The importance of nutritional counseling for obese patients undergoing endoscopic procedures
Authors:
K. Petřeková 1,2; M. Bužga 2; J. Janoutová 1; E. Machytka 3
Authors‘ workplace:
Ústav epidemiologie a ochrany veřejného zdraví, LF OU, Ostrava
1; Ústav fyziologie a patofyziologie, LF OU, Ostrava
2; Katedra chirurgických oborů, LF OU, Ostrava
3
Published in:
Gastroent Hepatol 2017; 71(3): 245-250
Category:
doi:
https://doi.org/10.14735/amgh2017245
Overview
Purpose:
The aim of this study was to evaluate the effect of nutritional counseling on the eating habits of patients who underwent endoscopic sleeve gastrectomy.
Methods:
The study group comprised 20 obese patients (16 women and 4 men) who underwent endoscopic sleeve gastrectomy in 2016 to reduce excess body weight and fat. In the first, third, and sixth month after treatment, the patients received nutritional counseling and attended an educational cooking class. They also completed a food habit questionnaire before and 6 months after the treatment. The food habit questionnaires were evaluated to determine whether repeated nutritional recommendations led to changes in eating habits.
Results:
A significant increase in the consumption of fish (p = 0.044), and yoghurt and other fermented milk products (p = 0.021), as well as the daily consumption of milk and cheese (p = 0.032), was observed following the nutritional counseling. Furthermore, the consumption of white bread (p = 0.038), and desserts and sweets (p = 0.002), decreased, and the patients were eating more regularly (p = 0.013) and paying more attention to their diet (p = 0.015).
Conclusion:
The results suggest that the regular nutritional counseling provided in the first, third, and sixth month after the patients’ endoscopic treatment positively affected their eating habits.
Key words:
obesity – endoscopic treatment – bariatric surgery – nutrition – counseling
The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.
The Editorial Board declares that the manuscript met the ICMJE „uniform requirements“ for biomedical papers.
Submitted:
17. 2. 2017
Accepted:
13. 5. 2017
Sources
1. Doležalová K, Býma S, Fried M et al. Bariatrická chirurgie a primární péče. Praha: Axonite CZ 2012.
2. Holéczy P, Bužga M. Současná bariatricko-metabolická chirurgie. Gastroent Hepatol 2016; 70 (6): 485–490. doi: 10.14735/amgh2016485.
3. Petřeková K, Bužga M, Janoutová J. Nutriční deficity po bariatrických operacích a jejich úprava suplementací. Prakt Lék 2016; 96 (2): 82–86.
4. Zákony pro lidi.cz. Zákon č. 96/2004 Sb. [online]. Dostupné z: www.zakonyprolidi.cz/cs/2004-96.
5. Moizé V, Andreu A, Flores L et al. Long-term dietary intake and nutritional deficiencies following sleeve gastrectomy or Roux-en-Y gastric bypass in a Mediterranean population. J Acad Nutr Diet 2013; 113 (3): 400–410. doi: 10.1016/j.jand.2012.11.013.
6. Fried M, Yumuk V, Oppert JM et al. Interdisciplinary European guidelines on metabolic and bariatric surgery. Obesity surgery 2014; 24 (1): 42–55. doi: 10.1007/s11695-013-1079-8.
7. Beckman L, Earthman C. Nutritional implications of bariatric surgery and the role of registered dietitians. J Acad Nutr Diet 2012; 113 (3): 398–399. doi: 10.1016/j.jand.2012.11.017.
8. Mulder CJ, Wanten GJ, Semrad CE et al. Clinical nutrition in the hepatogastroenterology curriculum. World J Gastroenterol 2016; 22 (5): 1729–1735. doi: 10.3748/wjg. v22.i5.1729.
9. ASGE/ASMBS Task Force on Endoscopic Bariatric Therapy. A pathway to endoscopic bariatric therapies. Surg Obes Relat Dis 2011; 7 (6): 672–682. doi: 10.1016/j.soard.2011.09.008.
10. Martínek J. Nekonečná endoskopická cesta aneb endoskopická chirurgie – nový obor? Gastroent Hepatol 2015; 69 (4): 327–337.
11. Johner AM, Reavis KM. Endoscopic bariatric procedures: assessment of postintervention safety and success. Tech Gastrointest Endosc 2017; 19 (1): 46–51. doi: 10.1016/j.tgie.2016.12.006.
12. Abu Dayyeh BK, Acosta A, Camilleri M et al. Endoscopic sleeve gastroplasty alters gastric physiology and induces loss of body weight in obese individuals. Clin Gastroenterol Hepatol 2017; 15 (1): 37–43. doi: 10.1016/j.cgh.2015.12.030.
13. Pickett-Blakely O, Newberry C. Future therapies in obesity. Gastroenterol Clin North Am 2016; 45 (4): 705–714. doi: 10.1016/j.gtc.2016.07.008.
14. Machytka E, Gaur S, Chuttani R et al. Elipse, the first procedureless gastric balloon for weight loss: a prospective, observational, open-label, multicenter study. Endoscopy 2017; 49 (2): 154–160. doi: 10.1055/s-0042-119296.
15. ASGE Bariatric Endoscopy Task Force, ASGE Technology Committee, Abu Dayyeh BK et al. Endoscopic bariatric therapies. Gastrointest Endosc 2015; 81 (5): 1073–1086. doi: 10.1016/j.gie.2015.02.023.
16. Beneš M, Hucl T, Drastich P et al. Endoskopický duodenojejunální bypass (EndoBarrier®) jakonový terapeutický přístup u obézních diabetiků 2. typu – efektivita a faktorypredikující optimální efekt. Gastroent Hepatol 2016; 70 (6): 491–499. doi: 10.14735/amgh2016csgh.info15.
17. Mechanick JI, Youdim A, Jones DB et al. Clinical practice guidelines for the perioperative nutritional,metabolic, and nonsurgical support of the bariatric surgery patient-2013 update: cosponsored by American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery. Obesity (Silver Spring) 2013; 21 (Suppl 1): S1–S27. doi: 10.1002/oby.20 461.
18. Výživa servis s. r. o. Referenční hodnoty pro příjem živin. 1. vyd. Praha: Společnost pro výživu 2011: 192.
19. Mizerová V, Bužga M, Machytka E et al. Změny tělesného složení a stravovacích návyků obézních pacientů po zavedení intragastrického balónu. Prakt Lék 2015; 95 (6): 276–279.
20. Zavadilová V, Bužga M, Chroboková A et al. Změny tělesné hmotnosti a stravovacích zvyklostí obézních pacientů po tubulizaci žaludku – pilotní studie. Gastroent Hepatol 2012; 66 (6): 444–449.
Labels
Paediatric gastroenterology Gastroenterology and hepatology SurgeryArticle was published in
Gastroenterology and Hepatology
![Issue 3](https://www.prolekare.cz/media/cache/resolve/journal_issue/media/image_pdf/692a92b317aa78416c5736837491fa0d.jpeg)
2017 Issue 3
Most read in this issue
- Rifaximin
- Guidelines of the IBD working group of the Slovak Gastroenterology Society on the management of ulcerative colitis
- Difficult diagnostics and serious biliary complications of liver echinococcosis
- Colonic decompression in daily practice