emcardioНеотложная кардиология и кардиоваскулярные рискиEmergency Cardiology and Cardiovascular Risks journal2616-633XБелорусский государственный медицинский университет10.51922/2616-633X.2023.7.2.2041emcardio-18Research ArticleОбзоры и лекцииReviews and lecturesСердечно-сосудистый риск у коморбидных пациентов после метаболической коррекцииCardiovascular risk in comorbid patients after metabolic surgeryЛобашоваВ. Л.LabashovaV.

Минск

Minsk

ПатеюкИ. В.PateyukI.

Минск

Minsk

pat-iv@mail.ruДыдышкоЮ. В.DydyshkoY.

Минск

Minsk

СтебуновС. С.StebunovS.

Минск

Minsk

КачанА. А.KachanA.

Минск

Minsk

ЕлесинаМ. В.YelesinaM.

Минск

Minsk

ЗаркуаА. Р.ZarquaA.

Минск

Minsk

ШпигунН. В.ShpigunN.

Минск

Minsk

Учреждение образование «Белорусский государственный медицинский университет»«Belarusian State Medical University»Учреждение образование «Белорусский государственный медицинский университет»,«Belarusian State Medical University»Государственное учреждение «Минский научно-практический центр хирургии, трансплантологии и гематологии»State Institution «Minsk Scientific and Practical Center for Surgery, Transplantology and Hematology»2023190620257220412049Copyright © Лобашова В.Л., Патеюк И.В., Дыдышко Ю.В., Стебунов С.С., Качан А.А., Елесина М.В., Заркуа А.Р., Шпигун Н.В., 20252025Лобашова В.Л., Патеюк И.В., Дыдышко Ю.В., Стебунов С.С., Качан А.А., Елесина М.В., Заркуа А.Р., Шпигун Н.В.Labashova V., Pateyuk I., Dydyshko Y., Stebunov S., Kachan A., Yelesina M., Zarqua A., Shpigun N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://emcardio.bsmu.by/jour/article/view/18

Кардиоваскулярная патология является ведущей причиной смертности населения во всем мире, а ожирение и ассоциированные с ним метаболические нарушения одним из основных факторов риска развития и прогрессирования сердечно-сосудистых заболеваний. Для большинства пациентов с ожирением изменение образа жизни на длительный период времени представляется трудновыполнимым, особенно у коморбидного пациента. Метаболическая хирургия в настоящее время признана эффективным способом лечения морбидного ожирением, сокращая частоту развития и риск серьезных последствий сопутствующих ожирению заболеваний. Цель данной статьи состояла в оценке влияния метаболической хирургии на сердечно-сосудистые события и другие ассоциированные состояния у пациентов с ожирением. В работе приведена актуальная информация о современных оперативных вмешательствах (шунтирование, продольная резекция желудка, мини-гастрошунтирование и бандажирование желудка). Представлены данные об эффективности метаболических операций в лечении ожирения, артериальной гипертензии и дислипидемии. Также обсуждается влияние бариатрии на ремиссию сахарного диабета 2 типа.

Cardiovascular pathology is the leading cause of mortality in the world as well as obesity and associated metabolic disorders are one of the main risk factors for the development and progression of cardiovascular diseases. For most obese patients changing lifestyle for a long period of time seems difficult especially in case of comorbidity. Metabolic surgery is currently recognized as an effective way to treat morbid obesity, reducing the incidence and risk of serious consequences of obesity-related diseases. The aim of this article was to evaluate the effect of metabolic surgery on cardiovascular events and other associated conditions in obese patients. The article provides up-to-date information on modern surgical interventions (gastric bypass, sleeve gastrectomy, mini-gastric bypass and gastric banding). We represent data on the effectiveness of metabolic surgery in obesity, hypertension and dyslipidemia. The effect of bariatric surgery on the remission of type 2 diabetes mellitus is also discussed.

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The authors declare that there are no conflicts of interest present.