grekovВестник хирургии имени И.И. ГрековаGrekov's Bulletin of Surgery0042-46252686-7370Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia10.24884/0042-4625-2020-179-1-95-104grekov-1271Research ArticleОБЗОРЫREVIEWSПринципы выбора повторных бариатрических операций (обзор литературы)Principles of choice of revisional bariatric procedures (review of the literature)https://orcid.org/0000-0001-6592-1036ЯшковЮ. И.YashkovYu. I.

Яшков Юрий Иванович - доктор медицинских наук, старший научный сотрудник, руководитель службы «Хирургия ожирения».

111123, Москва, шоссе Энтузиастов, д. 62.

Yashkov Yuriy I., Dr. of Sci. (Med.), senior researcher, head of the Service «Obesity Surgery» JSC «Center for Endosurgery and Lithotripsy».

Moscow.

yu@yashkov.ruСедлецкийЮ. И.SedletskiyYu. I.

Седлецкий Юрий Иванович - доктор медицинских наук, профессор кафедры хирургии факультетской с курсами сердечно-сосудистой и лапароскопической хирургии.

197022, Санкт-Петербург, ул. Льва Толстого, 6-8.

Sedletskiy Yuriy I., Dr. of Sci. (Med.), professor of the department of the faculty surgery with courses of cardiovascular and laparoscopic surgery, Pavlov University.

6-8, L. Tolstoy str., Saint Petersburg, 197022.

sedletsky_spb@mail.ruВасилевскийД. И.VasilevskiyD. I.

Василевский Дмитрий Игоревич - доктор медицинских наук, доцент кафедры хирургии факультетской с курсами сердечно-сосудистой и лапароскопической хирургии.

197022, Санкт-Петербург, ул. Льва Толстого, 6-8.

Vasilevskiy Dmitriy I., Dr. of Sci. (Med.), assistant professor of the department of the faculty surgery with courses of cardiovascular and laparoscopic surgery, Pavlov University.

6-8, L. Tolstoy str., Saint Petersburg, 197022.

vasilevsky1969@gmail.comЦветковБ. Ю.TsvetkovB. Y.

Цветков Борис Юрьевич - кандидат медицинских наук, заведующий хирургическим отделением.

443095, Самара, ул. Ташкентская, д. 159.

Tsvetkov Boris Yu., Cand. of Sci. (Med.), head the department of the surgery Seredavin Regional Clinical Hospital of Samara.

Samara.

echo_2000@mail.ruhttps://orcid.org/0000-0002-0946-2733КричмарА. М.KrichmarA. A.

Кричмар Александр Михайлович - кандидат медицинских наук, врач-хирург хирургического отделения.

443095, Самара, ул. Ташкентская, д. 159.

Krichmar Alexander M., Cand. of Sci. (Med.), doctor the department of the surgery Seredavin Regional Clinical Hospital of Samara.

Samara.

krichmar_a@mail.ruЦентр эндохирургии и литотрипсииРоссияCenter of Endosurgery and lithotripsyRussian FederationПервый Санкт-Петербургский государственный медицинский университет имени академика И.П. Павлова Министерства здравоохранения Российской ФедерацииРоссияPavlov UniversityRussian FederationСамарская областная клиническая больница имени В.Д. СередавинаРоссияSeredavin Regional Clinical Hospital of SamaraRussian Federation202001022020179195104Copyright © Яшков Ю.И., Седлецкий Ю.И., Василевский Д.И., Цветков Б.Ю., Кричмар А.М., 20202020Яшков Ю.И., Седлецкий Ю.И., Василевский Д.И., Цветков Б.Ю., Кричмар А.М.Yashkov Y.I., Sedletskiy Y.I., Vasilevskiy D.I., Tsvetkov B.Y., Krichmar A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vestnik-grekova.ru/jour/article/view/1271

Бариатрическая (метаболическая) хирургия в настоящее время рассматривается в качестве единственного эффективного метода лечения избыточной массы тела и ассоциированных с ней патологических состояний. Особенности течения ожирения как пожизненного рецидивирующего заболевания и неуклонное увеличение числа выполняющихся в мире операций по поводу данной патологии делают проблему повторных бариатрических вмешательств исключительно актуальной. В статье представлены анализ современных данных и собственный клинический опыт выбора методики ревизионных хирургических процедур у пациентов с избыточной массой тела при повторном наборе веса или развитии негативных побочных эффектов первичной операции.

