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SURGICAL GASTROENTEROLOGY

    1. Federal Almazov North-West Medical Research Centre (St. Petersburg, Russian Federation)

    Keywords:Obesity,Bariatric surgery,Intragastric balloon,Diabetes Mellitus,Remission of type 2 diabetes,BMI

    Abstract:Aims: Obesity is one of the most pressing problems of modern medicine, being not only an independent cause of increasing disability and mortality, but also the basis for the development of the metabolic syndrome with its many manifestations and type 2 diabetes. Meanwhile, attempts to reduce weight with low-caloric diets, pharmacotherapy and lifestyle changes have limited effectiveness and rarely give a lasting result. Minimally invasive methods, such as intragastric baloon, are effective only in some patients, and large surgical interventions are highly effective in most obese patients, but require lifelong limitations and medical supervision. Thus, in order to create an effective algorithm for choosing the treatment of the metabolic syndrome, it is required to identify the predictors of the response to each of the indicated treatment methods, which is the goal of this work. Materials and methods: Study and analysis of literature on studies of foreign authors. Results: as predictors of weight loss during the intragastric balloon treatment can be considered female gender, lower levels of initial BMI, no compulsive overeating (“binge eating”); for large surgical interventions - BMI, C-peptide level and duration of type 2 diabetes. Conclusions: Summarizing the results of numerous studies, the predictors with good evidence base in reducing body weight of patients with diabetes include BMI, and gender. Well studied factors of glycemia compensation during treatment are the preservation function of beta cells, which effectively confirms the level of C-peptide and concomitant glucose-lowering therapy. The age characteristics, the level orexigenic and anorectic hormones, psycho-social characteristics of patients, the initial compensation level of glycemia require further study.

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    Full text is published :
    Tihonenko E.V., Babenko A.Yu., Neimark A.E., Korniushin S.V., Boyarskaya I.A. PREDICTORS OF WEIGHT LOSS AND REMISSION OF DIABETES AFTER THE INTRAGASTRIC BALLOON TREATMENT AND OTHER BARIATRIC PROCEDURES. Experimental and Clinical Gastroenterology Journal. 2017;143(07):82-88
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