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Obesity Surgery

, 17:2 | Cite as

A New Questionnaire for Quick Assessment of Food Tolerance after Bariatric Surgery

  • Michel SuterEmail author
  • Jean-Marie Calmes
  • Alexandre Paroz
  • Vittorio Giusti
Research Articles

Background

Bariatric surgery is often associated with reduced food tolerance and sometimes frequent vomiting, which influence quality of life, but are not included in the overall evaluation of these procedures, notably the BAROS. Our aim was to develop a simple questionnaire to evaluate food tolerance during follow-up visits.

Methods

A one-page questionnaire including questions about overall satisfaction regarding quality of alimentation, timing of eating over the day, tolerance to several types of food, and frequency of vomiting/ regurgitation was developed. A composite score was derived from this questionnaire, giving a score of 1 to 27.Validation was performed with a group of nonobese adults and a group of morbidly obese nonoperated patients. Patients were administered the questionnaire at follow-up visits since January 1999. Data were collected prospectively.

Results

It takes 1–2 minutes to fill out the questionnaire. Food tolerance is worse in the morbidly obese population compared with non-obese adults (24.2 vs 25.2, P=0.004). Following Roux-en-Y gastric bypass, food tolerance is reduced after 3 months (21.2), but becomes comparable to that of the normal population and remains so at 1 year postoperatively. Following gastric banding, food tolerance is already significantly reduced after 3 months (22.3), and worsens continuously over time (19.03 after 7 years). In the gastric banding population, the decision to adjust the band is based at least partially on food tolerance, and the questionnaire proved helpful in that respect.

Conclusion

Our new questionnaire proved very easy to use, and helpful in day-to-day practice, especially after gastric banding. It was also helpful in comparing food tolerance over time after surgery, and in comparing food tolerance between procedures. Evaluation of food tolerance should be part of the overall evaluation of the results after bariatric surgery.

Key words

Morbid obesity bariatric surgery gastric bypass gastric banding food tolerance quality of life 

References

  1. 1.
    Oria HE, Moorehead MK. Bariatric analysis and reporting outcome system (BAROS). Obes Surg 1998; 8: 487–99.CrossRefPubMedGoogle Scholar
  2. 2.
    Moorehead MK, Ardelt-Gattinger E, Lechner H et al. The validation of the Moorehead-Ardelt quality of life questionnaire II. Obes Surg 2003; 13: 684–92.CrossRefPubMedGoogle Scholar
  3. 3.
    Nini E, Slim K. The need for a modified BAROS for gastric banding. Obes Surg 2004; 14: 147.CrossRefPubMedGoogle Scholar
  4. 4.
    Suter M, Giusti V, Worreth M et al. Laparoscopic gastric banding. A prospective randomised study comparing the Lap-band® and the SAGB®: Early results. Ann Surg 2005; 241: 555–62.Google Scholar
  5. 5.
    Perrone JM, Frisella MM, Desai KM et al. Results of laparoscopic Heller–Toupet operation for achalasia. Surg Endosc 2004; 18: 1565–71.PubMedGoogle Scholar
  6. 6.
    Rossetti G, Brusciano L, Amato G et al. A total fundoplication is not an obstacle to esophageal emptying after Heller myotomy for achalasia. Ann Surg 2005; 241: 614–21.CrossRefPubMedGoogle Scholar
  7. 7.
    Johnson LF, DeMeester TR. Twenty-four hour pHmonitoring of the distal esophagus: a quantitative measure of gastroesophageal reflux. Am J Gastroenterol 1974; 62: 325–32.PubMedGoogle Scholar
  8. 8.
    Eypasch E, Williams JI, Wood-Dauphinee S et al. Gastrointestinal Quality of Life Index. Development, validation and application of a new instrument. Br J Surg 1995; 82 : 216–22.CrossRefPubMedGoogle Scholar
  9. 9.
    Poves I, Macías GJ, Cabrera M et al. Quality of life in morbid obesity. Rev Esp Enferm Dig 2005; 97: 187–95.Google Scholar
  10. 10.
    Poves I, Cabrera M, Maristany C et al. Gastrointestinal quality of life after laparoscopic Roux-en-Y gastric bypass. Obes Surg 2006; 16: 19–23.CrossRefPubMedGoogle Scholar
  11. 11.
    Lee WJ, Yu PJ, Wang W et al. Gastrointestinal quality of life following laparoscopic vertical banded gastroplasty. Obes Surg 2002; 12: 819–24.CrossRefPubMedGoogle Scholar
  12. 12.
    Lee WJ, Huang MT, Yu PJ et al. Laparoscopic vertical banded gastroplasty and laparoscopic gastric bypass: a comparison. Obes Surg 2004; 14: 626–34.CrossRefPubMedGoogle Scholar
  13. 13.
    Lee WJ, Yu PJ, Wang W et al. Laparoscopic Roux-en- Y gastric bypass versus mini-gastric bypass for the treatment of morbid obesity. A prospective randomized controlled clinical trial. Ann Surg 2005; 242: 20–8.CrossRefPubMedGoogle Scholar
  14. 14.
    Lee WJ, Wang W, Yu PJ et al. Gastrointestinal quality of life following laparoscopic adjustable gastric banding in Asia. Obes Surg 2006; 16: 586–91.CrossRefPubMedGoogle Scholar
  15. 15.
    Freys SM, Tigges H, Heimbucher J et al. Quality of life following laparoscopic gastric banding in patients with morbid obesity. J Gastrointest Surg 2001; 5: 401–7.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science + Business Media B.V. 2007

Authors and Affiliations

  • Michel Suter
    • 1
    • 2
    Email author
  • Jean-Marie Calmes
    • 2
  • Alexandre Paroz
    • 2
  • Vittorio Giusti
    • 3
  1. 1.Department of SurgeryHôpital du ChablaisAigle-MontheySwitzerland
  2. 2.Department of Visceral SurgeryCentre Hospitalier Universitaire Vaudois (CHUV)LausanneSwitzerland
  3. 3.Division of Endocrinology, Diabetology and MetabolismCentre Hospitalier Universitaire Vaudois (CHUV)LausanneSwitzerland

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