Advertisement

Obesity Surgery

, Volume 26, Issue 6, pp 1296–1302 | Cite as

Taste and Olfactory Changes Following Laparoscopic Gastric Bypass and Sleeve Gastrectomy

  • Carlos ZerrweckEmail author
  • Luis Zurita
  • Guillermo Álvarez
  • Hernán G. Maydón
  • Elisa M. Sepúlveda
  • Francisco Campos
  • Amaya Caviedes
  • Lizbeth Guilbert
Original Contributions

Abstract

Background

Alterations in taste/smell after bariatric surgery have been observed, but few data is available. Some authors documented these changes and their role on weight loss but there is no evidence after laparoscopic sleeve gastrectomy (LSG).

Methods

Cohort study with patients submitted to laparoscopic gastric bypass (LGBP) and LSG that were asked to participate in a validated survey. The primary objective was to determinate the differences between procedures for taste and smell changes; a demographic and anthropometric analysis were also performed. Secondarily, the relation between food aversion and weight loss was also obtained.

Results

Final analysis was based on 154 patients (104 LGBP and 50 LSG). The overall mean time between surgery and questionnaire was 10 ± 6.7 months. Most of the patients (87.6 %) experienced some taste/smell change. There were no differences between procedures for any change, taste or smell change. More patients submitted to LGBP referred that food smelled different (51.9 vs 34 % for the LSG group; p = 0.040). Higher %EWL was observed for patients presenting food aversion (73.3 ± 19.7 vs 65.8 ± 19.4 % for those without aversion; p = 0.046). Based on type of surgery, the LGBP group had the same trend (%EWL of 78.2 ± 17.3 vs 70.4 ± 18.6 % for those without aversion; p = 0.044).

Conclusion

The majority of patients presented taste and olfactory changes soon after surgery independently of type of procedure. Patients submitted to LGBP referred more often a different smell in food. Higher %EWL was observed in patients presenting any food aversion, especially in the LGBP group.

Keywords

Bariatric surgery Smell Taste Olfactory Laparoscopic sleeve gastrectomy Laparoscopic gastric bypass Obesity 

Notes

Compliance with Ethical Standards

For this type of study, formal consent is not required.

Conflict of Interest

The authors declare that they have no competing interests.

Informed Consent

Does not apply.

