Bariatric surgery in the treatment of morbid obesity in adolescents (literature review)

Okorokov, P. L.; Леонидович, Окороков Павел; Vasyukova, O. V.; Владимировна, Васюкова Ольга; Дедов, И И; Иванович, Дедов Иван

doi:10.14341/probl201662325-32

Cited by 3 publications

(1 citation statement)

References 26 publications

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“…Из-за высокого риска развития демпинг-синдрома метаболические хирургические операции у детей и подростков проводятся лишь в исключительных случаях, причем в большинстве стран -при условии частичного или полного закрытия зон роста. В Российской Федерации бариатрические операции обычно проводят пациентам, достигшим возраста 18 лет [19].…”

Section: установка внутрижелудочного баллона (вжб)unclassified

Multiple effects of bariatric surgery on human biochemical status

Sushentseva¹,

Apalko²,

Vasilyev³

et al. 2019

Obes. metabol.

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Beneficial effect of bariatric surgery is expressed not only in reducing body weight, but also in improving the functioning of the body as a whole. On the one hand, numerous studies devoted to the investigations of specific mechanisms of the influence of bariatric surgery on the general condition of an organism testify to the enormous interest of scientists in this problem. On the other hand, the range of changes is so vast that it covers almost all physiological and biochemical processes. The most noticeable response to bariatric surgery is from the digestive (including the composition of the microbiota), immune (reducing the level of systemic and local inflammation), cardiovascular (reducing the risks of atherosclerosis and other diseases) systems. Partial or complete compensation of type 2 diabetes mellitus and metabolic syndrome also occurs. Among the variety of data, there is insufficient research on only standard biomarkers: leptin, C-reactive protein, interleukin 6, etc. A detailed study of the profiles of both circulating biomarkers and local ones is necessary. At the same time, it is obligate to continue to accumulate evidence on the positive effect of bariatric surgery, since this type of surgical intervention has come into practice relatively recently. Unfortunately, at the present time in Russia bariatric surgery is not an affordable and popular treatment for morbid obesity (MO). Nevertheless, it is extremely important to change the current situation, since bariatric treatment is an optimal and effective solution to socially significant diseases such as MO or type 2 diabetes mellitus.

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Section: установка внутрижелудочного баллона (вжб)unclassified

Multiple effects of bariatric surgery on human biochemical status

Sushentseva¹,

Apalko²,

Vasilyev³

et al. 2019

Obes. metabol.

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Features of clinical and metabolic status after bariatric treatment of obesity

Gapparova¹,

Чехонина²,

Лапик³

2020

jour

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Purpose of the study. Assessment of metabolic status in patients after bariatric surgery.Materials and methods. 29 patients with I-III degree obesity were examined. Clinical metabolic and micronutrient status was assessed for patients.Results. For patients after bariatric intervention, a more pronounced decrease in muscle mass during weight loss, an increase in the rate of oxidation of carbohydrates, a decrease in the rate of oxidation of fats, a decrease in the concentration level in the blood serum of a number of indicators of vitamin and mineral status (vitamin D, B12, iron, calcium) is characteristic.

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Efficacy of whole-body cryotherapy in complex medical rehabilitation of patients after laparoscopic bariatric gastric bypass for the treatment of morbid obesity

ELEUOV¹,

Ospanov²

2022

Physiotherapist

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The steady growth in the number of obese patients consequently leads to an increase in bariatric surgeries, while the issues of rehabilitation of these patients remain not fully resolved. Aim of the research: to evaluate the effectiveness of using the whole-body cryotherapy (WBC) in complex medical rehabilitation of patients after laparoscopic gastric bypass in the treatment of obesity. Materials and methods. An interventional, single-center, prospective, controlled, single-blinded, experimental, randomized study. The study included 2 stages. Stage 1: 40 patients underwent laparoscopic mini-gastric bypass with band-separated gastric pouch. Stage 2: the patients were divided into 2 groups: with the use of WBC as part of complex medical rehabilitation (Group A, n = 20) and without additional physiotherapy methods (Group B, n = 20). The course of WBC was 15 sessions of 1–3 minutes. The CryoSpace 2K device consists of a cryochamber (temperature –110 °С) and a pre-chamber (–60 °С). The procedures were carried out every other day; the exposure duration increased in parallel with the growth of cryoresistance. The patients were followed up for a total of 2 years. Results. Surgical results: the average duration of surgery was 85 ± 26 minutes; the length of stay in the hospital was 3.7 ± 1.5 days. One complication was registered. Initially, the patients in groups A and B did not differ in terms of sex, age, anthropometric data, and comorbidities composition. After 2 years of follow-up, BMI was significantly lower in group A with the use of WBC compared with group B (26.7 vs 29.4 kg/m2). The percentage of total weight loss, percentage of BMI loss and percentage of excess weight loss were significantly higher in group A. Conclusion. Taking into account the ongoing rehabilitation measures, the group with the use of WBC showed significantly better indicators for achieving ideal body weight and losing excess weight, which is an argument for recommending the use of this type of physiotherapy in the rehabilitation complex after bariatric procedures.

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Bariatric surgery in the treatment of morbid obesity in adolescents (literature review)

Cited by 3 publications

References 26 publications

Multiple effects of bariatric surgery on human biochemical status

Multiple effects of bariatric surgery on human biochemical status

Features of clinical and metabolic status after bariatric treatment of obesity

Efficacy of whole-body cryotherapy in complex medical rehabilitation of patients after laparoscopic bariatric gastric bypass for the treatment of morbid obesity

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