MODIFIED METHOD OF LAPAROSCOPIC GASTRIC BYPASS SURGERY
https://doi.org/10.24884/0042-4625-2017-176-2-100-106
Abstract
OBJECTIVE. The study aimed to improve the results of gastric bypass surgery. MATERIALS AND METHODS. The article analyzed the results of surgical treatment of 342 patients with metabolic syndrome who underwent operation at the period from 2008 to 2016.The patients were divided into 2 groups according to the type of operation. The first group included 224 (65,4 %) patients who underwent standard surgery LGB using Lontron procedure. The second group numbered 118 (34,5 %) patients whom LGB operation with ARC (the original method) were performed. The efficacy of operation was evaluated in different terms (after 3-month, one year and 3 years). The article described in detail and showed the technique of proposed modified operation of gastric bypass surgery. RESULTS. The proposed method of operative treatment was validated by researches performed. There was demonstrated higher efficacy of operations compared with the standard gastric bypass surgery. CONCLUSIONS. The operation of modified laparoscopic gastric bypass with formation of antireflux valve allowed clinicians to improve the results, decrease the number of complications and have a strong influence on main components of metabolic syndrome.
About the Author
M. B. Fishman
I. P.Pavlov First Saint-Petersburg State Medical University
Russian Federation
Russian Federation
References
1. ВОЗ. Информационный бюллетень № 311 2015 г. Источник: http://www.who.int/mediacentre/factsheets/fs311/ru.
2. Дедов И. И., Шестакова М. В., Викулова О. К. Государственный реестр сахарного диабета в Российской Федерации: статус 2014 г. и перспективы развития // Сахарный диабет. 2015. Т. 18, № 3. С. 5-23.
3. Фишман М. Б., Куприн П. Е. Особенности распространенности ожирения среди населения Северо-Запада РФ // Клиническая медицина: Межвузовский сборник стран СНГ. Н. Новгород; Алматы, 2006. Т. 13. С. 266-271.
4. Фишман М. Б., Ма Чие, Мужиков С. П. Профилактика гастроэзофагеальной рефлюксной болезни после бариатрических вмешательств // Вестн. хир. 2014. № 3. С. 33-37.
5. Buchwald H., Danette M. Oien. Metabolic/bariatric surgery worldwide 2011 // Obes. Surg. 2013. Vol. 23, (Issue 4). P. 427-436.
6. Champion J. K., Hunt T., DeLisle N. Laparoscopic vertical banded gastroplasty and Roux-en-Y gastric bypass in morbid obesity // Obes. Surg. 1999. Vol. 9. P. 123.
7. DeMaria E. J., Sugerman H. J., Kellum J. M. et al. Results of 281 consecutive total laparoscopic Roux-en-Y gastric bypasses to treat morbid obesity // Ann. Surg. 2002. Vol. 235. P. 640-647.
8. Fishman M., Sedov V. To a question of obesity epidemy and to necessity of bariatric operations // IFSO: XIV World Congress. Poster report. Obes. Surg. 2009. Vol. 19, № 8. P. 1013.
9. Gagner M., Garcia-Ruiz A., Arca M. J., Heniford T.B. Laparoscopic isolated gastric bypass for morbid obesity // Surg. Endosc. 1999. Vol. 13. P. 6.
10. Higa K. D., Boone K. B. et al. Laparoscopic Roux-en-Y gastric bypass for morbid obesity: technique and preliminary results of our first 400 patients // Arch. Surg. 2000. Vol. 135. P. 1029-1033.
11. http://apps.who.int/gho/data/view.main.2450A?lang = en
12. http://gamapserver.who.int/gho/interactive_charts/ncd/risk_factors/ obesity/atlas.html
13. http://www.gks.ru/wps/wcm/connect/rosstat_main/rosstat/ru/ statistics/population/demography/#
14. http://www.hse.ru/data/2014/08/19/1314648100/Vestnik %20RLMSHSE_2014.pdf
15. http: // www.idf.org/sites/default/files/Atlas-poster-2014_EN.pdf
16. Mason E. E., Ito C. Gastric Bypass in obesity // Surg. Clin. North. Amer. 1967. Vol. 47, № 6. P. 1345-1351.
17. Neovius M., Narbro K., Keating C. et al. Health care use during 20 years following bariatric surgery // JAMA. 2012. Vol. 308. P. 1132-1141.
18. Schauer P. R., Ikramuddin S., Hamad G. et al. Laparoscopic Gastric Bypass surgery: current technique // J. LapEndosc. Ad. Surg. Tech. 2003. Vol. 13, № 4. P. 229-239.
19. WHO, Regional Office / Под ред. F. Branca, H. Nikogosian, T. Lobstein. Проблема ожирения в Европейском регионе ВОЗ и стратегия ее решения. Резюме // Copenhagen, Denmark, 2007. P. 71. http://www.euro.who.int/pubrequest.
20. Wittgrove A. C., Clark G. W. Laparoscopic gastric bypass: a five-year prospective study of 500 patients followed from 3 to 60 months // Obes. Surg. 2000. Vol. 9. P. 123-143.
21. Zimmerman J. M., Blanc M., Mashoyan P. Gastric bypass: 4 techniques of gastrojejunal anastomosis // Abstracts of oral presentations, XI Thе World Congress of IFSO, Sydney, Australia // Obes. Surg. 2006. № 16. P. 987
Review
For citations:
Fishman M.B. MODIFIED METHOD OF LAPAROSCOPIC GASTRIC BYPASS SURGERY. Grekov's Bulletin of Surgery. 2017;176(2):100-106. (In Russ.) https://doi.org/10.24884/0042-4625-2017-176-2-100-106
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