Առավել հաճախ կիրառվող բարիատրիկ վիրաբուժական միջամտությունների ժամանակակից միջազգային փորձը

Abstract

No more than 10% of patients with morbid obesity can achieve the desired treatment result using traditional therapy. Currently, for more than 10 years, bariatric surgery is the only widely used surgical approach that has proved its efficacy in reducing body weight in patients. The purpose of this literature review is a generalized analysis of the international experience of the most frequently used modern bariatric surgical interventions. We have undertaken a generalized presentation of data on the most popular bariatric procedures - laparoscopic Sleeve Gastrectomy and Roux-en-Y gastric bypass, available in the Russian and English literature, published over the past 10 years. The choice was made according to the principle of correspondence of the research topics with modern ideas about the indicated aspects of contemporary bariatric surgery. The evaluation of the published data showed that both studied techniques demonstrated significant effectiveness in treating morbid obesity. However, the researchers presented discrete results that prove the discrepancy between the indicators of postoperative complications, the rate of weight loss and regression of comorbidities. The analysis of the data led us to the conclusion that it is necessary to develop modification of the surgical technique to improve the efficiency of management of this contingent of patients.