Можливості хірургічного лікування пацієнтів з ожирінням і порушеннями вуглеводного обміну
DOI:
https://doi.org/10.24026/1818-1384.4(37).2011.86525Ключові слова:
obesity, disorders of carbohydrate metabolism, bariatric surgeryАнотація
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.Посилання
Martin L.F., Lundberg A.P., Raum W.J., Hartman S.J. A description of morbidly obese state employees requesting a bariatric operation // Surgery – 2005. – Vol.138(4). – P.690-700. https://doi.org/10.1016/j.surg.2005.06.050
Brey G.A. Obesity: a time bomb to be defused // Lancet . – 1998. – Vol.352(9123). – P.160-161. https://doi.org/10.1016/s0140-6736(98)22029-0
Cadiere G.B., Bruyns J., Himpens J., Favretti F. Laparoscopic gastroplasty for morbid obesity // Br. J. Surg. – 1994. – Vol.81. – P. 1524. https://doi.org/10.1002/bjs.1800811042
O'Brien P.E., Dixon J.B. Weight loss and early and late complications – the international experience // Am. J. Surg. – 2002. – Vol.184(6B). – P. S42-45. https://doi.org/10.1016/s0002-9610(02)01179-0
Silecchia G., Restuccia A., Elmore U. et al. Laparoscopic adjustable silicone gastric banding: prospective evaluation of intragastric migration of the lap-band // Surg. Laparosc. Endosc. Percutan. Tech. – 2001. – Vol. 11(4). – P. 229-234. https://doi.org/10.1097/00129689-200108000-00001
Vendrell J., Broch M., Vilarrasa N. et. al. Resistin, Adiponectin, Ghrelin, Leptin, and Proinflammatory Cytokines: Relationships in Obesity // Obes. Res. – 2004. – Vol.12(6). – P. 962-971. https://doi.org/10.1038/oby.2004.118
Hubert H.B., Feinleib M., McNamara P.M. et al. Obesity as an independent risk factor for cardiovascular diseases: a 26-year follow-up of participant in the Framingham study // Circulation – 1983. – Vol.67. – P. 968-977. https://doi.org/10.1161/01.cir.67.5.968
Mokdad A.H., Serdula M.K., Dietz W.D. et al. The spread of the obesity epidemic in the United States, 1991-1998 // JAMA. – 1999. – Vol.282. – P. 1519-1521. https://doi.org/10.1001/jama.282.16.1519
Wilkinson L.N., Peloso O.A. Gastric reservoir reduction for morbid obesity // Arch. Surg. – 1981. – Vol.116(5). – P. 602-605. https://doi.org/10.1001/archsurg.1981.01380170082014
Nestor M.S. Perioperative use of antibiotics: preventing and treating perioperative infections // J. Drugs Dermatol. – 2005. – Vol.4(6 Suppl). – P. S34-36.
Aufenacker T.J., van Geldere D., van Mesdag T. et al. The role of antibiotic prophylaxis in prevention of wound infection after Lichtenstein open mesh repair of primary inguinal hernia: a multicenter double-blind randomized controlled trial // Ann. Surg. – 2004. – Vol.240(6). – P. 955-961. https://doi.org/10.1097/01.sla.0000145926.74300.42
Esposito S., Mittelkotter U. Ceftriaxone prophylaxis in abdominal, cardiovascular, thoracic, orthopaedic, neurosurgical and general surgery: a review of practice 1996-2003 // J. Chemother. – 2005. – Vol.17. – P. 17-32. https://doi.org/10.1179/joc.2005.17.supplement-2.17
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