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Experimental and Clinical Gastroenterology

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Gastrointestinal complications in the late postoperative period after longitudinal resection of the stomach

https://doi.org/10.31146/1682-8658-ecg-170-10-96-100

Abstract

Objective of the Paper. To update the problems of eating disorders and psychosocial characteristics of patients with morbid obesity and associated gastrointestinal complications after bariatric intervention in the late postoperative period.

Key Points. Obesity is an urgent medical and social problem that increases the cost of medical care and worsens the quality of life of patients and requires lifelong treatment. In severe forms of obesity, surgical methods of treatment remain uncontested. The paper presents the literature data on the epidemiology of obesity, methods of treatment of morbid obesity, the risk of complications associated with bariatric surgery. We present our own observation of the clinical case, demonstrating the development of gastrointestinal complications that occurred in the patient in the late postoperative period, the main component of the development of which were non-compliance with the diet and diet after bariatric intervention and especially the psycho-social characteristics of the patient.

Conclusion. In the treatment of gastrointestinal complications of surgical treatment of morbid obesity, it is necessary to take into account the peculiarities of eating behavior, violation of dietary recommendations, diet, personal characteristics of patients. Patients who have undergone bariatric surgery are recommended to be under the supervision of a multidisciplinary team of specialists with experience in the treatment of medical, psychological and gastroenterological side eff ects of bariatric surgery for life.

About the Authors

M. Yu. Serkova
Federal public budget educational institution of higher education “North-West State Medical University n. a. I. I. Mechnikov” of the Ministry of Health of the Russian Federation
Russian Federation


I. G. Bakulin
Federal public budget educational institution of higher education “North-West State Medical University n. a. I. I. Mechnikov” of the Ministry of Health of the Russian Federation
Russian Federation


References

1. Кляритская И.Л., Стилиди Е. И., Максимова Е. В. Морбидное ожирение и ассоциированная патология: алгоритм ведения больных. Крымский терапевтический журнал. 2015. № 1 (24). С. 43–48. Klyaritskaya I. L., Stilidi E. I., Maksimova E. V. Morbid obesity and associated pathology: an algorithm for management patients. Crimean therapeutic journal. 2015:1 (24):43–48. (In Russ).

2. Бакулин И. Г., Сандлер Ю. Г., Кейян В. А., Винницкая Е. В. и др. Оценка стеатоза печени с по- мощью неинвазивного метода: миф или реальность? Доктор.Ру. Гастроэнтерология. 2015. № 12 (113). С. 57–64.

3. Bakulin I. G., Sandler Yu.G., Keyyan V. A. et al. Evaluation of liver steatosis using a non-invasive method: myth or reality? Doctor.Ru. Gastroenterology. 2015:12 (113): 57–64. (In Russ).

4. Дедов И.И., Мельниченко Г. А., Шестакова М. В. и со- авт. Лечение морбидного ожирения у взрослых. Ожирение и метаболизм. 2018. Т. 15. № 1. С. 53–70. Dedov I. I., Melnichenko G. A., Shestakova M. V. et al. Treatment of morbid obesity in adults. Obesity and metabolism. 2018, vol. 15, no. 1, pp. 53–70. (In Russ).

5. Фишман М.Б., Седов В. М., Соловьёва М. О. и др. Опыт лечения ожирения и метаболического синдрома. Седьмой Российский симпозиум «Хирургическое лечение ожирения и метаболических нарушений». Анналы хирургии (приложение). Екатеринбург, 2013. С. 55–56. Fishman M.B, Sedov V. M., Solovyova M. O. et. al. Experience in the treatment of obesity and metabolic syndrome. Seventh Russian Symposium “Surgical treatment of obesity and metabolic disorders.” Annals of Surgery (Appendix). Yekaterinburg, 2013, pp. 55–56. (In Russ).

6. Клинические рекомендации по бариатрической и метаболической хирургии. М.: Российское общество бариатрических хирургов, 2014. Clinical guidelines for bariatric and metabolic surgery. M.: Russian Society of Bariatric Surgeons, 2014. (In Russ).

7. Лечение морбидного ожирения у взрослых. Национальные клинические рекомендации. М., 2012. 20 с. Treatment of morbid obesity in adults. National clinical guidelines. M., 2012, 20 P. (In Russ).

8. Пряхин А. Н. Хирургическое лечение ожирения. Продольная резекция желудка: учебное пособие. Челябинск, 2015. 39 с. Pryakhin A. N. Surgical treatment of obesity. Longitudinal resection of the stomach: study guide. Chelyabinsk. 2015, 39 p. (In Russ).

9. Яшков Ю.И., Луцевич О. Э., Бордан Н. С. и др. Продольная резекция желудка при ожирении – ре- зультаты 5-летних наблюдений. Эндоскопическая хирургия. 2014. № 1. С. 479–480. Yashkov Yu.I., Lutsevich O. E., Bordan N. S. et. al. Longitudinal resection of the stomach in obesity – the results of 5-year observations. Endoscopic surgery. 2014, no. 1, pp. 479–480. (In Russ).

10. Fabricatore A.N, Crerand C.E, Wadden T.A et al. How do mental health professionals evaluate candidates for bariatric surgery? Survey results. Obes Surg. 2005, no. 15, pp. 567–573.

11. Madalosso CA, Gurski RR, Callegari-Jacques SM, Navarini D. The impact of gastric bypass on gastroesophageal refl ux disease in patients with morbid obesity: a prospective study based on the Montreal Consensus. Ann Surg. 2010;251(2): 244–248.

12. Неймарк А.Е., Еганян Ш. А., Гринева Е. Н. Психологическое соп ровождение пациентов до и после выполнения бариатрических операций. Consilium Medicum. 2016;18(4):53–56. Neymark A. E., Eganyan Sh.A., Gr ineva E. N. Psychological assessment of the patients before and aft er bariatrics urgery. Consilium Medicum. 2016;18(4):53–56. (In Russ).


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For citations:


Serkova M.Yu., Bakulin I.G. Gastrointestinal complications in the late postoperative period after longitudinal resection of the stomach. Experimental and Clinical Gastroenterology. 2019;1(10):96-100. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-170-10-96-100

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