Débora Cardoso Rossi1,2,3,4,5, Aleida Nazareth Soares6, Kennedy Rossi Santos Silva7,8, Ana Teresa B O Britto9, Adriana Aparecida Bosco6. 1. Institute of Education and Research Santa Casa de Misericórdia de Belo Horizonte, Domingos Vieira, 590, Belo Horizonte, MG, CEP 30150240, Brazil. deborarossi@terra.com.br. 2. Pontifical Catholic University of São Paulo (PUCSP), São Paulo, Brazil. deborarossi@terra.com.br. 3. Federal Council of Speech Therapy, São Paulo, Brazil. deborarossi@terra.com.br. 4. Brazilian Society of Bariatric and Metabolic Surgery Associated Specialty Committee (SBCBM/COESA), São Paulo, Brazil. deborarossi@terra.com.br. 5. Santa Casa BH Medical Specialty Center, Belo Horizonte, Brazil. deborarossi@terra.com.br. 6. IEP Santa Casa BH, Belo Horizonte, Brazil. 7. Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil. 8. Santa Casa BH, Belo Horizonte, Brazil. 9. Pontifical Catholic University of Minas Gerais (PUCMG), Belo Horizonte, Brazil.
Abstract
INTRODUCTION:Food intolerance is expected during the postoperative period following gastric bypass and may be associated with inadequate chewing. OBJECTIVE: To evaluate chewing before and after speech therapy intervention in subjects undergoing Roux-en-Y gastric bypass who present with food intolerance. MATERIALS AND METHODS: This was a randomized controlled trial, approved by the Brazilian Ethics and Research Committee under n. 438,600. The study population was allocated into two groups: the study group (SG), who received speech therapy intervention, and the control group (CG), who did not receive any intervention, in six visits at 7, 15, 30, 60, and 90 days (v7, v15, v30, v60, and v90) after the initial visit (v0). During v0 and v90, a chewing evaluation was performed according to the MBGR protocol adapted. The significance level adopted was 5%. RESULTS:A total of 30 females (88%) and 4 males (12%) were analyzed. The SG had 18 subjects, and the CG had 16, with mean ages of 50.17 ± 12.28 years and 45.69 ± 9.78 years, respectively. The postoperative time ranged from 4 to19 months. In the SG, a marked improvement in the number of episodes of food intolerance was observed (p < 0.001), an improvement in the intake of cereals and meats (p = 0.004 and p < 0.001, respectively), and an improvement in chewing capacity and swallowing (p = 0.002 and p = 0.011, respectively). CONCLUSION:Speech therapy intervention in chewing led to a marked improvement of food acceptance and food intolerance resulting from Roux-en-Y gastric bypass.
RCT Entities:
INTRODUCTION: Food intolerance is expected during the postoperative period following gastric bypass and may be associated with inadequate chewing. OBJECTIVE: To evaluate chewing before and after speech therapy intervention in subjects undergoing Roux-en-Y gastric bypass who present with food intolerance. MATERIALS AND METHODS: This was a randomized controlled trial, approved by the Brazilian Ethics and Research Committee under n. 438,600. The study population was allocated into two groups: the study group (SG), who received speech therapy intervention, and the control group (CG), who did not receive any intervention, in six visits at 7, 15, 30, 60, and 90 days (v7, v15, v30, v60, and v90) after the initial visit (v0). During v0 and v90, a chewing evaluation was performed according to the MBGR protocol adapted. The significance level adopted was 5%. RESULTS: A total of 30 females (88%) and 4 males (12%) were analyzed. The SG had 18 subjects, and the CG had 16, with mean ages of 50.17 ± 12.28 years and 45.69 ± 9.78 years, respectively. The postoperative time ranged from 4 to19 months. In the SG, a marked improvement in the number of episodes of food intolerance was observed (p < 0.001), an improvement in the intake of cereals and meats (p = 0.004 and p < 0.001, respectively), and an improvement in chewing capacity and swallowing (p = 0.002 and p = 0.011, respectively). CONCLUSION: Speech therapy intervention in chewing led to a marked improvement of food acceptance and food intolerance resulting from Roux-en-Y gastric bypass.
Authors: Cynthia Meira de Almeida Godoy; Alex L Caetano; Kátia R S Viana; Eudes Paiva de Godoy; André Luis Costa Barbosa; Edmundo M Ferraz Journal: Obes Surg Date: 2012-01 Impact factor: 4.129
Authors: Isabella Valois Pedrosa; Maria Goretti Pessoa de Araújo Burgos; Niedja Cristina Souza; Caroline Neves de Morais Journal: Rev Col Bras Cir Date: 2009-08