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Medical news
of the North Caucasus
Scientific journal
Mass media registration certificate dated December 7, 2006.
Series ПИ #ФС 77-26521.
Federal service for surveillance over non-violation of the legislation in the sphere of mass communications and protection of cultural heritage.
ISSN 2073-8137
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русский
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Sleeve gastrectomy for morbid obesity – regional experience

[Original research] [Surgery]
Bekhan Khatsiev; Alexander Kuzminov;

This paper summarizes experience of 116 sleeve gastrectomies performed in Stavropol for the last three years. Average operative time was 110±51 minutes. Complication rate was 6.9 % with no mortality. 5 (4.3 %) patients were reoperated due to complications. Staple line leakage rate was 1.7 %.

Average excessive weight loss in 12 months after the surgery egualled operation was 57.3 % with a regain up to 48.3 % two years after the primary procedure. Sleeve gastrectomy demonstrated high efficacy in treatment of 2nd type diabetes mellitus resolving it in all followed up patients. 5 pregnancies in previously infertile patients were reported.

Therefore, this operation may be recommended as standalone primary bariatric procedure.

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References:
1. Rtveladze K., Marsh T., Webber L., Kilpi F., Goryakin Y., Kontsevaya A., Starodubova A., Mcpherson K., Brown
M. Obesity trends in Russia. The impact on health and healthcare costs. Health. 2012;4:1471-1484.
2. Picot J., Jones J., Colquitt J.L., Gospodarevskaya E., Loveman E., Baxter L., Clegg A.J. The clinical effectiveness and costeffectiveness of bariatric (weight loss) surgery for obesity: a systematic review and economic evaluation. Health technology assessment. 2009;13(41):1-190, 215-357, iii-iv.
3. Gloy V. L., Briel M., Bhatt D. L., Kashyap S. R., Schauer P. R., Mingrone G., Bucher H. C., Nordmann A. J. Bariatric surgery versus nonsurgical treatment for obesity: a systematic review and metaanalysis of randomised controlled trials. Bmj. 2013;347f5934.
4. Fischer L., Hildebrandt C., Bruckner T., Kenngott H., Linke G. R., Gehrig T., Buchler M. W., Muller-Stich B. P. Excessive weight loss after sleeve gastrectomy: a systematic review. Obes Surg.
2012;22(5):721-731.
5. Yashkov Y., Khatsiev B., Kuzminov A. Data of the Russian National Bariatric Registry in 2012. Obesity Surgery. 2013;23(8):1076.

Keywords: bariatric surgery, sleeve gastrectomy, obesity


Founders:
Stavropol State Medical Academy
Pyatigorsk State Research Institute of Balneotherapeutics
Pyatigorsk State Pharmaceutical Academy