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Obesity Surgery

, Volume 23, Issue 4, pp 501–508 | Cite as

Influence of Eating Profile on the Outcome of Laparoscopic Sleeve Gastrectomy

  • Eleni Sioka
  • George Tzovaras
  • Konstantinos Oikonomou
  • Georgia Katsogridaki
  • Eleni Zachari
  • Dimitrios Papamargaritis
  • Ourania Pinaka
  • Dimitrios ZacharoulisEmail author
Clinical Research

Abstract

Background

The aim of this study was to assess the eating profile of patients after laparoscopic sleeve gastrectomy (LSG) and its impact on weight loss.

Methods

One hundred ten patients who underwent LSG were interviewed using Suter questionnaire and revised Questionnaire on Eating and Weight Patterns in follow-up visits. Eating patterns were assessed preoperatively and postoperatively. Patients were divided into six groups according to the timing point of assessment. Group 1 (n = 10) included patients <3 months, group 2 (n = 11) 3–6 months, group 3 (n = 11) 6–12 months, group 4 (n = 39) 1–2 years, group 5 (n = 23) 2–3 years, and group 6 (n = 16) >3 years. The excess weight loss (EWL) was correlated with the results.

Results

The total score of the Suter questionnaire was 15.0 ± 5.87, 20.3 ± 7.07, 26.2 ± 1.54, 23.8 ± 4.25, 24.65 ± 2.8, and 23.43 ± 4.14 for the groups 1–6, respectively (p < 0.0001). No significant differences were denoted when long-term follow-up groups 3 to 6 were compared. No association was found between the preoperative eating pattern and EWL. Postoperatively, 91 patients modified their eating pattern. Postoperative eating pattern was significantly correlated with EWL (p = 0.015). Patients with normal and snacking eating pattern achieve the best EWL (63.57 ± 21.32 and 60.73 ± 20.62, respectively). Binge eating disorder and emotional patterns had the worst EWL (42.84 ± 29.42 and 34.55 ± 19.34, respectively).

Conclusions

Better food tolerance is detected after the first postoperative year after LSG. The postoperative eating patterns seem to affect excessive weight loss.

Keywords

Laparoscopic sleeve gastrectomy Bariatric surgery Morbid obesity Eating patterns Food tolerance 

Notes

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Farrell TM, Haggerty SP, Overby DW, et al. Clinical application of laparoscopic bariatric surgery: an evidence-based review. Surg Endosc. 2009;23(5):930–49.PubMedCrossRefGoogle Scholar
  2. 2.
    Gagner M, Deitel M, Falterer TL, et al. The Second International Consensus Summit for Sleeve Gastrectomy, March 19–21, 2009. Surg Obes Relat Dis. 2009;5(4):476–85.PubMedCrossRefGoogle Scholar
  3. 3.
    van Hout GC, Verschure SK, van Heck GL. Psychosocial predictors of success following bariatric surgery. Obes Surg. 2005;15(4):552–60.PubMedCrossRefGoogle Scholar
  4. 4.
    Sarwer DB, Wadden TA, Fabricatore AN. Psychosocial and behavioral aspects of bariatric surgery. Obes Res. 2005;13(4):639–48.PubMedCrossRefGoogle Scholar
  5. 5.
    Kafri N, Valfer R, Nativ O, et al. Health behavior, food tolerance, and satisfaction after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2011;7(1):82–8.PubMedCrossRefGoogle Scholar
  6. 6.
    Schweiger C, Weiss R, Keidar A. Effect of different bariatric operations on food tolerance and quality of eating. Obes Surg. 2010;20(10):1393–9.PubMedCrossRefGoogle Scholar
  7. 7.
    Weiner RA, Theodoridou S, Weiner S. Failure of laparoscopic sleeve gastrectomy–further procedure? Obes Facts. 2011;4 Suppl 1:42–6.PubMedGoogle Scholar
  8. 8.
    Zacharoulis D, Sioka E, Papamargaritis D et al. Influence of the learning curve on safety and efficiency of laparoscopic sleeve gastrectomy. Obes Surg. 2011; May 12. [Epub ahead of print]Google Scholar
  9. 9.
    Allied Health Sciences Section Ad Hoc Nutrition Committee, Aills L, Blankenship J, et al. ASMBS Allied Health Nutritional Guidelines for the Surgical Weight Loss Patient. Surg Obes Relat Dis. 2008;4(5 Suppl):S73–S108.PubMedCrossRefGoogle Scholar
  10. 10.
    Snyder-Marlow G, Taylor D, Lenhard MJ. Nutrition care for patients undergoing laparoscopic sleeve gastrectomy for weight loss. J Am Diet Assoc. 2010;110(4):600–7.PubMedCrossRefGoogle Scholar
  11. 11.
    Suter M, Calmes JM, Paroz A, et al. A new questionnaire for quick assessment of food tolerance after bariatric surgery. Obes Surg. 2007;17(1):2–8.PubMedCrossRefGoogle Scholar
  12. 12.
  13. 13.
    Yanovski SZ, Nelson JE, Dubbert BK, et al. Association of binge eating disorder and psychiatric comorbidity in obese subjects. Am J Psychiatry. 1993;150(10):1472–9.PubMedGoogle Scholar
  14. 14.
    Nangle DW, Johnson WG, Carr-Nangle RE, et al. Binge eating disorder and the proposed DSM-IV criteria: psychometric analysis of the Questionnaire of Eating and Weight Patterns. Int J Eat Disord. 1994;16(2):147–57.PubMedCrossRefGoogle Scholar
  15. 15.
    Papailiou J, Albanopoulos K, Toutouzas KG, et al. Morbid obesity and sleeve gastrectomy: how does it work? Obes Surg. 2010;20(10):1448–55. Review.PubMedCrossRefGoogle Scholar
  16. 16.
    Heber D, Greenway FL, Kaplan LM, et al. Endocrine Society. Endocrine and nutritional management of the post-bariatric surgery patient: an Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2010;95(11):4823–43.PubMedCrossRefGoogle Scholar
  17. 17.
    Pontiroli AE, Fossati A, Vedani P, et al. Post-surgery adherence to scheduled visits and compliance, more than personality disorders, predict outcome of bariatric restrictive surgery in morbidly obese patients. Obes Surg. 2007;17(11):1492–7.PubMedCrossRefGoogle Scholar
  18. 18.
    de Man Lapidoth J, Ghaderi A, Norring C. A comparison of eating disorders among patients receiving surgical vs non-surgical weight-loss treatments. Obes Surg. 2008;18(6):715–20.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  • Eleni Sioka
    • 1
  • George Tzovaras
    • 1
  • Konstantinos Oikonomou
    • 2
  • Georgia Katsogridaki
    • 1
  • Eleni Zachari
    • 1
  • Dimitrios Papamargaritis
    • 1
  • Ourania Pinaka
    • 1
  • Dimitrios Zacharoulis
    • 1
    Email author
  1. 1.Department of SurgeryUniversity Hospital of LarissaLarissaGreece
  2. 2.Department of GastroenterologyUniversity Hospital of LarissaLarissaGreece

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