Assuntos
Cirurgia Bariátrica , Diabetes Mellitus Tipo 2 , Obesidade , Animais , Cirurgia Bariátrica/classificação , Cirurgia Bariátrica/métodos , Diabetes Mellitus Experimental/fisiopatologia , Diabetes Mellitus Experimental/cirurgia , Diabetes Mellitus Tipo 2/complicações , Diabetes Mellitus Tipo 2/fisiopatologia , Diabetes Mellitus Tipo 2/cirurgia , Humanos , Obesidade/complicações , Obesidade/fisiopatologia , Obesidade/cirurgia , Avaliação de Resultados em Cuidados de Saúde , Período Pós-Operatório , Resultado do TratamentoRESUMO
The authors have analyzed results of treatment of 407 patients subjected to different bariatric interventions. In 359 out of them there were different bariatric operations, in 48 patients intragastric balloons were placed. Correcting plastic operations were fulfilled in 36 patients within 1-2 years after bariatric intervention. It was found that bariatric intervention fulfilled in earlier age groups would prevent the development of metabolic syndrome (MS) in patients with obesity at later date. Combined operations are most effective bariatric intervention compared with all main elements of MS. Correcting plastic operations are expedient after bariatric interventions against the background of stabilized decrease of body mass that allows getting valuable therapeutic and esthetic effect, improvement of quality of life of patients.
Assuntos
Cirurgia Bariátrica/métodos , Síndrome Metabólica/cirurgia , Obesidade/cirurgia , Adolescente , Adulto , Índice de Massa Corporal , Feminino , Seguimentos , Humanos , Masculino , Síndrome Metabólica/etiologia , Pessoa de Meia-Idade , Obesidade/complicações , Resultado do Tratamento , Redução de Peso , Adulto JovemRESUMO
AIM: To investigate sex- and age-specific characteristics of arterial hypertension prevalence in type 2 diabetics with obesity. MATERIAL AND METHODS: Sex- and age-specific features of hypertension prevalence were studied in 6177 (1345 males and 4832 females) type 2 diabetic obese citizens of the Novgorod region. RESULTS: The highest incidence of mild hypertension was found in obesity degrees I and II (50-68%). Prevalence of moderate and severe hypertension reached 20-31 and 4-5%, respectively, in obesity of degree I and II, 15% in males and 11% in females in obesity degree III. CONCLUSION: In type 2 DM obese patients mild hypertension occurs most frequently. Severe hypertension develops often in males with obesity degree II and III in age groups 50-59 and 60-69 years, in females--in any obesity at the age of 70 and older.
Assuntos
Envelhecimento , Diabetes Mellitus Tipo 2/complicações , Hipertensão/etiologia , Obesidade/complicações , Idoso , Índice de Massa Corporal , Peso Corporal , Diabetes Mellitus Tipo 2/epidemiologia , Feminino , Humanos , Hipertensão/epidemiologia , Masculino , Pessoa de Meia-Idade , Obesidade/epidemiologia , Prevalência , Índice de Gravidade de Doença , Fatores SexuaisRESUMO
The article describes data of clinical use and experimental studies of possibilities to preserve vital ability of fascio-cutaneous flaps with a through venous blood flow. Factors influencing the survival of the venous flap are studied and the possibility to increase vital ability of the flap with the through venous blood flow with the help of pharmacological drugs is noted.
