Можливості хірургічного лікування пацієнтів з ожирінням і порушеннями вуглеводного обміну

В. В. Грубнік, В. П. Голляк, А. В. Грубнік

Анотація


198 bariatric operations in patients with alimentary constitutional obesity were done. Age of patients ranged from 28 to 58 years, an average of 43,3±6 years. The average weight of operated patients was 141+12 kg. The average body mass index (BMI) was 49,9+5,2 kg/m2. When the BMI exceeded 50 kg/m2, we performed the gastric bypass by Torres-Oca in 50 patients. We used the method of biliopancreatic bypass in 3 patients (when the BMI was over 60 kg/m2). We performed a modified technique of gastric bypass in 12 patients. Before the operation a diabetes type 2 was detected in 75 operated patients. Violation of glucose tolerance was diagnosed in 123 patients. Within 2 years after gastric banding we observed reduction in body weight of patients with 44.8±4.8 kg/m2 to 28.2±3.6 kg/m2. Persistent lowering glucose to normal performance was detected in 174 (88%) patients.

Ключові слова


obesity; disorders of carbohydrate metabolism; bariatric surgery

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Посилання


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DOI: https://doi.org/10.24026/1818-1384.4(37).2011.86525



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© Клінічна ендокринологія та ендокринна хірургія.

ISSN: 1818-1384 (Print), e-ISSN: 2519-2582, DOI: 10.24026/1818-1384.

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