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Multidisciplinary Approach to Obesity Management: A Case Report

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Obesity surgery in Russia.

Y I Yashkov¹, N M Kuzin, Y I Sedletsky

¹Russian Research Center of Moscow, Russia.

Obesity Surgery

|March 5, 1999

Summary

Obesity surgery is underutilized in Russia, with simple procedures like gastric banding being more common than complex ones. The adoption of laparoscopic techniques is emerging and expected to grow.

Area of Science:

Bariatric Surgery
Obesity Epidemiology

Background:

Russia faces a high prevalence of overweight (40%) and obese (26%) individuals.
Limited data exists on the landscape of obesity surgery within Russia.

Purpose of the Study:

To investigate the current status and trends of bariatric surgery in Russia.
To identify the types and frequency of procedures performed.

Main Methods:

A comprehensive literature search was conducted.
Interviews with experienced bariatric surgeons in Russia were performed.

Main Results:

Jejunoileal bypass (JIB) was historically used but largely abandoned.
Gastric banding is prevalent, with over 545 procedures reported since 1984, increasingly utilizing laparoscopic adjustable gastric banding.

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Vertical banded gastroplasty (VBG) and gastric bypass procedures are performed less frequently; biliopancreatic diversion data is unavailable.

Conclusions:

Current bariatric surgery rates in Russia are insufficient to meet population needs.
Simpler surgical procedures dominate over more complex ones.
The utilization of laparoscopic approaches in bariatric surgery is nascent but anticipated to increase.