Supplementary material

References

  1. 1.
    Brolin RE. Update: NIH consensus conference. Gastrointestinal surgery for severe obesity. Nutrition. 1996;12:403–4.CrossRefPubMedGoogle Scholar
  2. 2.
    Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292:1724–37.CrossRefPubMedGoogle Scholar
  3. 3.
    Buchwald H, Oien DM. Metabolic/bariatric surgery worldwide 2008. Obes Surg. 2009;19:1605–11.CrossRefPubMedGoogle Scholar
  4. 4.
    Buchwald H, Oien DM. Metabolic/bariatric surgery worldwide 2011. Obes Surg. 2013;23:427–36.CrossRefPubMedGoogle Scholar
  5. 5.
    Attiah MA, Halpern CH, Balmuri U, et al. Durability of Roux-en-Y gastric bypass surgery: a meta-regression study. Ann Surg. 2012;256:251–4.CrossRefPubMedGoogle Scholar
  6. 6.
    Mason EE, Ito C. Gastric bypass. Ann Surg. 1969;170:329–39.CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Brolin RE, LaMarca LB, Kenler HA, et al. Malabsorptive gastric bypass in patients with superobesity. J Gastrointest Surg. 2002;6:195–203. discussion 4-5.CrossRefPubMedGoogle Scholar
  8. 8.
    Tadross JA, le Roux CW. The mechanisms of weight loss after bariatric surgery. Int J Obes. 2009;33 Suppl 1:S28–32.CrossRefGoogle Scholar
  9. 9.
    Burge JC, Schaumburg JZ, Choban PS, et al. Changes in patients’ taste acuity after Roux-en-Y gastric bypass for clinically severe obesity. J Am Diet Assoc. 1995;95:666–70.CrossRefPubMedGoogle Scholar
  10. 10.
    Scruggs DM, Buffington C, Cowan Jr GS. Taste acuity of the morbidly obese before and after gastric bypass surgery. Obes Surg. 1994;4:24–8.CrossRefPubMedGoogle Scholar
  11. 11.
    Harris AM, Griffin SM. Postoperative taste and smell deficit after upper gastrointestinal cancer surgery—an unreported complication. J Surg Oncol. 2003;82:147–50. discussion 50-2.CrossRefPubMedGoogle Scholar
  12. 12.
    Tichansky DS, Boughter Jr JD, Madan AK. Taste change after laparoscopic Roux-en-Y gastric bypass and laparoscopic adjustable gastric banding. Surg Obes Relat Dis. 2006;2:440–4.CrossRefPubMedGoogle Scholar
  13. 13.
    Graham L, Murty G, Bowrey DJ. Taste, smell and appetite change after Roux-en-Y gastric bypass surgery. Obes Surg. 2014;24:1463–8.CrossRefPubMedGoogle Scholar
  14. 14.
    Halmi KA, Mason E, Falk JR, et al. Appetitive behavior after gastric bypass for obesity. Int J Obes. 1981;5:457–64.PubMedGoogle Scholar
  15. 15.
    Brown EK, Settle EA, Van Rij AM. Food intake patterns of gastric bypass patients. J Am Diet Assoc. 1982;80:437–43.PubMedGoogle Scholar
  16. 16.
    Kenler HA, Brolin RE, Cody RP. Changes in eating behavior after horizontal gastroplasty and Roux-en-Y gastric bypass. Am J Clin Nutr. 1990;52:87–92.PubMedGoogle Scholar
  17. 17.
    Tichansky DS, Glatt AR, Madan AK, et al. Decrease in sweet taste in rats after gastric bypass surgery. Surg Endosc. 2011;25:1176–81.CrossRefPubMedGoogle Scholar
  18. 18.
    Peterli R, Steinert RE, Woelnerhanssen B, et al. Metabolic and hormonal changes after laparoscopic Roux-en-Y gastric bypass and sleeve gastrectomy: a randomized, prospective trial. Obes Surg. 2012;22:740–8.CrossRefPubMedPubMedCentralGoogle Scholar
  19. 19.
    Ramon JM, Salvans S, Crous X, et al. Effect of Roux-en-Y gastric bypass vs sleeve gastrectomy on glucose and gut hormones: a prospective randomised trial. J Gastrointest Surg. 2012;16:1116–22.CrossRefPubMedGoogle Scholar
  20. 20.
    Dotson CD, Geraedts MC, Munger SD. Peptide regulators of peripheral taste function. Semin Cell Dev Biol. 2013;24:232–9.CrossRefPubMedPubMedCentralGoogle Scholar
  21. 21.
    Martin B, Dotson CD, Shin YK, et al. Modulation of taste sensitivity by GLP-1 signaling in taste buds. Ann N Y Acad Sci. 2009;1170:98–101.CrossRefPubMedPubMedCentralGoogle Scholar
  22. 22.
    Martin C, Passilly-Degrace P, Chevrot M, et al. Lipid-mediated release of GLP-1 by mouse taste buds from circumvallate papillae: putative involvement of GPR120 and impact on taste sensitivity. J Lipid Res. 2012;53:2256–65.CrossRefPubMedPubMedCentralGoogle Scholar
  23. 23.
    Richardson BE, Vander Woude EA, Sudan R, et al. Altered olfactory acuity in the morbidly obese. Obes Surg. 2004;14:967–9.CrossRefPubMedGoogle Scholar
  24. 24.
    Richardson BE, Vanderwoude EA, Sudan R, et al. Gastric bypass does not influence olfactory function in obese patients. Obes Surg. 2012;22:283–6.CrossRefPubMedGoogle Scholar
  25. 25.
    Miras AD, le Roux CW. Bariatric surgery and taste: novel mechanisms of weight loss. Curr Opin Gastroenterol. 2010;26:140–5.CrossRefPubMedGoogle Scholar
  26. 26.
    Still CD, Wood GC, Chu X, et al. Clinical factors associated with weight loss outcomes after Roux-en-Y gastric bypass surgery. Obesity. 2014;22:888–94.CrossRefPubMedPubMedCentralGoogle Scholar
  27. 27.
    Palmisano S, Silvestri M, Giuricin M, et al. Preoperative predictive factors of successful weight loss and glycaemic control 1 year after gastric bypass for morbid obesity. Obes Surg 2015Google Scholar
  28. 28.
    Deitel M, Gawdat K, Melissas J. Reporting weight loss 2007. Obes Surg. 2007;17:565–8.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Carlos Zerrweck
    • 1
    Email author
  • Luis Zurita
    • 2
  • Guillermo Álvarez
    • 1
  • Hernán G. Maydón
    • 1
  • Elisa M. Sepúlveda
    • 1
  • Francisco Campos
    • 2
  • Amaya Caviedes
    • 1
  • Lizbeth Guilbert
    • 1
  1. 1.The Obesity Clinic at “Hospital General Tláhuac”Mexico CityMexico
  2. 2.The Obesity Clinic at “Hospital General Dr. Rubén Leñero”Mexico CityMexico

Personalised recommendations