Bariatric (metabolic) surgery is currently considered as the most effective treatment for obesity with its comorbidities and metabolic disorders like Diabetes Mellitus type 2. Due to life-long nature of obesity, high rate of its recidivism and increasing number of bariatric/ metabolic operations performing worldwide, the problem of revisional bariatric surgery is becoming extremely actual. The article based on literature data and author's own experience overlooks possible solutions for choice of revisional operations depending on kind of primary bariatric procedure, causes of revision: weight regain, complications and side effects of the primary operation.

бариатрическая хирургияповторные операциирецидив ожиренияметаболическая хирургияbariatric surgerybariatric revisional surgeryobesity relapsemetabolic surgeryReferencesHimpens J., Ramos A., Welbourn R. et al. Fourth IFSO Global Registry Report 2018. Dendrite Clinical Systems Ltd, 2018. 25 p.Himpens J., Ramos A., Welbourn R. et al. Fourth IFSO Global Registry Report 2018. Dendrite Clinical Systems Ltd. 2018:25.English W., DeMaria E., Brethauer S. et al. American Society for Metabolic and Bariatric Surgery estimation of metabolic and bariatric procedures performed in the United States in 2016 // Surg. Obes. Relat. Dis. 2018. Vol. 14. P. 259-263.English W., DeMaria E., Brethauer S. et al. American Society for Metabolic and Bariatric Surgery estimation of metabolic and bariatric procedures performed in the United States in 2016. Surg. Obes. Relat. Dis. 2018;14:259-263.Angerisani L., Vitiello A., Santonicola A. Roux-en-Y Gastric Bypass Versus Sleeve Gastrectomy as Revisional Produres after Adjustsble Gastric Bypass : 5-Year Outcomes // Obes. Surg. 2017. Vol. 27. P. 1430-1437.Angerisani L., Vitiello A., Santonicola A. Roux-en-Y Gastric Bypass Versus Sleeve Gastrectomy as Revisional Produres after Adjustsble Gastric Bypass: 5-Year Outcomes. Obes. Surg. 2017;27:1430-1437.Chansaenroj P., Aung L., Lee W. et al. Revision Procedures After Failed Adjustable Gastric Banding : Comparison of Efficacy and Safery // Obes. Surg. 2017. Vol. 27. P. 2861-2867.Chansaenroj P., Aung L., Lee W. et al. Revision Procedures After Failed Adjustable Gastric Banding: Comparison of Efficacy and Safery. Obes. Surg. 2017;27:2861-2867.Han Q., Chen Y., Zhuge J. et al. A 5-year experience of laparoscopic adjustable gastric banding in China // Obes. Surg. 2013. Vol. 23. P. 197-200.Han Q., Chen Y., Zhuge J. et al. A 5-year experience of laparoscopic adjustable gastric banding in China. Obes. Surg. 2013;23:197-200.Wezenbeek M. van, Oudheusden T. van, Zoete J. de et al. Conversion to Gastric Bypass After Either Failed Gastric Band or Failed Sleeve Gastrectomy // Obes. Surg. 2017. Vol. 27. P. 83-89.van Wezenbeek M., van Oudheusden T., de Zoete J. et al. Conversion to Gastric Bypass After Either Failed Gastric Band or Failed Sleeve Gastrectomy. Obes. Surg. 2017;27:83-89.Arapis K., Tammaro P., Ribeiro-Parenti