Classification and indications for combined use of fundoplication in metabolic and bariatric surgery

Ospanov O.B.; Zharov N.K.

doi:https://doi.org/10.17116/endoskop20253105175

Резюме / Abstract:

ЦЕЛЬ ОБЗОРА

Анализ результатов использования фундопликации в метаболической и бариатрической хирургии и классификация показаний к ее применению.

МАТЕРИАЛ И МЕТОДЫ

В рамках настоящего исследования выполнен поиск англоязычных статей в базах данных PubMed и Cochrane Library. Использованы следующие поисковые термины: fundoplication, bariatric, а затем поочередно дополнительно добавлялись слова: gastric bypass, sleeve gastrectomy, combination, plication.

В базах данных обнаружено 503 публикации, из которых в итоге отобрано 49 источников как соответствующие цели систематического обзора. Изучены результаты использования комбинации фундопликации в бариатрической и метаболической хирургии.

РЕЗУЛЬТАТЫ

В ходе анализа научных работ авторами классифицированы показания к комбинированному применению фундопликации в метаболической и бариатрической хирургии. Определены виды сочетанного применения лапароскопической рукавной (продольной, слив) с фундопликацией, а также описана классификация комбинации гастрошунтирования и фундопликации. В работе указано место в ревизионной бариатрической хирургии желудочного шунтирования по Ру и ревизионной фундопликации. Отдельно описаны одно анастомозное гастрошунтирование с использованием дна исключенного желудка и результаты применения метода ФундоРинг.

ЗАКЛЮЧЕНИЕ

Анализ результатов комбинированного использования фундопликации в метаболической и бариатрической хирургии указывает на следующие положения: во-первых, на возможность и необходимость классификации сочетанного применения фундопликации при различных бариатрических хирургических методах; во-вторых, на тенденцию применения фундопликации не только для лечения дооперационного и профилактики послеоперационного рефлюкс-эзофагита, но и для повышения надежности степлерных швов на малом желудочке и для лечения демпинг-синдрома, а также для снижения вероятности рецидива ожирения после бариатрических вмешательств.

Ключевые слова / Keywords:

фундопликация

бариатрическая хирургия

шунтирование желудка

рукавная резекция желудка

комбинация

пликация

Авторы / Authors:

Оспанов О.Б.

Медицинский университет Астана;
Центр хирургии профессора Орала Оспанова

ORCID: 0000-0002-1840-114X

Жаров Н.К.

Медицинский университет Астана

ORCID: 0009-0006-7408-8270

Дата поступления:

06.03.2025

Дата принятия в печать:

14.05.2025

Закрыть метаданные

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