[Experience of successful laparoscopic sleeve resection of the stomach and treatment of morbid obesity in a patient with a classic form of congenital adrenal dysfunction].

The article presents a clinical observation of a patient with congenital adrenal dysfunction (CHD), a salt-losing form of 21-hydroxylase enzyme deficiency (homozygous mutation I 172N), and also with morbid obesity, due to long-term use of high doses of glucocorticosteroids, who underwent bariatric surgery - laparoscopic sleeve resection of the stomach. A feature of the presented case is the elimination of one of the causes of decompensation of the disease, namely, overweight, as well as insulin resistance, which requires the intake of large doses of glucocorticoids, which in turn leads to a worsening of the course of obesity, thereby causing a vicious circle. 7 months after surgical treatment, the goal was achieved - a reduction in the dose of Prednisolone by 25%, with a decrease in body weight by 72.1% of overweight.The presented case clearly demonstrates the possibility of performing bariatric surgery for the treatment of morbid obesity in patients with CAH with the participation and control of a specialized multidisciplinary team. If there are indications for bariatric intervention, VDKN should not be an absolute contraindication to such operations, and the ratio of the safety profile and the efficacy profile testifies in favor of the need for their implementation.

[Influence dietary therapy with use sunflower and amaranth oils on parameters of immine reactivity in patients with diabetes mellitus 2 types].

On the basis of the given own researches the positive influence of press non-rafinated amaranth and sunflower oils, and as, their mix on immune reactivity on the patients with diabetes mellitus types 2 is shown.

[Influence with amaranth and sunflower oils used in dietary therapy of patients with diebetes mellitus 2 types on parameters of carbohydrate and lipid metabolism].

On the basis of the given own researches the positive influence of press non-rafinate amaranth and sunflower oils, and as, their mix on clinical displays of disease, including, on carbohydrates and lipids metabolism an exchange on the patients with diabetes mellitus 2 types is shown. The updating dietary therapy of s diabetes mellitus 2 types by inclusion of press non-rafinate sunflower and amaranth oil is offered.