L. et al. Long-Term Results After Laparoscopic Adjustable Gastric Banding for Morbid Obesity : 18-year Follow-Up a Single University Unit // Obes. Surg. 2017. Vol. 27. P. 630-640.Arapis K., Tammaro P., Ribeiro-Parenti L. et al. Long-Term Results After Laparoscopic Adjustable Gastric Banding for Morbid Obesity: 18-year Follow-Up a Single University Unit. Obes. Surg. 2017;27:630-640.Aridi H., Wehbe M., Shamseddine S. Long-Term Outcomes of Roux-en-Y Gastric Bypass Conversion of Failed Laparoscopic Gastric Band // Obes. Surg. 2017. Vol. 27. P. 1401-1408.Aridi H., Wehbe M., Shamseddine S. Long-Term Outcomes of Roux-en-Y Gastric Bypass Conversion of Failed Laparoscopic Gastric Band. Obes. Surg. 2017;27:1401-1408.Dayyeh B., Jirapinyo P., Thompson C. Plasma Ghelin Levels and Weight Regain After Roux-en-Y Gastric Bypass Surgery // Obes. Surg. 2017. Vol. 27. P. 1031-1036.Dayyeh B., Jirapinyo P., Thompson C. Plasma Ghelin Levels and Weight Regain After Roux-en-Y Gastric Bypass Surgery. Obes. Surg. 2017;27:1031-1036.Первый опыт лапароскопической гастропликации у пациентов с морбидным ожирением / И. Хатьков, Р. Аскерханов, И. Фейдоров, Ф. Петрова // Доказат. гастроэнтерология. 2018. Т. 7. С. 97.Hat'kov I., Askerhanov R., Feydorov I., Petrova F. Perviy opit laparos-kopicheskoy gastroplicacii u patsientov s morbidnim ozhireniem. Dokazatel'naya gastroenterologiya. 2018;7:97. (In Russ.).Zerrweck C., Rodriguez J., Aramburo E. Revisionsl Surgery Following Laparoscopic Gastric Plication // Obes. Surg. 2017. Vol. 27. P. 38-43.Zerrweck C., Rodriguez J., Aramburo E. Revisionsl Surgery Following Laparoscopic Gastric Plication. Obes. Surg. 2017;27:38-43.Obeidat F., Shanti H., Mismar A. The magnitude of Antra Resection in Laparoscopic Sleeve Gastrectomy and Relationship to Excess Weight Loss // Obes. Surg. 2015. Vol. 25. P. 1928-1932.Obeidat F., Shanti H., Mismar A. The magnitude of Antra Resection in Laparoscopic Sleeve Gastrectomy and Relationship to Excess Weight Loss. Obes. Surg. 2015;25:1928-1932.Ruiz-Tovar J., Martinez R., Bonete J. Long-term Weight and Metabolic Effects of Laparoscopic Sleeve Gastrectomy Calibrater with a 50-Fr Bougie // Obes. Surg. 2016. Vol. 26. P. 32-37.Ruiz-Tovar J., Martinez R., Bonete J. Long-term Weight and Metabolic Effects of Laparoscopic Sleeve Gastrectomy Calibrater with a 50-Fr Bougie. Obes. Surg. 2016;26:32-37.Seki Y., Kasama K., Hashimoto K. Long-term of Laparoscopic Sleeve Gastrectomy in Morbidly Obese Japanese Patients // Obes. Surg. 2016. Vol. 26. P. 138-145.Seki Y., Kasama K., Hashimoto K. Long-term of Laparoscopic Sleeve Gastrectomy in Morbidly Obese Japanese Patients. Obes. Surg. 2016; 26:138-145.Greco F. Conversion of Vertical Sleeve Gastrectomy Gastric Bypass : Technique to a Functional Single-Anastomosis Gastric Bypass : Techique and Preliminary Results Using a Non-Abjustable Ring Instead of Stapled Division // Obes. Surg. 2017. Vol. 27. P. 896-901.Greco F. Conversion of Vertical Sleeve Gastrectomy