Vliyanie lipektomii peredney stenkizhivota na techenie metabolicheskogosindroma

Summary. Objective: to study the influence of surgical correction of abdominal obesity in patients with type 2 diabetes mellitus on clinical course of metabolic syndrome (MS). Design and methods: 181obesity and type 2 diabetes mellitus patients were studied. All patients were divided into two groups...

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Main Authors: Mariya Aleksandrovna Volokh, Yuriy Shavkatovich Khalimov, Vladimir Mikhaylovich Shapovalov, Nikolay Grigor'evich Gubochkin
Format: Article
Language:English
Published: Concilium Medicum 2011-03-01
Series:КардиоСоматика
Subjects:
Online Access:https://cardiosomatics.orscience.ru/2221-7185/article/view/44964
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author Mariya Aleksandrovna Volokh
Yuriy Shavkatovich Khalimov
Vladimir Mikhaylovich Shapovalov
Nikolay Grigor'evich Gubochkin
author_facet Mariya Aleksandrovna Volokh
Yuriy Shavkatovich Khalimov
Vladimir Mikhaylovich Shapovalov
Nikolay Grigor'evich Gubochkin
author_sort Mariya Aleksandrovna Volokh
collection DOAJ
description Summary. Objective: to study the influence of surgical correction of abdominal obesity in patients with type 2 diabetes mellitus on clinical course of metabolic syndrome (MS). Design and methods: 181obesity and type 2 diabetes mellitus patients were studied. All patients were divided into two groups. First group consisted of 109 patients, who underwent lipoaspiration or abdominoplasty with subsequent medication. Second group - 72 patients suffering from abdominal obesity and type 2 diabetes mellitus, were treated conservatively without surgery. MS was diagnosed by six criteria in 90 (82,5%) first group patients and in 57 (79,1%) second group patients. 19 (17,5%) patients in the first group and 15 (20,9%) - in the second had five diagnostic MS criteria. Results. The study of patients serum lipid structure shows different results depending on the treatment technique. Anterior abdominal wall lipectomy leads to much faster and significant improvement in main lipidogram features, especially triglyceride and low-density lipoprotein concentration, which are the most important markers of MS progression. Unlike patients with obesity and type 2 diabetes mellitus treated conservatively with medication, surgically treated patients show fast and resistant improvement in cardonhydrate metabolism compensation markers, which are decrease of serum fasting glucose and glycated hemoglobin levels. Arterial hypertension stage II and III in the first group patients developed significantly less in 5 years after surgery (р
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spelling doaj.art-86b00a78e8a44e9b80ce78b7120718e62022-12-21T23:19:47ZengConcilium MedicumКардиоСоматика2221-71852658-57072011-03-0121374140630Vliyanie lipektomii peredney stenkizhivota na techenie metabolicheskogosindromaMariya Aleksandrovna VolokhYuriy Shavkatovich KhalimovVladimir Mikhaylovich ShapovalovNikolay Grigor'evich GubochkinSummary. Objective: to study the influence of surgical correction of abdominal obesity in patients with type 2 diabetes mellitus on clinical course of metabolic syndrome (MS). Design and methods: 181obesity and type 2 diabetes mellitus patients were studied. All patients were divided into two groups. First group consisted of 109 patients, who underwent lipoaspiration or abdominoplasty with subsequent medication. Second group - 72 patients suffering from abdominal obesity and type 2 diabetes mellitus, were treated conservatively without surgery. MS was diagnosed by six criteria in 90 (82,5%) first group patients and in 57 (79,1%) second group patients. 19 (17,5%) patients in the first group and 15 (20,9%) - in the second had five diagnostic MS criteria. Results. The study of patients serum lipid structure shows different results depending on the treatment technique. Anterior abdominal wall lipectomy leads to much faster and significant improvement in main lipidogram features, especially triglyceride and low-density lipoprotein concentration, which are the most important markers of MS progression. Unlike patients with obesity and type 2 diabetes mellitus treated conservatively with medication, surgically treated patients show fast and resistant improvement in cardonhydrate metabolism compensation markers, which are decrease of serum fasting glucose and glycated hemoglobin levels. Arterial hypertension stage II and III in the first group patients developed significantly less in 5 years after surgery (рhttps://cardiosomatics.orscience.ru/2221-7185/article/view/44964lipectomyarterial hypertensionlipid metabolismmetabolic syndrome
spellingShingle Mariya Aleksandrovna Volokh
Yuriy Shavkatovich Khalimov
Vladimir Mikhaylovich Shapovalov
Nikolay Grigor'evich Gubochkin
Vliyanie lipektomii peredney stenkizhivota na techenie metabolicheskogosindroma
КардиоСоматика
lipectomy
arterial hypertension
lipid metabolism
metabolic syndrome
title Vliyanie lipektomii peredney stenkizhivota na techenie metabolicheskogosindroma
title_full Vliyanie lipektomii peredney stenkizhivota na techenie metabolicheskogosindroma
title_fullStr Vliyanie lipektomii peredney stenkizhivota na techenie metabolicheskogosindroma
title_full_unstemmed Vliyanie lipektomii peredney stenkizhivota na techenie metabolicheskogosindroma
title_short Vliyanie lipektomii peredney stenkizhivota na techenie metabolicheskogosindroma
title_sort vliyanie lipektomii peredney stenkizhivota na techenie metabolicheskogosindroma
topic lipectomy
arterial hypertension
lipid metabolism
metabolic syndrome
url https://cardiosomatics.orscience.ru/2221-7185/article/view/44964
work_keys_str_mv AT mariyaaleksandrovnavolokh vliyanielipektomiiperedneystenkizhivotanatecheniemetabolicheskogosindroma
AT yuriyshavkatovichkhalimov vliyanielipektomiiperedneystenkizhivotanatecheniemetabolicheskogosindroma
AT vladimirmikhaylovichshapovalov vliyanielipektomiiperedneystenkizhivotanatecheniemetabolicheskogosindroma
AT nikolaygrigorevichgubochkin vliyanielipektomiiperedneystenkizhivotanatecheniemetabolicheskogosindroma