Oktyabr R. Teshaev1, Umid S. Ruziev1, Barno Kh. Shagazatova1, Nasiba A. Kudratova1, Albert E. Ataliev1
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Efficacy of Gastric Bypass in the Treatment of Obesity-Associated Carbohydrate Metabolism Disorders Oktyabr R. Teshaev1, Umid S. Ruziev1, Barno Kh. Shagazatova1, Nasiba A. Kudratova1, Albert E. Atalie
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i4.12907

Abstract

We have operated on 42 patients ages 22 to62 suffering different forms of obesity and obesity-relatedmetabolic disorders. Body mass indexes have ranged from 28 to 62 kg/m2. All patients have had symptomsof metabolic disorders of different intensity. Our goal has been exerting maximal influence on carbohydratemetabolism processes rather than mere body weight reduction. The patients have undergone sleevegastrectomy, laparoscopic mini-gastric bypass, Roux en Y gastric bypass, as well as modified gastric bypasswith Rouxen Y gastrectomy with a 180-cm bypass and 70-cm alimentary loop as an independent way ofsurgical treatment of diabetes type 2 associated with obesity. Sleeve gastrectomy in terms of weight controlhas demonstrated a 73% efficacy, and gastric bypass –a 89% efficacy. The efficacy of surgeries in patientswith carbohydrate metabolism disorders through Roux en Y gastric bypass has totaled 96%,classic Roux en Ygastric bypass - 92%, sleeve gastrectomy – 60%. Roux en Y gastric bypass andmini-gastric bypass are moreeffective in the treatment of obesity and associated metabolic disorders compared to sleeve gastrectomy.Gastric bypass has proved effective even in diabetes patients with body mass indexes up to 30 kg/m2.