Биология ва тиббиёт муаммолари 2026, №2 (168)
Subject of the article
FEATURES OF THE CLINICAL AND METABOLIC STATUS IN PATIENTS WITH TYPE 2 DIABETES MELLITUS IN THE POSTOPERATIVE PERIOD (323-327)
Authors
Teshaev Oktyabr Ruhullaevich, Mavlyanov Alimbay Razzakovich, Tavasharov Bakhodir Nazarovich
Institution
Tashkent State Medical University, Republic of Uzbekistan, Tashkent
Abstract
Introduction. Diabetes mellitus is accompanied by significant comorbid pathology, as well as increased risk of thromboembolic complications. To improve the quality of life and reduce the risk for the treatment of diabetes mellitus, various methods are used the most effective of these are bariatric operations, which have been steadily increasing lately. The aim of the study - to improve the surgical treatment used for type 2 diabetes mellitus. Material and methods. 82 patients with type 2 diabetes mellitus who received surgical treatment were examined. They were divided into 2 groups: 1st group of patients operated on with modified MGS, 2nd group of patients on classical MGS. All patients were compatible in gender and age. Of these, 58 (70.7%) were men and 24 (29.3%) were women, with an average age of 51.7 ± 1.5 years. Results. 12 months after the surgical intervention in the 1st group, statistically significantly more pronounced positive dynamics of all the studied indicators were noted. The percentage of excess body weight loss (%EWL) in the 1st group reached 80.7±1.5%, which was statistically significantly higher than the indicators of the 2nd group (77.1±2.3%, p<0.01).
Key words
Type 2 diabetes mellitus, gastroenteroanastomosis, BAROS, MGB-OAGB.
Literature
1. Хитарьян А. Г., Хубиев С. Т., Межунц А. В., Завгородняя Р. Н., Велиев К. С. и др. Сравнитель-ный анализ результатов лечения морбидного ожи-рения методом мини-гастрошунтирования с со-зданием аппаратного и ручного гастроэнтероана-стомоза // Эндоскопическая хирургия. 2018. Т. 24, № 6. С. 19–28. DOI: 10.17116/endoskop20182406119. 2. Mahawar K. K., Jennings N., Brown J., Gupta A., Balupuri S., Small P. K. “Mini” gastric bypass: systematic review of a controversial procedure // Obesity Surgery. 2013. Vol. 23, № 11. P. 1890–1898. DOI: 10.1007/s11695-013-1026-8. PMID: 23934271. 3. Pai M. P., Paloucek F. P. The origin of the “ide-al” body weight equations // Annals of Pharma-cotherapy. 2000. Vol. 34, № 9. P. 1066–1069. DOI: 10.1345/aph.19381. PMID: 10981254. 4. Piazza L., Ferrara F., Leanza S., Coco D., Sarvà S., Bellia A., Di Stefano C., Basile F., Biondi A. Laparoscopic mini-gastric bypass: short-term single-institute experience // Updates in Surgery. 2011. Vol. 63, № 4. P. 239–242. 5. Rutledge R., Kular K., Manchanda N. The Mini-Gastric Bypass original technique // International Journal of Surgery. 2019. Vol. 61. P. 38–41. DOI: 10.1016/j.ijsu.2018.10.042. PMID: 30476553. 6. Salminen P., Grönroos S., Helmiö M., Hurme S., Juuti A., Juusela R., Peromaa-Haavisto P., Leivonen M., Nuutila P., Ovaska J. Effect of laparoscopic sleeve gastrectomy vs Roux-en-Y gastric bypass on weight loss, comorbidities, and reflux at 10 years in adult patients with obesity: The SLEEVEPASS ran-domized clinical trial // JAMA Surgery. 2022. Vol. 157, № 8. P. 656–666. 7. Tolone S., Cristiano S., Savarino E., Lucido F. S., Fico D. I., Docimo L. Effects of omega-loop bypass on esophagogastric junction function // Surgery for Obesity and Related Diseases. 2016. Vol. 12, № 1. P. 62–69. DOI: 10.1016/j.soard.2015.03.011. PMID: 25979206.