Bariatric surgery in the treatment of morbid obesity ana chronic kidney disease
https://doi.org/10.17238/2072-3180-2022-3-96-105
Abstract
Introduction. Chronic kidney disease (CKD) is a serious disease, the most common causes of which are obesity, diabetes, metabolic disorders, cardiovascular disease, and others. Approximately 10 % of adults worldwide have chronic kidney disease, resulting in 1,2 million deaths each year. Epidemiological studies have determined the association of obesity with the development of end-stage chronic kidney disease and the risk of hemodialysis sessions.
The purpose of the study. To evaluate the effectiveness of bariatric surgery in terms of reducing the risks of end-stage chronic kidney disease, as well as improving the quality of life in patients on hemodialysis who underwent surgery for obesity.
Materials and methods. Literature reviews and articles describing the experience of bariatric surgery in patients with chronic kidney disease and patients on hemodialysis.
Results. The effectiveness of bariatric interventions in the treatment of morbid obesity and metabolic syndrome has been undeniable and proven. The possibility of treating patients with progressive renal failure in patients with obesity through surgical methods is relevant and discussed. First of all, bariatric surgery.
Conclusion. Bariatric surgery significantly improves the quality of life and reduces the risk of mortality in patients with chronic kidney disease of any stage.
About the Authors
S. E. LapshinaRussian Federation
Lapshina Sofya Evgenyevna – junior researcher of Laboratory for Surgery of Metabolic Disorders, surgeon of the Department of surgical methods of treatment of cancer patients
197341, 2 Akkuratov street, St. Petersburg
A. E. Neimark
Russian Federation
Neimark Aleksandr Evgenyevich – MD, PhD, Chief of Scientific laboratory of Surgery of Metabolic Disoders
197341, 2 Akkuratov street, St. Petersburg
I. N. Danilov
Russian Federation
Danilov Ivan Nikolaevich – PhD in Meddicine, Head of the Department of surgical methods of treatment of cancer patients
197341, 2 Akkuratov street, St. Petersburg
M. A. Salov
Russian Federation
Salov Maksim Alekseevich – surgeon of the Department of surgical methods of treatment of cancer patients
197341, 2 Akkuratov street, St. Petersburg
Ya. V. Zarya
Russian Federation
Zarya Yana Vladimirovna – Head of Dialysis Department, Fresenius Medical Care, Genus Municipal Hospital
194354, Severniy avenue, 1, Saint-Petersburg
D. I. Vasileskiy
Russian Federation
Vasilevsky Dmitry Igorevich – Dr. of Sci. (Med.), Professor of the Department of Faculty Surgery
197022, L'va Tolstogo str. 6-8, Saint Petersburg
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Review
For citations:
Lapshina S.E., Neimark A.E., Danilov I.N., Salov M.A., Zarya Ya.V., Vasileskiy D.I. Bariatric surgery in the treatment of morbid obesity ana chronic kidney disease. Moscow Surgical Journal. 2022;(3):96-105. (In Russ.) https://doi.org/10.17238/2072-3180-2022-3-96-105