Metabolic risk factors are a significant cause of global burden among adults and adolescents,especially those with high BMIs.1 The prevalence of obesity in Kazakhstan is rapidly increasing,which reduces life expectanc...Metabolic risk factors are a significant cause of global burden among adults and adolescents,especially those with high BMIs.1 The prevalence of obesity in Kazakhstan is rapidly increasing,which reduces life expectancy.2,3 One common approach for treating obesity and its associated comorbidities is gastric bypass surgery.However,it is not without complications,and one of the most significant postoperative concerns is reflux esophagitis.Gastroesophageal reflux disease(GERD)is a prevalent problem among obese patients,and providing care is a significant factor in bariatric surgery.4 Roux-en-Y gastric bypass(RYGB)is frequently considered the preferable surgical treatment for individuals with GERD because of its efficacy in reducing reflux symptoms.展开更多
In this technical note,a novel rating scale(abdominal integral index)was introduced for assessing the conditions of the working laparoscopic space based on linear measurements to select the optimal one or two-stage su...In this technical note,a novel rating scale(abdominal integral index)was introduced for assessing the conditions of the working laparoscopic space based on linear measurements to select the optimal one or two-stage surgical treatment for super-obesity.Patients with the same height and similar BMI values had different rating scale scores,reflecting different conditions of laparoscopic bariatric surgery.The rating scale helps surgeons and patients make a safe option for surgery,depending on the experience of the surgeon and technical laparoscopic conditions.展开更多
基金supported by the Ministry of Education and Science of the Republic of Kazakhstan(Grant No.AP23490186).
文摘Metabolic risk factors are a significant cause of global burden among adults and adolescents,especially those with high BMIs.1 The prevalence of obesity in Kazakhstan is rapidly increasing,which reduces life expectancy.2,3 One common approach for treating obesity and its associated comorbidities is gastric bypass surgery.However,it is not without complications,and one of the most significant postoperative concerns is reflux esophagitis.Gastroesophageal reflux disease(GERD)is a prevalent problem among obese patients,and providing care is a significant factor in bariatric surgery.4 Roux-en-Y gastric bypass(RYGB)is frequently considered the preferable surgical treatment for individuals with GERD because of its efficacy in reducing reflux symptoms.
文摘In this technical note,a novel rating scale(abdominal integral index)was introduced for assessing the conditions of the working laparoscopic space based on linear measurements to select the optimal one or two-stage surgical treatment for super-obesity.Patients with the same height and similar BMI values had different rating scale scores,reflecting different conditions of laparoscopic bariatric surgery.The rating scale helps surgeons and patients make a safe option for surgery,depending on the experience of the surgeon and technical laparoscopic conditions.
