NEW METHODS IN BARIATRIC SURGERY: IMPROVING OUTCOMES IN THE TREATMENT OF OBESITY AND TYPE 2 DIABETES MELLITUS (LITERATURE REVIEW)
DOI:
https://doi.org/10.54890/1694-8882-2024-5-74Abstract
Bariatric and metabolic surgery is one of the most effective methods of treating morbid obesity and associated diseases such as type 2 diabetes, hypertension and dyslipidemia in the modern world. As the number of overweight and obese people continues to grow worldwide, the need for bariatric surgeries also increases. Despite the high efficiency of bariatric surgery in the short term, the problem of postoperative weight regain remains a serious challenge, reducing long-term treatment results and increasing the risk of recurrence of associated diseases. Among the existing methods of preventing weight regain, there is increased malabsorption or increased restriction by using primary bandaging together with the main surgery. As a promising solution, a method of one anastomosis gastric bypass with modified fundoplication (FundoRing) is proposed, which combines the advantages of increased restriction and antireflux effect. This may help prevent weight regain and improve metabolic outcomes, reducing the risk of band-related complications and malabsorption syndrome. However, further randomized studies with long-term follow-up are needed to confirm the efficacy and safety of this technique. Thus, the FundoRing technique represents a promising alternative to traditional methods and may be a significant step in in the struggle against the obesity epidemic and its consequences.
Keywords:
bariatric and metabolic surgery, type 2 diabetes mellitus, weight regain, FundoRing, gastric bypass, gastric resection, additional restrictions, biliopancreatic bypass, fundoplicationReferences
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