First results of distal gastric shunting with one anastomosis in patients, suffering morbid obesity

Keywords: bariatric surgery; distal gastric shunting with one anastomosis; morbid obesity

Abstract

Objective. To study a metabolic effect of distal gastric shunting with one anastomosis in patients, suffering morbid obesity (MO).

Materials and methods. The results of surgical treatment of 53 patients, suffering MO, in whom in the clinic a distal gastric shunting with one anastomosis, were analyzed. The patients age range have varied from 27 to 66 yrs old. A median body mass index have constituted 53 kg/m2 (38 - 80 kg/m2). Metabolic syndrome have had all 53 (100%) patients, hypertensive disease, atherosclerotic cardiosclerosis, dyslipidemia - 30 (56.6%) patients, Pickwick syndrome - 4 (7.5%), diabetes mellitus Type II - 11 (20.8%). There were estimated the excessive body mass, laboratory indices - a НOMA index, the levels of insulin, C-peptide, lipids, general protein.

Results. In a one year postoperatively a median index of the excessive body mass loss have constituted 67.1%, in 2 yrs - 76.4%. Preoperatively a НOMA index have constituted 8.02 conventional units, level of insulin - 21 mcU/ml, C-peptide - 4.2 ng/ml. Already in 3 mo after distal gastric shunting a НOMA index, the levels of insulin and C-peptide have normalized.

Conclusion. Distal gastric shunting constitutes an effective method of surgical correction of MO, metabolic syndrome and in accordance to results is completely comparable with other bariatric operations, and they are technically easier to perform in patients, suffering morbid superobesity, using surgical access with 3 trocars.

Author Biographies

A. S. Lavryk, Shalimov National Institute of Surgery and Transplantology, Kyiv

Lavryk Andriy S.- MD, DSci (Med), Professor, Head Scientific Researcher
Department of surgery of esophagus, stomach and intestines
Shalimov National Institute of Surgery and Transplantology, 30
Heroyv Sevastopolya Str., 03680, Kyiv, Ukraine
+38044 4542008
andriy.lavryk@gmail.com
https://orcid.org/0000-0002-2216-5039

A. Yu. Zgonnyk, Shalimov National Institute of Surgery and Transplantology, Kyiv

Zgonnyk Andriy Y.- MD, PhD (Med), Surgeon
Department of surgery of esophagus, stomach and intestines
Shalimov National Institute of Surgery and Transplantology,
30 HeroyvSevastopolya Str., 03680, Kyiv, Ukraine
+38044 4542008
a.z@ua.fm
orcid.org/0000-0002-2237-2492

O. A. Lavryk, Shalimov National Institute of Surgery and Transplantology, Kyiv

Lavryk Olga A. MD, PhD Surgeon, Scientific Researcher
Department of surgery of esophagus, stomach and intestines
Shalimov National Institute of Surgery and Transplantology,
30 HeroyvSevastopolya Str., 03680, Kyiv, Ukraine
+38044 4542008
dr.olgalavryk@gmail.com
https://orcid.org/0000-0001-6779-785X

R. I. Vynogradov, Shalimov National Institute of Surgery and Transplantology, Kyiv

Vynogradov Roman I. - MD, Scientific Researcher
Department of surgery of esophagus, stomach and intestines
Shalimov National Institute of Surgery and Transplantology,
30 HeroyvSevastopolya Str., 03680, Kyiv, Ukraine
+38044 4542008
motomotomoto051@gmail.com
https://orcid.org/0000-0002-4204-4744

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Published
2019-10-21
How to Cite
Lavryk, A. S., Zgonnyk, A. Y., Lavryk, O. A., & Vynogradov, R. I. (2019). First results of distal gastric shunting with one anastomosis in patients, suffering morbid obesity. Klinicheskaia Khirurgiia, 86(10), 12-17. https://doi.org/10.26779/2522-1396.2019.10.12
Section
General Problems of Surgery