Treatment of weight re-gaining after gastric bypass operation in female patient with morbid obesity and diabetes mellitus
- 作者: Semikova G.V.1, Volkova A.R.1, Khalimov Y.S.1, Lisker A.V.1, Mozgunova V.S.1, Ostroukhova E.N.1
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隶属关系:
- Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia
- 期: 卷 10, 编号 8 (2024)
- 页面: 118-124
- 栏目: CLINICAL CASES
- URL: https://journals.eco-vector.com/2412-4036/article/view/642007
- DOI: https://doi.org/10.18565/therapy.2024.8.118-124
- ID: 642007
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Abstract. Obesity (OB) is a common disease that leads to a significant increase in cardiovascular risk due to the development of insulin resistance, carbohydrate metabolism disorders, and dyslipidemia. The most effective method for treating OB and OB-associated conditions is bariatric surgery. In recent years, the data on weight regain (WR) and recurrence of OB in patients who were not complying with postoperative diet recommendations, physical activity, and doctor visits are accumulated in the literature. As a rule, WR leads to worsening glycemic control, deepens insulin resistance and dyslipidemia. In addition, the restrictive and malabsorptive components of modern bariatric interventions require taking vitamin and mineral supplements, since developing deficiency conditions can lead to serious complications. The article presents a clinical case of a female patient with morbid OB and type 2 diabetes mellitus, who developed WR and complications caused by vitamin and mineral deficiency.
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作者简介
Galina Semikova
Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia
编辑信件的主要联系方式.
Email: Semikovagv@yandex.ru
ORCID iD: 0000-0003-0791-4705
SPIN 代码: 4534-0974
MD, PhD (Medicine), assistant
俄罗斯联邦, Saint PetersburgAnna Volkova
Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia
Email: volkovaa@mail.ru
ORCID iD: 0000-0002-5189-9365
SPIN 代码: 4007-1288
MD, Dr. Sci.(Medicine), professor
俄罗斯联邦, Saint PetersburgYuri Khalimov
Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia
Email: yushkha@gmail.com
ORCID iD: 0000-0002-7755-7275
SPIN 代码: 7315-6746
MD, Dr. Sci. (Medicine), professor
俄罗斯联邦, Saint PetersburgAnna Lisker
Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia
Email: a.lisker@mail.ru
ORCID iD: 0000-0003-4295-1202
SPIN 代码: 3688-1505
MD, PhD (Medicine)
俄罗斯联邦, Saint PetersburgValentina Mozgunova
Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia
Email: sidelnikovavalya@mail.ru
ORCID iD: 0000-0002-0841-3438
MD, assistant
俄罗斯联邦, Санкт-ПетербургElena Ostroukhova
Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia
Email: elenikos9@gmail.com
MD, PhD (Medicine), associate professor
俄罗斯联邦, Saint Petersburg参考
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- Mechanick J.I., Apovian C., Brethauer S. et al. Clinical practice guidelines for the perioperative nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures – 2019 update: Cosponsored by American Association of Clinical Endocrinologists / American College of Endocrinology, the Obesity Society, American Society for Metabolic & Bariatric Surgery, Obesity Medicine Association, and American Society of Anesthesiologists – executive summary. Endocr Pract. 2019; 25(12): 1346–59. https://doi.org/10.4158/gl-2019-0406. PMID: 31682518.
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- Wadden T., Tsai A., Tronieri J. A protocol to deliver intensive behavioral therapy (IBT) for obesity in primary care settings: The MODEL-IBT program. Obesity (Silver Spring). 2019; 27(10): 1562–66. https://doi.org/10.1002/oby.22594. PMID: 31544345. PMCID: PMC6786257.
- Magro D.O., Geloneze B., Delfini R. et al. Long-term weight regain after gastric bypass: A 5-year prospective study. Obes Surg. 2008; 18(6): 648–51. https://doi.org/10.1007/s11695-007-9265-1. PMID: 18392907.
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