THE EFFECTIVENESS OF BARIATRIC AND METABOLIC SURGERY IN THE TREATMENT OF OBESITY

Abstract

To evaluate the effectiveness of bariatric and metabolic surgery in the treatment of patients with
various forms of obesity. Material and methods: By us at the Department of Surgical Diseases TMA on the basis of
the 1st city clinical hospital in Tashkent in the period 2015-2019. 40 patients aged 22-62 years with various forms
of obesity and related metabolic disorders were operated on. Body mass index ranged from 28-62. All patients had
symptoms of metabolic disturbances of one degree or another. Results: Patients underwent sleeve resection of the
stomach, laparoscopic mini-gastric bypass, gastric bypass (Roux en Y gastric bypass) with 180 cm shunt and 70 cm
alimentary loop as an independent method for the surgical treatment of type 2 diabetes associated with obesity. The
efficiency of weight loss after drainage of the gastric resection was 73%, after shunt operations 89%. Gastro-bypass
surgery has been shown to be effective even in patients with type 2 diabetes mellitus with a body mass index of up to
30. Conclusions: Gastro-bypass surgery is the gold standard in the surgical treatment of obesity and its associated
diseases. The use of minimally invasive gastric bypass methods contributes to a sharp decrease in the number of
general surgical and specific complications.