Laparoscopic Sleeve Gastrectomy Improves Olfaction Sensitivity in Morbidly Obese Patients

Obes Surg. 2016 Mar;26(3):558-62. doi: 10.1007/s11695-015-1784-6.

Abstract

Background: Olfactory abilities of the patients are known to be altered by eating and metabolic disorders, including obesity. There are only a number of studies investigating the effect of obesity on olfaction, and there is limited data on the changes in olfactory abilities of morbidly obese patients after surgical treatment. Here we investigated the changes in olfactory abilities of 54 morbidly obese patients (M/F, 22/32; age range 19-57 years; body mass index (BMI) range 30.5-63.0 kg/m(2)) after laparoscopic sleeve gastrectomy.

Method: A laparoscopic sleeve gastrectomy was performed by the same surgeon using five-port technique. Olfactory abilities were tested preoperatively and 1, 3, and 6 months after the surgery using a standardized Sniffin' Sticks Extended Test kit.

Results: Analyses of variance indicated statistically significant improvement in T, D, and I scores of morbidly obese patients within time factors (preoperative vs. 1, 3, and 6 months; 1 vs. 3 and 6 months; and 3 vs. 6 months; p < 0.001 for all). There was a statistically significant improvement in overall TDI scores with an increase from 25 to 41 during the 6 months follow-up period (p < 0.001 for all).

Conclusions: Here, for the first time in literature, we were able to show the significant improvement in olfactory abilities of morbidly obese patients after laparoscopic sleeve gastrectomy.

Keywords: Bariatric surgery; Obesity; Obesity surgery; Olfaction; Sleeve gastrectomy; Smell.

MeSH terms

  • Adult
  • Female
  • Gastrectomy / methods*
  • Humans
  • Laparoscopy
  • Male
  • Middle Aged
  • Obesity, Morbid / physiopathology*
  • Obesity, Morbid / surgery*
  • Smell / physiology*
  • Treatment Outcome
  • Young Adult