APPLICATION OF DYE LEAK TEST FOR GASTROINTESTINAL TRACT TIGHTNESS CONTROL IN BARIATRIC SURGERY

The problem of obesity is widespread both in the Republic of Belarus and on a global scale. So, according to the WHO, 640 million people in the world suffer from obesity [6]. In the Republic of Belarus in 2015—2016.rasprostranennost' ozhireniya sredi vzroslogo naseleniya sostavlyala 24,5 % [5, 6]. Morbidnoye ozhireniye pri IMT >40 kg/m2, ili >35 kg/m2 pri nalichii soputstvuyushchey patologii, chasto okazyvayetsya refrakternym k konservativnym the prevalence of obesity among the adult population was 24.5 % [5, 6]. Morbid obesity with a BMI >40 kg/m2, or >35 kg/m2 in the presence of concomitant pathology, is often weight loss in patients is precisely surgical intervention [2]. Among the performed bariatric operations, interventions involving gastric resection or bypass surgery prevail. Thus, in the world, the share of gastric bypass surgery on a Roux-type loop is 41.9 %, sleeve gastrectomy is 32.6 %, and the share of mini-gastric bypass is 5.0 % [6]. One of the most common complications after the listed bariatric procedures is the failure of the gastric suture line or anastomoses. After gastric sleeve gastrectomy, the incidence of this complication reaches 3.9 %, and after Roux-en-Y loop gastric bypass surgery — up to 8 % [3,7]