Gastric Bypass: Technique to a Functional Single-Anastomosis Gastric Bypass: Techique and Preliminary Results Using a Non-Abjustable Ring Instead of Stapled Division. Obes. Surg. 2017;27:896-901.Lemmens L. Banded Gastric Bypass : Better Long-Term Results? A Cohort Study with Minimum 5-year Follow-Up // Obes. Surg. 2017. Vol. 27. P. 864-872.Lemmens L. Banded Gastric Bypass: Better Long-Term Results? A Cohort Study with Minimum 5-year Follow-Up. Obes. Surg. 2017;27:864-872.Topart P., Becouarn G., Delarue J. Weight Loss and Nutritional Outcomes 10 years after Biliopancreatic Diversion with Duodenal Switch // Obes. Surg. 2017. Vol. 27. P. 1655-1650.Topart P., Becouarn G., Delarue J. Weight Loss and Nutritional Outcomes 10 years after Biliopancreatic Diversion with Duodenal Switch. Obes. Surg. 2017;27:1655-1650.Baretta G., Alhino H., Matias J. Argo Plasma Coagulation of Castrojejunal Anastomosis for Weight Regain Gastric Bypass // Obes. Surg. 2015. Vol. 25. P. 72-79.Baretta G., Alhino H., Matias J. Argo Plasma Coagulation of Castrojejunal Anastomosis for Weight Regain Gastric Bypass. Obes. Surg. 2015; 25:72-79.Langer F., Prager G., Poglitsch M. Weight Loss and Weight Regain -5-Yaer Follow-Up for Circular-vs. Linear-Stapled Gastrojejunostomy in Laparoscopic Roux-en-Y Gastric Bypass // Obes. Surg. 2013. Vol. 23. P. 776-781.Langer F., Prager G., Poglitsch M. Weight Loss and Weight Regain - 5-Yaer Follow-Up for Circular- vs. Linear-Stapled Gastrojejunostomy in Laparoscopic Roux-en-Y Gastric Bypass. Obes. Surg. 2013;23:776-781.Hamdi A., Julien C., Brown P. Midterm Outcomes of Revisional Surgery for Castric Pouch and Gastrolelunal Anastomotic Enlargement in Patients with Weight Regain After Gastric Bypass for Morbid Obesity // Obes. Surg. 2014. Vol. 24. P. 1386-1390.Hamdi A., Julien C., Brown P. Midterm Outcomes of Revisional Surgery for Castric Pouch and Gastrolelunal Anastomotic Enlargement in Patients with Weight Regain After Gastric Bypass for Morbid Obesity. Obes. Surg. 2014;24:1386-1390.Buchwald H., Oien D. Revision Roux-en-Y Gastric Bypass to Biliopan-creatic Long-Limb Gastric Bypass for Inadequate Weight Response : Case Series and Analysis // Obes. Surg. 2017. Vol. 27. P. 2293-2302.Buchwald H., Oien D. Revision Roux-en-Y Gastric Bypass to Biliopan-creatic Long-Limb Gastric Bypass for Inadequate Weight Response: Case Series and Analysis. Obes. Surg. 2017;27:2293-2302.Яшков Ю., Никольский А., Бекузаров Д. и др. Семилетний опыт применения операции билиопанкреатического отведения в модификации Hess-Marceau в лечении морбидного ожирения и сахарного диабета 2 типа // Ожирение и метаболизм. 2012. № 2. С. 43-48.Yashkov Yu., Nikol'skiy A., Bekuzarov D. et al. Semiletniy opit primene-niya operatsii biliopankreaticheskogo otvedenia v modifikatsii Hess-Marceau v lechenii morbidnogo ozhireniya i saharnogo diabeta. Ozhirenie I metabolism. 2012;2:43-48. (In Russ.).

The authors declare that there are no conflicts of interest present.