Swallowing in obese individuals before and after bariatric surgery
| Autor: | Luana Casari Parreira, Wilson Salgado-Junior, Roberto Oliveira Dantas |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Endocrinology Diabetes and Metabolism Bariatric Surgery 030209 endocrinology & metabolism CIRURGIA BARIÁTRICA 03 medical and health sciences Young Adult 0302 clinical medicine Bolus (medicine) stomatognathic system Swallowing Healthy volunteers medicine Humans Obesity Surgical treatment Nutrition and Dietetics business.industry Middle Aged medicine.disease Dysphagia Surgery Deglutition Obesity Morbid Fluoroscopy 030211 gastroenterology & hepatology Obese subjects Female medicine.symptom business Deglutition Disorders Body mass index |
| Zdroj: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP |
| Popis: | To evaluate the oral and pharyngeal phases of swallowing in obese patients before and after bariatric surgery. Swallowing was evaluated by videofluoroscopy before and after 80 to 123 days from bariatric surgery in 19 individuals with obesity (15 women), aged 25–60 years. The body mass index (BMI) before surgery was from 40.1 to 57.0 kg/m2. The surgical treatment was performed with laparoscopic Roux-en-Y gastric by-pass (RYGB). After surgery, the BMI ranged from 31.7 to 48.4 kg/m2. The control group had 19 healthy volunteers (15 women), aged 22–56 years and BMI from 19.4 to 29.7 kg/m2. Swallowing was evaluated with swallows of 5 mL of liquid and paste boluses in triplicate, and a solid bolus in duplicate. With swallowing of liquid bolus, individuals with obesity had, before and after surgery, an increased frequency of premature posterior spillage. Before the surgery, the obese subjects had longer pharyngeal clearance of liquid compared with the control group and with individuals after the surgery. After the surgery, obese individuals had longer duration of the hyoid movement with liquid and paste boluses, compared with before surgery. Also, there was a reduction of the interval between the bolus entering the phaynx and the onset of upward hyoid excursion. Non-operated obese patients had a longer pharyngeal clearance for liquid bolus compared with healthy controls. After bariatric surgery, there was an increase in hyoid movement duration. |
| Databáze: | OpenAIRE |
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