First results of distal gastric shunting with one anastomosis in patients, suffering morbid obesity
Objective. To study a metabolic effect of distal gastric shunting with one anastomosis in patients, suffering morbid obesity (MO). Materials and methods. The results of surgical treatment of 53 patients, suffering MO, in whom in the clinic a distal gastric shunting with one anastomosis, were anal...
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| Format: | Article |
| Language: | Russian |
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Liga-Inform ltd.
2019-10-01
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| Series: | Клінічна хірургія |
| Subjects: | |
| Online Access: | https://hirurgiya.com.ua/index.php/journal/article/view/744 |
| _version_ | 1797839438113406976 |
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| author | A. S. Lavryk A. Yu. Zgonnyk O. A. Lavryk R. I. Vynogradov |
| author_facet | A. S. Lavryk A. Yu. Zgonnyk O. A. Lavryk R. I. Vynogradov |
| author_sort | A. S. Lavryk |
| collection | DOAJ |
| description | Objective. To study a metabolic effect of distal gastric shunting with one anastomosis in patients, suffering morbid obesity (MO).
Materials and methods. The results of surgical treatment of 53 patients, suffering MO, in whom in the clinic a distal gastric shunting with one anastomosis, were analyzed. The patients age range have varied from 27 to 66 yrs old. A median body mass index have constituted 53 kg/m2 (38 - 80 kg/m2). Metabolic syndrome have had all 53 (100%) patients, hypertensive disease, atherosclerotic cardiosclerosis, dyslipidemia - 30 (56.6%) patients, Pickwick syndrome - 4 (7.5%), diabetes mellitus Type II - 11 (20.8%). There were estimated the excessive body mass, laboratory indices - a НOMA index, the levels of insulin, C-peptide, lipids, general protein.
Results. In a one year postoperatively a median index of the excessive body mass loss have constituted 67.1%, in 2 yrs - 76.4%. Preoperatively a НOMA index have constituted 8.02 conventional units, level of insulin - 21 mcU/ml, C-peptide - 4.2 ng/ml. Already in 3 mo after distal gastric shunting a НOMA index, the levels of insulin and C-peptide have normalized.
Conclusion. Distal gastric shunting constitutes an effective method of surgical correction of MO, metabolic syndrome and in accordance to results is completely comparable with other bariatric operations, and they are technically easier to perform in patients, suffering morbid superobesity, using surgical access with 3 trocars. |
| first_indexed | 2024-04-09T15:58:22Z |
| format | Article |
| id | doaj.art-0f94ee061a1b45a3aeb9cb2b66845b5a |
| institution | Directory Open Access Journal |
| issn | 0023-2130 2522-1396 |
| language | Russian |
| last_indexed | 2024-04-09T15:58:22Z |
| publishDate | 2019-10-01 |
| publisher | Liga-Inform ltd. |
| record_format | Article |
| series | Клінічна хірургія |
| spelling | doaj.art-0f94ee061a1b45a3aeb9cb2b66845b5a2023-04-25T13:54:33ZrusLiga-Inform ltd.Клінічна хірургія0023-21302522-13962019-10-018610121710.26779/2522-1396.2019.10.12744First results of distal gastric shunting with one anastomosis in patients, suffering morbid obesityA. S. Lavryk0A. Yu. Zgonnyk1O. A. Lavryk2R. I. Vynogradov3Shalimov National Institute of Surgery and Transplantology, KyivShalimov National Institute of Surgery and Transplantology, KyivShalimov National Institute of Surgery and Transplantology, KyivShalimov National Institute of Surgery and Transplantology, KyivObjective. To study a metabolic effect of distal gastric shunting with one anastomosis in patients, suffering morbid obesity (MO). Materials and methods. The results of surgical treatment of 53 patients, suffering MO, in whom in the clinic a distal gastric shunting with one anastomosis, were analyzed. The patients age range have varied from 27 to 66 yrs old. A median body mass index have constituted 53 kg/m2 (38 - 80 kg/m2). Metabolic syndrome have had all 53 (100%) patients, hypertensive disease, atherosclerotic cardiosclerosis, dyslipidemia - 30 (56.6%) patients, Pickwick syndrome - 4 (7.5%), diabetes mellitus Type II - 11 (20.8%). There were estimated the excessive body mass, laboratory indices - a НOMA index, the levels of insulin, C-peptide, lipids, general protein. Results. In a one year postoperatively a median index of the excessive body mass loss have constituted 67.1%, in 2 yrs - 76.4%. Preoperatively a НOMA index have constituted 8.02 conventional units, level of insulin - 21 mcU/ml, C-peptide - 4.2 ng/ml. Already in 3 mo after distal gastric shunting a НOMA index, the levels of insulin and C-peptide have normalized. Conclusion. Distal gastric shunting constitutes an effective method of surgical correction of MO, metabolic syndrome and in accordance to results is completely comparable with other bariatric operations, and they are technically easier to perform in patients, suffering morbid superobesity, using surgical access with 3 trocars.https://hirurgiya.com.ua/index.php/journal/article/view/744bariatric surgery; distal gastric shunting with one anastomosis; morbid obesity |
| spellingShingle | A. S. Lavryk A. Yu. Zgonnyk O. A. Lavryk R. I. Vynogradov First results of distal gastric shunting with one anastomosis in patients, suffering morbid obesity Клінічна хірургія bariatric surgery; distal gastric shunting with one anastomosis; morbid obesity |
| title | First results of distal gastric shunting with one anastomosis in patients, suffering morbid obesity |
| title_full | First results of distal gastric shunting with one anastomosis in patients, suffering morbid obesity |
| title_fullStr | First results of distal gastric shunting with one anastomosis in patients, suffering morbid obesity |
| title_full_unstemmed | First results of distal gastric shunting with one anastomosis in patients, suffering morbid obesity |
| title_short | First results of distal gastric shunting with one anastomosis in patients, suffering morbid obesity |
| title_sort | first results of distal gastric shunting with one anastomosis in patients suffering morbid obesity |
| topic | bariatric surgery; distal gastric shunting with one anastomosis; morbid obesity |
| url | https://hirurgiya.com.ua/index.php/journal/article/view/744 |
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