Kalashnikov O. O., Usenko O. Y., Todurov I. M., Kosiukhno S. V., Pylypchuk O. O.

RECONSTRUCTIVE DUODENOENTEROPLASTY IN PATIENTS AFTER STRANGULATED INTERNAL HERNIA AFTER REVISIONAL ROUX-EN-Y GASTRIC BYPASS (CLINICAL CASE)

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Kalashnikov O. O., Usenko O. Y., Todurov I. M., Kosiukhno S. V., Pylypchuk O. O.

Heading:

CLINICAL AND EXPERIMENTAL MEDICINE

Type of article:

Scientific article

Annotation:

Bariatric surgery is the most effective method of treatment for obesity and related metabolic disorders. Bariatric surgery leads to a sustainable loss of excess body weight and compensation for comorbidities associated with obesity, primarily type 2 diabetes and cardiovascular diseases, which generally leads to a reduction in mortality. Given the growing interest in bariatric surgery, the diagnosis and surgical correction of complications after revisional operations remains an urgent challenge for surgeons, especially in the context of overweight relapse. One of the most serious and potentially life-threatening complications for patients is a strangulated internal hernia. The surgical approach to the correction of strangulated internal hernias is quite diverse and depends on the length of the strangulated loop and its viability. On an emergency basis, in this category of bariatric patients, the surgical intervention for this complication usually implies obstructive resection of a section of the small bowel. The use of the reconstructive duodenoenteroplasty technique allowed to restore the physiological passage of food and enzymes through the gastrointestinal tract. Normal functioning of the gastrointestinal tract after reconstruction allowed to stabilise weight, restore normal blood biochemical parameters and, as a result, improve the quality of life.

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Bibliography:

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Publication of the article:

«Bulletin of problems biology and medicine», 2024 Issue 1, 172, 161-167 pages, index UDC 616.334:616.341]-007.43-089.844:616.33-089.819-089.12

DOI:

10.29254/2077-4214-2024-1-172-161-167