THE CHOICE OF METHOD OF SURGICAL TREATMENT OF OBESITY (review of literature)

During the long history of obesity surgery and associated diseases, a large number of operation techniques with different mechanisms of action have been proposed. However, all currently existing options for surgical correction of obesity have their advantages and disadvantages, ultimately determining the results and side effects of treatment. This circumstance determines the exceptional importance of the correct choice of methods for bariatric surgery. The article considers the basic principles and criteria for choosing the method of surgical treatment of overweight and related diseases from different perspectives.The authors declare no conflict of interest.The authors confirm that they respect the rights of the people participated in the study, including obtaining informed consent when it is necessary, and the rules of treatment of animals when they are used in the study. Author Guidelines contains the detailed information.

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Gastric bypass in modern bariatric surgery

Obesity and metabolism ◽

10.14341/omet10161 ◽

2020 ◽

Vol 17 (2) ◽

pp. 130-137

Author(s):

Oral B. Ospanov ◽

Galymzhan A. Yeleuov ◽

Farida K. Bekmurzinova

Keyword(s):

Bariatric Surgery ◽

Gastric Bypass ◽

Surgical Treatment ◽

Bypass Surgery ◽

Gastric Bypass Surgery ◽

Promising Alternative ◽

Advantages And Disadvantages ◽

Surgical Methods ◽

Treatment Of Obesity ◽

Surgical Treatment Of Obesity

The Roux-en-Y Gastric bypass surgery has long been considered as the gold standard method for the surgical treatment of obesity and its complications. But at present, this position is disputed by supporters of one-anastomotic gastric bypass and sleeve gastrectomy. The decrease in the share of gastric bypass in the structure of bariatric operations is explained by technical complexity, surgical and malabsorption complications. This review reflects the main role of gastric bypass as a bariatric surgery in the treatment of obesity and metabolic syndrome, and discloses various options for the technical implementation of gastric bypass surgery according to Roux-en-Y and alternative one-anastomotic gastric bypass surgery. The advantages and disadvantages of the stapler-use and stapleless method for performing bariatric operations are shown. In our opinion, one of the promising alternative concepts for the surgical treatment of obesity is stapleless one-anastomotic direction in gastric bypass surgery, but the known stapleless methods are imperfect and unsafe. Thus, based on the presented literature review, we can conclude that the imperfection of not only the stapler gastric bypass methods, but also the stapleless method. Therefore, a further research is needed for alternative surgical methods that would reduce the likelihood of surgical complications, reduce the cost of bariatric surgery and increase the accessibility of surgical treatment of obesity for the population.

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