Morbid obesity and the impact of longitudinal resection on the course of gastroesophageal reflux disease and non-insulin dependent diabetes

Ozieva Lyubov Soslambekovna, Bolgucheva Madina Borkhaevna, Maslova Alina Yurievna, Tatamov Arslan Ayavovich, Mishvelov Artem Evgenievich

Longitudinal gastric resection (LGA) is a relatively new type of gastroplasty within bariatric surgery, which is gaining popularity all over the world today not only as a method of getting rid of excess subcutaneous fat, but also from a range of serious chronic diseases together. The potential of RVC turned out to be promising, and if the RVC performed for the first time in 1988 was only a restrictive stage of biliopancreotic shunting, then since the 2000s, laparoscopic longitudinal resection has been started as a deliberately first stage in patients with morbid obesity with a high operational risk. To date, PRG has become increasingly used in especially difficult cases as an independent surgical intervention, for example, in the elderly, teenagers, in people with cirrhosis of the liver and other severe pathologies (A.Baltasar). At the initial stages of the formation of this type of treatment, different surgeons did not have a common opinion on many issues related to the technique of this operation. And therefore, to date, the PRG data of many years ago are contradictory. They do not create a holistic view of the effectiveness of surgical intervention, especially in the long term. According to the IFSO, in 2012, PVR accounted for 27.8% of all bariatric surgeries, which even then overtook gastric banding in terms of the number of operations. Over the past 20 years, a little more than 250 thousand such operations have been performed worldwide, and the frequency of PRV is increasing every year.

Keywords:longitudinal resection of the stomach, obesity, GERD, type II diabetes mellitus.