1 research outputs found
Application of dye leak test for gastrointestinal tract tightness control in bariatric surgery
ΠΡΠΎΠ±Π»Π΅ΠΌΠ° ΠΎΠΆΠΈΡΠ΅Π½ΠΈΡ ΡΠΈΡΠΎΠΊΠΎ ΡΠ°ΡΠΏΡΠΎΡΡΡΠ°Π½Π΅Π½Π° ΠΊΠ°ΠΊ Π² Π Π΅ΡΠΏΡΠ±Π»ΠΈΠΊΠ΅ ΠΠ΅Π»Π°ΡΡΡΡ, ΡΠ°ΠΊ ΠΈ Π² ΠΌΠΈΡΠΎΠ²ΠΎΠΌ ΠΌΠ°ΡΡΡΠ°Π±Π΅. Π’Π°ΠΊ ΠΏΠΎ Π΄Π°Π½Π½ΡΠΌ ΠΠΠ ΠΎΠΆΠΈΡΠ΅Π½ΠΈΠ΅ΠΌ ΡΡΡΠ°Π΄Π°ΡΡ 640 ΠΌΠ»Π½ ΡΠ΅Π»ΠΎΠ²Π΅ΠΊ Π² ΠΌΠΈΡΠ΅. Π Π Π΅ΡΠΏΡΠ±Π»ΠΈΠΊΠ΅ ΠΠ΅Π»Π°ΡΡΡΡ Π² 2015β2016 Π³. ΡΠ°ΡΠΏΡΠΎΡΡΡΠ°Π½Π΅Π½Π½ΠΎΡΡΡ ΠΎΠΆΠΈΡΠ΅Π½ΠΈΡ ΡΡΠ΅Π΄ΠΈ Π²Π·ΡΠΎΡΠ»ΠΎΠ³ΠΎ Π½Π°ΡΠ΅Π»Π΅Π½ΠΈΡ ΡΠΎΡΡΠ°Π²Π»ΡΠ»Π° 24,5 % . ΠΠΎΡΠ±ΠΈΠ΄Π½ΠΎΠ΅ ΠΎΠΆΠΈΡΠ΅Π½ΠΈΠ΅ ΠΏΡΠΈ ΠΠΠ’ >40 ΠΊΠ³/ΠΌ2, ΠΈΠ»ΠΈ >35 ΠΊΠ³/ΠΌ2 ΠΏΡΠΈ Π½Π°Π»ΠΈΡΠΈΠΈ ΡΠΎΠΏΡΡΡΡΠ²ΡΡΡΠ΅ΠΉ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΠΈ, ΡΠ°ΡΡΠΎ ΠΎΠΊΠ°Π·ΡΠ²Π°Π΅ΡΡΡ ΡΠ΅ΡΡΠ°ΠΊΡΠ΅ΡΠ½ΡΠΌ ΠΊ ΠΊΠΎΠ½ΡΠ΅ΡΠ²Π°ΡΠΈΠ²Π½ΡΠΌ ΠΌΠ΅ΡΠΎΠ΄Π°ΠΌ Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΈ Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΡΠΌ ΡΠΏΠΎΡΠΎΠ±ΠΎΠΌ ΡΡΡΠΎΠΉΡΠΈΠ²ΠΎΠ³ΠΎ ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΡ ΠΌΠ°ΡΡΡ ΡΠ΅Π»Π° ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΡΠ²Π»ΡΠ΅ΡΡΡ ΠΈΠΌΠ΅Π½Π½ΠΎ Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ΅ Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ²ΠΎ. Π‘ΡΠ΅Π΄ΠΈ Π²ΡΠΏΠΎΠ»Π½ΡΠ΅ΠΌΡΡ
Π±Π°ΡΠΈΠ°ΡΡΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΉ ΠΏΡΠ΅ΠΎΠ±Π»Π°Π΄Π°ΡΡ Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ²Π°, ΠΏΡΠ΅Π΄ΡΡΠΌΠ°ΡΡΠΈΠ²Π°ΡΡΠΈΠ΅ ΡΠ΅Π·Π΅ΠΊΡΠΈΡ ΠΈΠ»ΠΈ ΡΡΠ½ΡΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ ΠΆΠ΅Π»ΡΠ΄ΠΊΠ°. Π’Π°ΠΊ Π² ΠΌΠΈΡΠ΅ Π΄ΠΎΠ»Ρ Π³Π°ΡΡΡΠΎΡΡΠ½ΡΠΈΡΠΎΠ²Π°Π½ΠΈΡ Π½Π° ΠΏΠ΅ΡΠ»Π΅ ΠΏΠΎ Π Ρ ΡΠΎΡΡΠ°Π²Π»ΡΠ΅Ρ 41,9 %, ΡΡΠΊΠ°Π²Π½ΠΎΠΉ ΡΠ΅Π·Π΅ΠΊΡΠΈΡ ΠΆΠ΅Π»ΡΠ΄ΠΊΠ° β 32,6 %, Π° Π½Π° Π΄ΠΎΠ»Ρ ΠΌΠΈΠ½ΠΈΠ³Π°ΡΡΡΠΎΡΡΠ½ΡΠΈΡΠΎΠ²Π°Π½ΠΈΡ ΠΏΡΠΈΡ
ΠΎΠ΄ΠΈΡΡΡ 5,0 %. ΠΠ΄Π½ΠΈΠΌ ΠΈΠ· Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠ°ΡΡΡΡ
ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΠΉ ΠΏΠΎΡΠ»Π΅ ΠΏΠ΅ΡΠ΅ΡΠΈΡΠ»Π΅Π½Π½ΡΡ
Π±Π°ΡΠΈΠ°ΡΡΠΈΡΠ΅ΡΠΊΠΈΡ
Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ² ΡΠ²Π»ΡΠ΅ΡΡΡ Π½Π΅ΡΠΎΡΡΠΎΡΡΠ΅Π»ΡΠ½ΠΎΡΡΡ Π»ΠΈΠ½ΠΈΠΈ ΡΠ²ΠΎΠ² ΠΆΠ΅Π»ΡΠ΄ΠΊΠ° ΠΈΠ»ΠΈ Π°Π½Π°ΡΡΠΎΠΌΠΎΠ·ΠΎΠ². ΠΠΎΡΠ»Π΅ ΡΡΠΊΠ°Π²Π½ΠΎΠΉ ΡΠ΅Π·Π΅ΠΊΡΠΈΠΈ ΠΆΠ΅Π»ΡΠ΄ΠΊΠ° ΡΠ°ΡΡΠΎΡΠ° ΡΡΠΎΠ³ΠΎ ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΡ Π΄ΠΎΡΡΠΈΠ³Π°Π΅Ρ 3,9 %, Π° ΠΏΠΎΡΠ»Π΅ Π³Π°ΡΡΡΠΎΡΡΠ½ΡΠΈΡΠΎΠ²Π°Π½ΠΈΡ Π½Π° ΠΏΠ΅ΡΠ»Π΅ ΠΏΠΎ Π Ρ β Π΄ΠΎ 8 %. The problem of obesity is widespread both in the Republic of Belarus and on a global scale. So, according to the WHO, 640 million people in the world suffer from obesity [6]. In the Republic of Belarus in 2015β2016.rasprostranennost' ozhireniya sredi vzroslogo naseleniya sostavlyala 24,5 %. Morbidnoye ozhireniye pri IMT >40 kg/m 2 , ili >35 kg/m 2 pri nalichii soputstvuyushchey patologii, chasto okazyvayetsya refrakternym k konservativnym the prevalence of obesity among the adult population was 24.5 %. Morbid obesity with a BMI >40 kg/m 2 , or >35 kg/m 2 in the presence of concomitant pathology, is often weight loss in patients is precisely surgical intervention. Among the performed bariatric operations, interventions involving gastric resection or bypass surgery prevail. Thus, in the world, the share of gastric bypass surgery on a Roux-type loop is 41.9 %, sleeve gastrectomy is 32.6 %, and the share of mini-gastric bypass is 5.0 %. One of the most
common complications after the listed bariatric procedures is the failure of the gastric suture line
or anastomoses. After gastric sleeve gastrectomy, the incidence of this complication reaches 3.9 %,
and after Roux-en-Y loop gastric bypass surgery β up to 8 %