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

Rossi, Débora Cardoso; Soares, Aleida Nazareth; Silva, Kennedy Rossi Santos; Britto, Ana Teresa B O; Bosco, Adriana

doi:10.1007/s11695-019-03931-3

Cited by 3 publications

(2 citation statements)

References 28 publications

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“…Bariatric surgery is the most effective treatment for clinically severe obesity and results in effective weight loss and reduced comorbidities [11]. Despite the many benefits of bariatric surgery, anatomical and functional change in the gastrointestinal tract anatomy may cause complications [12,13]. Recently, Taghat et al found that individuals who had undergone bariatric surgery had poor clinically diagnosed oral health and perceived oral health problems, indicating the importance of the dental professional in the patient follow-up [14].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Stomatognathic System Parameters After Bariatric Surgery

et al. 2021

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Purpose The present study aimed to evaluate electromyographic activity, bite strength, and masticatory muscle thickness in women without obesity and with severe obesity elected for bariatric surgery. Also, patients with obesity underwent bariatric surgery and were re-evaluated 3 and 6 months after surgery to analyze the influence of bariatric surgery outcomes on the stomatognathic system, a functional anatomical system comprising teeth, jaw, and associated soft tissues. Material and Methods Thirty-seven women were enrolled in the study. Twenty-one women with class II and III obesity according to the body mass index (BMI) and eligible for bariatric surgery composed the obesity pre-surgery group (Ob). Sixteen women with a normal weight according to BMI composed the non-obesity group (NOb). Afterward, the patients from the Ob group were followed up for 3 and 6 months after undergoing Roux-en-Y gastric bypass. Anthropometry, body composition, and parameters of the stomatognathic system were evaluated. Results The stomatognathic system of the Ob group had less muscle activity and bite strength, but the thickness of masseter and temporal muscles was larger than the NOb group. We also observed a significant change in the muscular activity and bit strength of the stomatognathic system post-bariatric surgery. Conclusion Evaluating the stomatognathic system indicated that women with clinically severe obesity have less masticatory efficiency than non-obese. Also, we found a positive influence of bariatric surgery in masticatory activity after 3 and 6 months. Thus, monitoring the parameters of the stomatognathic system could be important in the indication and outcomes of bariatric surgery.

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Section: Introductionmentioning

confidence: 99%

Evaluation of Stomatognathic System Parameters After Bariatric Surgery

et al. 2021

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“…The work of the speech therapist with patients undergoing Bariatric Surgery (BS) is still little explored while being essential for an adequate preparation of the individual for the surgical procedure (Silva et al, 2014), as well as for his short and long term recovery (Gonçalves & Zimberg, 2016;Rossi et al, 2019). The scientific evidences already reported (Canterji et al, 2015;Enzweiler, 2016;Félix, 2018;Sales & Mourão, 2020;Paes, 2020) support the importance of this professional expertise within the interdisciplinary and multiprofessional monitoring team to these patients, aiming to evaluate and provide guidance on prevention and health promotion, especially with regard to chewing, breathing, phonation and swallowing, always seeking to improve the food quality and quality of life of these individuals (ABRAMO, 2019;CFFA, 2020).…”

Section: Introductionmentioning

confidence: 99%

The role of speech therapist in the patient care team for bariatric surgery

Tomanchieviez

Garcia

Canterji³

et al. 2020

IJMSS

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The work of the speech therapist with patients undergoing Bariatric Surgery (BS) is still little explored, although essential for the adequate preparation of the subject for surgery, as well as for his short and long term recovery. Given its importance and it’s still limited performance in this scenario, the objective of this study was to verify the perception of patients about the importance and effectiveness of speech therapy both in the pre and postoperative period of BS. Questionnaires were carried out with 44 patients divided into 4 groups, according to the moment of bariatric surgery follow-up. Most of the subjects were unaware of the role of the speech therapist at the beginning of the treatment, but they considered their guidance and their presence in the team relevant during the process. The ignorance of the role of the SpeechLanguage Pathologist in the care of bariatric patients is related to the incipient participation of Speech-Language Pathologists in this scenario. The positive impact of speech therapy guidelines in the preoperative period improves quality of life, provides information and clarifies subjects’ doubts and fears, enhancing results and minimizing postoperative problems. The professional’s guidance in relation to the aspects experienced in the patients’ daily lives implies a consensus on the importance of the participation of the Speech Therapist during the process of monitoring the BS. Patients’ perception of the importance of the guidelines received by the Speech-Language Pathologist was well-known, as well as their necessary participation in the multidisciplinary team. The results demonstrated the effectiveness of speech therapy both in the pre and in the short and long term postoperative period.

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