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Report on bariatric surgery in the Ukraine
V F Sayenko1, A S Lavryk, O P Stetsenko
1Department of Surgery of the Gastrointestinal Tract, Institute of Clinical and Experimental Surgery of the Academy of Medical Sciences of the Ukraine, Kiev.
Obesity Surgery
|March 15, 2000
Summary
Bariatric surgery effectively reduced weight and comorbidities in morbidly obese patients in Ukraine. Procedures like jejunoileal bypass and gastric banding showed significant weight loss, improving quality of life.
Area of Science:
- Bariatric surgery
- Obesity treatment
- Surgical outcomes
Background:
- Morbid obesity (MO) presents a significant health challenge globally, including in Ukraine.
- This study reviews surgical interventions for MO in Ukraine over a 15-year period.
Purpose of the Study:
- To evaluate the effectiveness and outcomes of various bariatric surgical procedures for morbid obesity.
- To assess the impact of these surgeries on associated comorbidities and patient quality of life.
Main Methods:
- A retrospective analysis of 198 patients with morbid obesity (BMI >60 kg/m2) undergoing procedures such as jejunoileal (JI) bypass, non-adjustable gastric banding (NGB), and abdominal lipectomy.
- Patients presented with significant comorbidities including hypertension, diabetes, and sleep apnea.
Main Results:
- Jejunoileal bypass led to a mean weight loss of 62 kg at 1 year, while non-adjustable gastric banding resulted in 11 kg loss.
- While bariatric surgery reduced comorbidities, JI bypass had high rates of complications like malabsorption and gallstones. NGB showed no complications.
- Abdominal lipectomy was performed in various combinations with bariatric procedures or as a standalone surgery.
Conclusions:
- Bariatric surgery is highly effective for significant weight loss in morbidly obese patients.
- Surgical interventions led to the reduction or resolution of obesity-related comorbidities, substantially enhancing patients' quality of life.
