Problems of organization of bariatric service in medical institutions of the Russian Federation.m

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Abstract

The article identifies the main problems that may arise when organizing a bariatric service in a multidisciplinary hospital. The ways of their solution are proposed. Special attention is paid to the problem of the organization and development of bariatric surgery at the legislative level. The problems of technical equipment of hospitals where bariatric operations are performed are described in detail. An important place is given to the need for special training of surgeons, the role of a multidisciplinary approach to the surgical treatment of obese patients. The treatment of a surgical patient consists of several stages: preoperative examination and preparation for surgery; performing bariatric surgery, performing aesthetic operations, lifelong outpatient observation.

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About the authors

Yu. V. Ivanov

Federal Scientific and Clinical Center of Specialized Types of Medical Care and Medical Technologies of the Federal Medical and Biological Agency of Russia

Author for correspondence.
Email: sancho-83@inbox.ru
ORCID iD: 0000-0001-6209-4194

Doctor of Medical Sciences, Professor

Russian Federation, Moscow

V. I. Sharobaro

I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

Email: sancho-83@inbox.ru
ORCID iD: 0000-0002-1510-9047

Doctor of Medical Sciences, Professor

Russian Federation, Moscow

V. R. Stankevich

Federal Scientific and Clinical Center of Specialized Types of Medical Care and Medical Technologies of the Federal Medical and Biological Agency of Russia

Email: sancho-83@inbox.ru
ORCID iD: 0000-0002-8620-8755

Candidate of Medical Sciences

Russian Federation, Moscow

A. I. Zlobin

Federal Scientific and Clinical Center of Specialized Types of Medical Care and Medical Technologies of the Federal Medical and Biological Agency of Russia

Email: sancho-83@inbox.ru
ORCID iD: 0000-0002-8241-659X

Candidate of Medical Sciences

Russian Federation, Moscow

A. V. Smirnov

Federal Scientific and Clinical Center of Specialized Types of Medical Care and Medical Technologies of the Federal Medical and Biological Agency of Russia

Email: sancho-83@inbox.ru
ORCID iD: 0000-0003-3897-8306

Candidate of Medical Sciences

Russian Federation, Moscow

References

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  3. Шейранов С.Ф., Глебов Е.В. Организационные проблемы бариатрической хирургии. Анналы хирургии. 2006; 2: 54–5 [Sheyranov S.F., Glebov E.V. Bariatric surgery management problems. Russian Journal of Surgery. 2006; 2: 54–5 (in Russ.)].
  4. Яшков Ю.И. Стандарты в бариатрической и метаболической хирургии (по материалам международных согласительных конференций). Ожирение и метаболизм. 2008; 5 (3): 17–21 [Yashkov Y.I. Standarty v bariatricheskoy i metabolicheskoy khirurgii (po materialam mezhdunarodnykh soglasitel'nykh konferentsiy). Obesity and metabolism. 2008; 5 (3): 17–22 (in Russ.)]. doi: 10.14341/2071-8713-5332
  5. Неймарк А.Е., Яшков Ю.И. Современные требования к квалификации бариатрического хирурга (обзор материалов и постановлений Международной федерации хирургии ожирения и метаболических нарушений). Московский хирургический журнал. 2016; 51 (5): 34–6 [Neimark A.E., Yashkov Yu.I. Sovremennye trebovaniya k kvalifikatsii bariatricheskogo khirurga (obzor materialov i postanovlenii Mezhdunarodnoi federatsii khirurgii ozhireniya i metabolicheskikh narushenii). Mоscоw Surgical Journal. (in Russ.)].
  6. Хациев Б.Б., Ахметов А.Д., Кузьминов А.Н., и др. Bareoreg: Российский национальный бариатрический реестр – система регистрации больных с морбидным ожирением. Эндоскопическая хирургия. 2019; 25 (4): 23–33 [Khatsiev B.B., Akhmetov A.D., Kuzminov A.N. et al. Bareoreg: Russian national bariatric registry. Endoscopic Surgery. 2019; 25 (4): 23–33 (in Russ.)]. doi: 10.17116/endoskop20192504123

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