Improvement in Food Intolerance Resulting from Roux-En-Y Gastric Bypass after Speech Therapy Intervention in Chewing

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 intoleran...

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Bibliographic Details
Published in:	Obesity surgery Vol. 29; no. 10; pp. 3195 - 3201
Main Authors:	Rossi, Débora Cardoso, Soares, Aleida Nazareth, Silva, Kennedy Rossi Santos, Britto, Ana Teresa B. O., Bosco, Adriana Aparecida
Format:	Journal Article
Language:	English
Published:	New York Springer US 01-10-2019 Springer Nature B.V
Subjects:	Adult Aged Deglutition - physiology Diet Female Food Food Intolerance - diagnosis Food Intolerance - etiology Food Intolerance - physiopathology Food Intolerance - therapy Gastric Bypass - adverse effects Gastric Bypass - methods Humans Male Mastication - physiology Medicine Medicine & Public Health Middle Aged Obesity, Morbid - surgery Original Contributions Postoperative Period Speech therapy Speech Therapy - methods Surgery Food intolerance Bypass surgery Chewing
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Summary:	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.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-News-1 ObjectType-Feature-3 content type line 23
ISSN:	0960-8923 1708-0428
DOI:	10.1007/s11695-019-03931-3