TYPES OF SURGICAL INTERVENTIONS IN CASE OF ABDOMINAL OBESITY

Abstract

Surgical treatment is the main method that has proven to be effective in treating patients with morbid obesity, and, in particular, with the metabolic syndrome. We have studied theurgency of the problem, various types of surgical interventions and the effectiveness of their influence on the course of the metabolic syndrome, and we also have conducted a comparative description of the new method of correcting the metabolic syndrome developed at the Clinic of Bashkir State Medical University - «laparoscopic gastroplating». We have reviewed the literature over the past 10 years. The results of the surgical treatment of patients were assessed in the short and long term periods from 1 to 5 years based on the study of postoperative complications, changes in body weight, the clinical course of concomitant diseases and the occurrence of pathological syndromes. Based on the data obtained, a good result was considered a weight loss of 30% or more, satisfactory - 15-30%. As a result of the study, we concluded that the use of bariatric interventions in patients with 2-3 degrees of obesity in earlier age groups will help to prevent the development of metabolic syndrome in the future. The «laparoscopic gastroplication» method developed at the Clinic of Bashkir State Medical University is technically simple, effective, well tolerated by patients, does not require large material costs and, if necessary, can be supplemented with one of the types of shunting operations.