department of endoscopic surgery, moscow State university of medicine and dentistry named after A.i. Evdokimov, russian ministry of Health, moscow; 2 Clinical Surgery Center of excess weight and metabolic disorders CdB №6 rzd, moscow, russia Analyzed the results of laparoscopic sleeve gastrectomy in the treatment group of 11 patients with a relatively low BMI (from 30.0 to 35.0 kg m 2), suffering from carbohydrate metabolism disorders. The control group consisted of 172 patients who had the operation at a BMI above 35.0 kg/m 2 and also was performed. hyperglycemic change. Groups are statistically significantly different (p<0.05) at baseline BMI levels (32.5±2.7 vs. 46.1±14.5 kg/m 2) and glycated hemoglobin (7.25±1.86% vs 6.59±1.36%). The results showed a decrease in both groups to BMI 24.1±3.1 and 32.1±7.6 kg/m 2 (p<0.05) and glycated hemoglobin to 5.61±0.76 and 5.52±0.57% (p>0.05), respectively. The frequency of incidence metabolic syndrome at 1 year after surgery in the study and control groups decreased by 75.0 and 73.5%. The incidence of complications in the study group were not registered. Thus, laparoscopic sleeve gastrectomy in patients with a BMI of 30.0 to 35.0 kg/m 2 and carbohydrate metabolism disorders is appropriate, effective and safe.
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