidly obese patients before and after bariatric surgery. J Gastrointest Surg. 2012;16(1):62–6; discussion 66–67. https://doi.org/10.1007/s11605-011-1705-5.
Lissner L, Troiano RP, Midthune D, et al. OPEN about obesity: recovery markers, dietary reporting errors and BMI. Int J Obes. 2007;31:956–61.
Mechanick, J. I., Youdim, A., Jones, D. B., Garvey, W. T., Hurley, D. L., McMahon, M. M., . . . Bariatric, S. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient--2013 update: cosponsored by American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery. Obesity (Silver Spring), 2013; 21 Suppl 1; S1–27. doi:https://doi.org/10.1002/oby.20461, S1
Bariatric Surgery Registry. Fourth Report of the Bariatric Surgery Registry 2016 Retrieved from http://www.med.monash.edu.au/sphpm/depts-centres-units/bariatric/docs/bsr-4th-report-june-2016.pdf
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare that they have no conflict of interest.
Ethics and Consent Statement
All authors contributed to the paper conception, design, data collection, or data interpretation and/or analysis. All authors participated in the writing or critical review of the article and have approve the manuscript being submitted. This article is the original work of the submitting authors and is not considered for publication or been published elsewhere and does not breach any copyright to any other work.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Grosse, C.S., Cope, V.C. Dietary Fibre Intake and Bowel Habits After Bariatric Surgery: a Structured Literature Review. OBES SURG 29, 2247–2254 (2019). https://doi.org/10.1007/s11695-019-03837-0
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11695-019-03837-0