ometendoОжирение и метаболизмObesity and metabolism2071-87132306-5524Endocrinology Research Centre10.14341/2071-8713-5315ometendo-5315Research ArticleСтатьиArticlesПрименение внутрижелудочных баллоновс целью предоперационной подготовки больныхсо сверхожирениемThe use of intragastric ballons for preoperational treatment in patients with superobesityYashkovYu Iyu.yashkov@mtu-net.ru <mailto:yu.yashkov@mtu-net.ru>SineokayaM S-DanyushinV M-YashkovYu I-SineokayaM S-DanyushinV M-20091506200962№2 (2009)2934Copyright © Yashkov Y.I., Sineokaya M.S., Danyushin V.M., Yashkov Y.I., Sineokaya M.S., Danyushin V.M., 20092009Yashkov Y.I., Sineokaya M.S., Danyushin V.M., Yashkov Y.I., Sineokaya M.S., Danyushin V.M.Yashkov Y.I., Sineokaya M.S., Danyushin V.M., Yashkov Y.I., Sineokaya M.S., Danyushin V.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.omet-endojournals.ru/jour/article/view/5315

При морбидном ожирении (ИМТ>40) и особенно при сверхожирении (СО) (ИМТ>50) применение внутрижелудочных баллонов (ВЖБ) как самостоятельного метода лечения не оправдано ввиду недостаточного эффекта и высокой частоты рецидивов заболевания. В статье представлены данные исследования, показавшие, что первоэтапное форсированное снижение массы тела при помощи ВЖБ перед выполнением бариатрической операции у больных с СО в 78% случаев способствует снижению хирургического и анестезиологического риска. Прекращение лечения на этапе удаления ВЖБ при СО было ассоциировано с высоким риском рецидива ожирения и сопутствующих ему заболеваний. Применение ВЖБ в группе высокого риска оптимизирует процесс отбора кандидатов на хирургическое лечение среди лиц, страдающих СО

The use of intragastric balloons in patients with morbid obesity (BMI>40) and superobesity (BMI>50) as the only method of treatment did not prove its effectiveness because of high rates of disease relapses. The article presents data showing that the fist line body mass lowering therapy with intragastric balloon before proceeding to bariatric sugery is effective in 78% patients with superobesity in aspects of lowering surgical and anesthesiological risks. Stopping treatment at the point of removal of intragastric balloon is associated with high risk of recurrence of obesity and its comorbid conditions. The use of intragastric balloons in group of high risk patients optimizes the process of selection of candidates for surgical treatment among patients with superobesity

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