Surgical approaches to the treatment of obesity against the background of type 2 diabetes

Isa AliAbdulkarimAli, Kashchenko Viktor Anatolyevich, Ali SuleimanSalihAbdin

The article presents data on the effectiveness of surgical treatment of patients with type 2 diabetes mellitus and obesity. It was noted that the choice of surgical tactics depends on the degree of obesity, the specifics of concomitant metabolic disorders and diseases, the psychological characteristics of the patient, the type of eating behavior and the patient's readiness for treatment and lifestyle changes. The main positive and negative aspects of the use of gastric bypass and its varieties are listed. Particular attention is paid to the postoperative period and the need to monitor the patient's condition: regular intake of vitamin complexes, calcium and iron preparations, as well as monitoring laboratory blood parameters and general somatic health in dynamics.

Keywords:type 2 diabetes mellitus, obesity, bariatric (metabolic) surgery, gastric bypass, minigastric bypass, biliopancreatic bypass.