Comparative analysis of laparoscopic sleeve gatrectomy and laparoscopic gastric bypass surgery in patients with type 2 diabetes mellitus and impaired glucose tolerance

Fedenko, V V; Evdoshenko, V. V.; Курганов, И. А.; Emelyanov, S.I.; Матвеев, Н. Л.; Bogdanov, D. Yu.; Mazikina, L. N.

doi:10.17116/endoskop201622221-31

Cited by 7 publications

(2 citation statements)

References 30 publications

(24 reference statements)

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“…Assessing the rapid growth in the number of obese patients, as well as a significant increase in the economic costs of their treatment, many authors justify the need to use a powerful resource of various surgical methods to correct pathological changes inherent in obesity [4]. Lifestyle modification, including vigorous exercise and a diet low in fat and calories, is fundamental to treating obese patients [5][6][7]. The use of surgical treatment methods is the most effective way to combat morbid obesity (MO), especially against the background of complications of the disease, which requires a special approach, both in preoperative preparation and intra-and postoperative management, which is associated with the presence of concomitant pathology of vital organs that is invariably detected in them and body systems [8][9][10].…”

Section: оригинальные исследованияmentioning

confidence: 99%

The treatment of metabolic syndrome in patients with morbid obesity

Галимов¹,

Khanov²,

Ibragimov³

et al. 2022

Medical news of the North Caucasus

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Section: оригинальные исследованияmentioning

confidence: 99%

The treatment of metabolic syndrome in patients with morbid obesity

Галимов¹,

Khanov²,

Ibragimov³

et al. 2022

Medical news of the North Caucasus

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“…Гастрошунтирование отличает более высокая эффективность по сравнению с ограниченным только рестриктивным воздействием на желудок других бариатрических вмешательств [8]. При этом следует особо отметить более мягкие негативные недостатки гастрошунтирования, связанные с мальабсорбцией, по сравнению с билиопанкреатическим шунтированием [9].…”

Section: место желудочного шунтирования в бариатрической хирургииunclassified

Gastric bypass in modern bariatric surgery

Ospanov¹,

Yeleuov

Bekmurzinova

2020

Obes. metabol.

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The Roux-en-Y Gastric bypass surgery has long been considered as the gold standard method for the surgical treatment of obesity and its complications. But at present, this position is disputed by supporters of one-anastomotic gastric bypass and sleeve gastrectomy. The decrease in the share of gastric bypass in the structure of bariatric operations is explained by technical complexity, surgical and malabsorption complications. This review reflects the main role of gastric bypass as a bariatric surgery in the treatment of obesity and metabolic syndrome, and discloses various options for the technical implementation of gastric bypass surgery according to Roux-en-Y and alternative one-anastomotic gastric bypass surgery. The advantages and disadvantages of the stapler-use and stapleless method for performing bariatric operations are shown. In our opinion, one of the promising alternative concepts for the surgical treatment of obesity is stapleless one-anastomotic direction in gastric bypass surgery, but the known stapleless methods are imperfect and unsafe. Thus, based on the presented literature review, we can conclude that the imperfection of not only the stapler gastric bypass methods, but also the stapleless method. Therefore, a further research is needed for alternative surgical methods that would reduce the likelihood of surgical complications, reduce the cost of bariatric surgery and increase the accessibility of surgical treatment of obesity for the population.

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