Сердечно-сосудистый риск у коморбидных пациентов после метаболической коррекции

Кардиоваскулярная патология является ведущей причиной смертности населения во всем мире, а ожирение и ассоциированные с ним метаболические нарушения одним из основных факторов риска развития и прогрессирования сердечно-сосудистых заболеваний. Для большинства пациентов с ожирением изменение образа жизни на длительный период времени представляется трудновыполнимым, особенно у коморбидного пациента. Метаболическая хирургия в настоящее время признана эффективным способом лечения морбидного ожирением, сокращая частоту развития и риск серьезных последствий сопутствующих ожирению заболеваний. Цель данной статьи состояла в оценке влияния метаболической хирургии на сердечно-сосудистые события и другие ассоциированные состояния у пациентов с ожирением. В работе приведена актуальная информация о современных оперативных вмешательствах (шунтирование, продольная резекция желудка, мини-гастрошунтирование и бандажирование желудка). Представлены данные об эффективности метаболических операций в лечении ожирения, артериальной гипертензии и дислипидемии. Также обсуждается влияние бариатрии на ремиссию сахарного диабета 2 типа.

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