| About the author: |
K. M. Mylytsya, I. G. Biriuk, A. S. Lavryk, M. M. Mylytsya, K. V. Shepitko |
| Heading |
CLINICAL MEDICINE |
| Type of article |
Scentific article |
| Annotation |
The article is devoted to the problem of surgical treatment of patients with metabolic syndrome and obesity. Research methods: general clinical, anthropometric, laboratory, morphological; mathematical and statistical. It has been established that in order to select the optimal surgical tactics and predict complications in the postoperative period, it is necessary to additionally determine the insulin level. It has been proven that metabolic syndrome and obesity negatively affect the state of carbohydrate metabolism, production of inflammatory cytokines and cortisol. Assessment of changes in the structure of comorbidities (hypertension, joint pain) had no significant differences and in all groups was positive. The analysis of complications in all groups showed the absence of significant problems during the postoperative period, and there are minor differences of no discussion interest. |
| Tags |
obesity, insulin resistance, metabolic disorders, metabolic syndrome, surgical treatment, diabetes mellitus |
| Bibliography |
- Ametov AS. Izbrannye lektsii po endokrinologii. 2009 :496 [in Russian]
- Bakhrushyn V. Ye. Pobudova opysovoyi statystyky skladnykh system ta hrafichne zobrazhennia danykh za dopomohoyu movy prohramuvannia. Skladni systemy i protsesy. 2012; 2: 3–11. DOI 10.11603/2414-4533.2016.3.6787 [in Ukrainian]
- Bakhrushyn VYe. Metody analizu danykh. KPU. 2011: 268. [in Ukrainian]
- Mylytsia KM, Lavryk OA, Bakhrushyn VYe. Khirurhichne likuvannia metabolichnoho syndromu yak profilaktyka rozvytku mortalnykh zakhvoriuvan. Shpytalna Khirurhiia. 2016; 3:16–20 [in Ukrainian]
- Zherdova NM. Vplyv insulinorezystentnosti na sertsevo–sudynni zakhvoriuvannya u patsiyentiv iz tsukrovym diabetom 2-ho typu ta metody іyі korektsiyi. Ukrayinskyi medychnyi chasopys. 2013;6(98):53–5. doi: 10.22141/2224-0721.13.5.2017.110021 [in Ukrainian]
- Acosta A, Abu Dayyeh B, Port JD, Camilleri M. Recent advances in clinical practice challenges and opportunities in the management of obesity. Gut. 2014; 63: 687–95. 538.doi: 10.1136/gutjnl-2013-306235
- Chang HW, Li YH, Hsieh CH. Association of body mass index with all–cause mortality in patients with diabetes: a systemic review and meta–analysis. Cardiovasc Diagn Ther. 2016; 6(2):109–19. doi: 10.21037/cdt.2015.12.06
- Choi Y, Giovannucci E, Lee JE. Glycaemic index and glycaemic load in relation to risk of diabetes–related cancers: a meta–analysis. Br J Nutr. 2012;108:1934–47. doi: 10.1017/S0007114512003984
- Fried M, Hainer V, Basdevant A, Buchwald H, Dietel M, Finer N. Interdisciplinary European guidelines on surgery for severe obesity. Rozhl Chir. 2008;87:468. DOI: 10.1159/000113937
- Nykonenko AO, Haidarzhi YeI, Buzga M. Bone metabolism changes after laparoscopic greater curvature plication. A one–year study. Zaporizhzhya Medical J. 2016;2:64–9.
- Padwal R, Klarenbach S, Wiebe N, Hazel M, Birch D, Karmali S, Sharma AM, Manns B, Tonelli M.Bariatric surgery: a systematic review of the clinical and economic evidence. J Gen Intern Med. 2011;26(10):1183–94. Doi : 10.1007/s11606-011-1721-x
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| Publication of the article |
«World of Medicine and Biology» №4(78), 2021 year, 110-115 pages, index UDK 616-056.52:616.12-008.331.1-06]-089 |
| DOI |
10.26724/2079-8334-2021-4-78-110-115 |
