НОВЫЕ МЕТОДЫ В БАРИАТРИЧЕСКОЙ ХИРУРГИИ: УЛУЧШЕНИЕ РЕЗУЛЬТАТОВ ЛЕЧЕНИЯ ОЖИРЕНИЯ И САХАРНОГО ДИАБЕТА 2 ТИПА (ОБЗОР ЛИТЕРАТУРЫ)
DOI:
https://doi.org/10.54890/1694-8882-2024-5-74Аннотация
Бариатрическая и метаболическая хирургия в современном мире является одним из наиболее эффективных методов лечения морбидного ожирения и сопутствующих заболеваний, таких как сахарный диабет 2 типа, артериальная гипертензия и дислипидемия. Поскольку количество людей с избыточным весом и ожирением продолжает расти по всему миру, возрастает и потребность в бариатрических операциях. Несмотря на высокую эффективность бариатрической хирургии в краткосрочной перспективе, проблема послеоперационного возврата веса остается серьезным вызовом, снижая долгосрочные результаты лечения и повышая риск рецидива сопутствующих заболеваний. Среди существующих методик профилактики возврата веса выделяют: усиление мальабсорбции либо усиление рестрикции путем использования первичного бандажирования вместе с основной операцией. В качестве перспективного решения предлагается метод одноанастомозного гастрошунтирования с фундопликацией (FundoRing), который сочетает в себе преимущества усиленной рестрикции и антирефлюксного эффекта. Это может помочь предотвратить возврат веса и улучшить метаболические результаты, снижая риск осложнений, связанных с бандажированием и синдромом мальабсорбции. Тем не менее, для подтверждения эффективности и безопасности этой методики требуется проведение дополнительных рандомизированных исследований с длительным наблюдением за пациентами. Таким образом, методика FundoRing представляет собой многообещающую альтернативу традиционным методам и может стать значимым шагом в борьбе с эпидемией ожирения и его последствиями.
Ключевые слова:
бариатрическая и метаболическая хирургия, сахарный диабет 2 типа, возврат веса, FundoRing, гастрошунтирование, резекция желудка, усиление рестрикции, билиопанкреатическое шунтирование, фундопликацияБиблиографические ссылки
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