• Home
  • NEW DAY MEDICINE
  • 9 (47) 2022
  • 28 — 9 (47) 2022 — Teshaev O.R., Murodov A.S., Mavlyanov O.R., ANALYSIS OF THE RESULTS OF SLEEVE GASTRECTOMY IN PATIENTS WITH MORBID OBESITY

28 — 9 (47) 2022 — Teshaev O.R., Murodov A.S., Mavlyanov O.R., ANALYSIS OF THE RESULTS OF SLEEVE GASTRECTOMY IN PATIENTS WITH MORBID OBESITY

ANALYSIS OF THE RESULTS OF SLEEVE GASTRECTOMY IN PATIENTS WITH MORBID OBESITY

Teshaev O.R., Tashkent Medical Academy

Murodov A.S., Tashkent Medical Academy

Mavlyanov O.R., Tashkent Medical Academy

Resume

The aim of the research was to evaluate the results of existing methods of surgical treatment of patients with morbid obesity. In our clinic, 167 metabolic and bariatric surgeries were performed, including 75 MGSH and 92 sleeve gastrectomy. In recent years, the attendance of patients with obesity has increased and, accordingly, the operation of sleeve gastrectomy has increased. 92 patients admitted with different body mass index were operated on. Of these, 13 (14%) men and 79 (86%) women. The age of operated patients ranged from 21 to 60 years (average 36.3±5.2 years). Data analysis shows that obesity prevails from grade III 49 (53.2%) in patients with MO. Analysis of concomitant diseases shows that 53 (58%) patients had one or more concomitant diseases, with arterial hypertension 29 (31.5%), cholelithiasis 14 (15.2%), diabetes mellitus and osteoarthritis 6 (6, 5%), Hiatus hernia of the diaphragm 4 (4.3%), IHD 3 (3.2%). We performed simultaneous operations in 17 (18.5%) patients due to the presence of concomitant diseases. Of these, 14 (15.2%) cholecystectomy, 3 (3.2%) posterior cruroraphy with Nissen fundoplication, 1 (1.1%) hernia repair with alloplasty were performed.

Sleeve gastrectomy is a very promising and very effective operation used in the treatment of patients with MO. Possible complications after sleeve gastrectomy are anemia, hypoproteinemia, and vitamin deficiencies, which can be corrected conservatively.

Keywords: obesity, morbid obesity, sleeve gastrectomy, bariatric surgery

First page

165

Last page

171

For citation: Teshaev Sh.J., Temirov O.O., Khakimov Y.SH., STUDY OF MORPHOLOGICAL AND MORPHOMETRIC PARAMETERS OF THE ESOPHAGE OF WHITE RATS AGED FROM 3 TO 6 MONTHS UNDER THE INFLUENCE OF 4 DIFFERENT ANTI-INFLAMMATORY DRUGS UNDER THE CONDITIONS OF POLYPROGMASIA //New Day in Medicine 9 (47)2022 165-171 https://l.clck.bar/71192

LIST OF REFERENCES:

  1. Алиева В.А. Современные лекарственные препараты в лечении ожирения. // Клиническая фармакология и терапия, 2020, 29 (4).
  2. Голуб А. М. Ожирение. Бариатрическая хирургия. Учебно-методическое пособие. / Минск БГМУ 2011.
  3. Колешко С. В., Дубровщик О. И., Мармыш Г. Г., Довнар И. С. Хирургические методы лечения ожирения: реалии и возможности на современном этапе. // Журнал Гродненского ГМУ № 2, 2016. С-5-9.
  4. Омаров Т.И., Маилова А.А. Оценка эффективности рукавной резекции желудка в лечении пациентов с ожирением. Казанский медицинский журнал, 2017 г., том 98, №1.С-14-17.
  5. Романцова Т.И. Эпидемия ожирения: очевидные и вероятные причины // Ожирение и метаболизм. – 2011. – № 1. – С. 5–17.
  6. Рунихин А. Ю. Современные подходы к лечению ожирения / А. Ю. Рунихин // Леч. врач. — 2006. — № 2. — С. 20-23.
  7. Савельева Л.В. Современная концепция лечения ожирения // Ожирение и метаболизм. – 2011. – № 1. – С. 51–55.
  8. Хациев Б.Б., Кузьминов А.Н., Яшков Ю.И., Узденов Н.А. Бариатрическая хирургия в России в 2011—2013 гг. Ожирение и метаболизм. 2015;12:1:60-61.
  9. Хашимов Ш.Х., Хайбуллина З.Р. и соавторы. Воспаление при морбидном ожирении– эффективность хирургического лечения // Международный журнал прикладных и фундаментальных исследований. 2016. № 11-3. С. 468–472
  10. Яшков Ю.И., Луцевич О.Э., Бордан Н.С., Ивлева О.В. Эффективность лапароскопической продольной резекции желудка у больных с ожирением. // Ожирение и метаболизм. 2015;12:1:20-28.
  11. Buchwald H, Oien DM. Metabolic/bariatric surgery worldwide 2011. Obes Surg. 2013;23(4):427-436. doi: 10.1007/s11695-012-0864-0.
  12. Chapman AE, Kiroff G, Game P, Foster B, O’Brien P, Ham J, Maddern GJ. Laparoscopic adjustable gastric banding in the treatment of obesity: a systematic literature review. Surgery, 2004, 135(3): 326-51.
  13. Khwaja H., Coelho A., Mazzarella M. et al. The IFSO Website (www.ifso.com): the Online gateway to obesity and metabolic disorders for bariatric surgery professionals and patients: On behalf of the IFSO Communications Committee. Obes. Surg. 2015; 25 (11): 2176–2179.
  14. Laparoscopic Sleeve Gastrectomy Versus Roux-Y-Gastric Bypass for Morbid Obesity-3-Year Outcomes of the Prospective Randomized Swiss Multicenter Bypass Or Sleeve Study (SM-BOSS) / R. Peterli, B.K. Wolnerhanssen, D. Vetter [et al.] // Ann Surg. -2017. -Vol. 265, N 3. — Р. 466¬473.
  15. Silecchia G., De Angelis F., Rizzello M. et al. Residual fundus or neofundus after laparoscopic sleeve gastrectomy: is fundectomy safe and effective as revision surgery? Surg. Endosc. 2015; 29 (10): 2899–2903.

file

download