A COMPREHENSIVE APPROACH TO THE SURGICAL TREATMENT OF MORBID OBESITY AND ITS CONSEQUENCES: CONTEMPORARY ASPECTS
Main Article Content
Abstract:
Morbid obesity is a global public health problem requiring a comprehensive therapeutic approach. Bariatric surgery remains the most effective method for long-term weight loss in patients with severe obesity. This paper highlights current aspects of perioperative patient management, including the diagnosis of comorbid conditions such as paraesophageal hernias, revision bariatric surgery strategies, and the role of reconstructive surgery in eliminating excess skin and fat after massive weight loss. Indications for abdominoplasty as the final stage of comprehensive treatment are discussed. An analysis of current approaches to microsurgical reconstruction of post-traumatic cicatricial contractures is presented. The need for a multidisciplinary approach to achieve optimal functional and aesthetic results is emphasized.
Article Details
How to Cite:
References:
Jumaev N.A., Teshaev O.R., Kurbanov G.I., Juraev J.Z., Lim I.I., Lekomseva M.J. Postoperative management of patients after bariatric surgery. Central Asian Journal of Medicine. 2025;(5):83-87.
Jumaev N.A., Teshaev O.R., Juraev J.Z., Lim I.I., Gulomova M.J., Kurbanov G.I. Revisional bariatric surgery: indications, techniques and outcomes - a comprehensive review. International Journal of Medical Sciences And Clinical Research. 2025;5(05):105-110. DOI: 10.37547/ijmscr/Volume05Issue05-21.
Jumaev N.A., Baratov N.Y., Utegenov Yu.M. Diagnosis of paraesophageal hernias: a comprehensive review. American Journal of Applied Medical Science. 2025;3(5):342-354.
Teshaev O.R., Kurbanov G.I., Jumaev N.A. Microsurgical reconstruction of post-burn scar contractures: contemporary approaches and outcomes. Eurasian Journal of Medical and Natural Sciences. 2025;5(5-2):36-44.
Jumaev N.A., Urinboyev J.E., Kurbanov G.I. Abdominoplasty after bariatric surgery: a comprehensive approach to post-weight loss body contouring. Eurasian Journal of Medical and Natural Sciences. 2025;5(5-2):26-35.
Jumaev N.A., Teshaev O.R., Juraev J.Z., Lim I.I. And Natural Sciences.
Mechanick J.I., Youdim A., Jones D.B., et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient—2013 update. Obesity. 2013;21(S1):S1-S27.
Schauer P.R., Bhatt D.L., Kirwan J.P., et al. Bariatric surgery versus intensive medical therapy for diabetes—5-year outcomes. New England Journal of Medicine. 2017;376(7):641-651.
Colquitt J.L., Pickett K., Loveman E., et al. Surgery for weight loss in adults. Cochrane Database of Systematic Reviews. 2014;(8):CD003641.
Sjöström L., Peltonen M., Jacobson P., et al. Association of bariatric surgery with long-term remission of type 2 diabetes and with microvascular and macrovascular complications. JAMA. 2014;311(22):2297-2304.
Angrisani L., Santonicola A., Iovino P., et al. Bariatric surgery worldwide 2013. Obesity Surgery. 2015;25(10):1822-1832.
Parrott J., Frank L., Rabena R., et al. American Society for Metabolic and Bariatric Surgery integrated health nutritional guidelines for the surgical weight loss patient 2016 update. Surgery for Obesity and Related Diseases. 2017;13(5):727-741.
Brethauer S.A., Kim J., El Chaar M., et al. Standardized outcomes reporting in metabolic and bariatric surgery. Surgery for Obesity and Related Diseases. 2015;11(3):489-506.
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. Endocrine Practice. 2019;25(12):1346-1359.
Bloomberg R.D., Fleishman A., Nalle J.E., et al. Nutritional deficiencies following bariatric surgery: what have we learned? Obesity Surgery. 2005;15(2):145-154.
Bal B.S., Finelli F.C., Shope T.R., et al. Nutritional deficiencies after bariatric surgery. Nature Reviews Endocrinology. 2012;8(9):544-556.
Steele K.E., Prokopowicz G.P., Magnuson T., et al. Laparoscopic antecolic Roux-en-Y gastric bypass with closure of internal defects leads to fewer internal hernias than the retrocolic approach. Surgical Endoscopy. 2008;22(9):2056-2061.
Sarwer D.B., Moore R.H., Diewald L.K., et al. The impact of a primary care-based weight loss intervention on the psychological health of obese adults. International Journal of Obesity. 2013;37(S1):S25-S30.
Eslick G.D., Talley N.J. Prevalence and relationship between obesity and hiatus hernia: a cross-sectional study. Obesity Research & Clinical Practice. 2012;6(2):e91-e96.
Kohn G.P., Price R.R., DeMeester S.R., et al. Guidelines for the management of hiatal hernia. Surgical Endoscopy. 2013;27(12):4409-4428.
Granderath F.A., Schweiger U.M., Kamolz T., et al. Laparoscopic antireflux surgery with routine mesh-hiatoplasty in the treatment of gastroesophageal reflux disease. Journal of Gastrointestinal Surgery. 2002;6(3):347-353.
Wijesekera N.T., Cakir H., Johar A., et al. Outcomes of gastric resection for severe complications of obesity and diabetes: insights from the Swedish Bariatric Surgery Registry. World Journal of Surgery. 2016;40(7):1596-1603.
Brusciano L., Gambardella C., Izzo G., et al. Complications after reoperation for failed gastric surgery for obesity: clinical and prognostic considerations. Updates in Surgery. 2021;73(1):103-112.
Mann J.P., Jakes A.D., Hayden J.D., et al. Systematic review of definitions of failure in revisional bariatric surgery. Obesity Surgery. 2015;25(3):571-574.

