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1998, 1999, 2001) have been examined for their potential to substitute sodium chloride, and the difference regarding the sensorial quality of the end product has been pointed out, without, however, studying the effect on safety from a microbiological point of view On the other hand, fat reduction with the addition of compounds such as inulin (Mendoza et al 2001) and dietary ber (Garcia et al 2002) and even substitution by olive oil (Bloukas et al 1997; Muguerza et al 2001, 2002) or soy oil (Muguerza et al 2004) has been studied with interesting and promising results Since the idea of using probiotic starter cultures in sausage fermentation has developed, several lactic acid bacteria have been screened for their capacity to survive their passage through the human gastrointestinal tract and their possible in-site actions Lb curvatus strain RM10 and Pd.

obesity-related comorbid conditions In vertical banded gastroplasty, the stomach is stapled so as create a small vertical pouch This gastric pouch limits the amount of food that can be ingested in a single eating period to about 15 ml A ring with a diameter of 9 to 10 mm is placed at the outlet of the pouch to slow the rate at which food passes through the remainder of the stomach and into the duodenum and jejunum (small intestine) Gastroplasty exerts a regulatory effect on eating behavior through aversive conditioning Eating more than the small amount of solid food that the stomach pouch can accommodate typically results in regurgitation Fear of vomiting provides a disincentive for overeating, and the perception of fullness associated with the distention of the stomach pouch serves as a cue to stop eating Unfortunately, gastroplasty does not limit the consumption of high-calorie liquids or soft foods.

As a result, poor outcome attributable to soft calorie syndrome may be as high as 30% (Kral, 1989) An additional problem with gastroplasty is that over time the size of the pouch may expand, thereby limiting its long-term effectiveness In gastric bypass procedures, such as the Roux-en-Y, a small gastric pouch is created via stapling, and a limb of the jejunum is attached directly to the pouch Ingested food bypasses 90% of the stomach, the duodenum, and a small portion of the proximal jejunum (Kral, 1995) The surgery facilitates weight loss in three ways First, the pouch can only hold a small amount of food (15 ml), and over- lling the pouch results in regurgitation Second, the emptying of partially digested food from the pouch into the small intestine results in malabsorption, such that a portion of nutrients (and calories) consumed are not absorbed.

acidilactici strain P2, isolated from freeze-dried commercial meat starter cultures, exhibited the strongest capacity for surviving acidic conditions and 030% bile salts (Erkkila and Petaja 2000) The suitability of three probiotic Lb rhamnosus strains (GG, E-97800, and LC-705) to produce dry sausage has been demonstrated by Erkkila et al (2001) A very effective screening procedure has been sug-.

Third, the consumption of sweets and foods containing re ned sugar produces aversive consequences (ie, the dumping syndrome) including nausea, light-headedness, sweating, palpitations, and gastrointestinal distress Because it produces superior weight-loss outcome, gastric bypass has replaced gastroplasty as the preferred type of bariatric surgery (Balsiger, Murr, Poggio, & Sarr, 2000) For example, Glenny and colleagues (Glenny, O Meara, Melville, Sheldon, & Wilson, 1997) reviewed seven studies that compared gastric bypass with gastroplasty Six of the seven showed signi cantly greater weight losses favoring the gastric bypass procedure Typical weight losses one year after gastric bypass ranged from 45 to 65 kg compared to 30 to 35 kg after gastroplasty Similar ndings have been obtained a large-scale trial of bariatric surgery in Sweden (C Sj strom, Lissner, Wedel, & Sj strom, 1999).

Patients who received gastric bypass had a 33% reduction in body weight at two years compared to 23% for patients with gastroplasty Long-term studies show some regaining of weight.

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