medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2024-26-34-40medalphabet-3966Research ArticleПРАКТИЧЕСКАЯ ГАСТРОЭНТЕРОЛОГИЯPRACTICAL GASTROENTEROLOGYОстеопения и остеопороз у пациентов после бариатрических операций: механизмы развития, течения и прогнозOsteopenia and osteoporosis in patients after bariatric surgery: mechanisms of development, course and prognosisТуркевичА. В.TurkevichA. V.

Туркевич Александр Валентинович - студент 6-го курса лечебного факультета

Омск

Turkevich Alexander V. - 6th year student of the Faculty of Medicine

Omsk

turkevich-2015@mail.ruhttps://orcid.org/0000-0002-5508-6679ХрамыхТ. П.KhramykhT. P.

Храмых Татьяна Петровна - д.м.н., доцент, зав. кафедрой топографической анатомии и оперативной хирургии

Омск

Khramykh Tatyana P. - DM Sci (habil.), associate professor, head of Dept of Topographic Anatomy and Operative Surgery

Omsk

khramykh@yandex.ruЛивзанМ. А.LivzanM. A.

Ливзан Мария Анатольевна - д.м.н., член-кор. РАН, проф., ректор, зав. кафедрой факультетской терапии и гастроэнтерологии

Омск

Livzan Maria A. - DM Sci (habil.), corresponding member of the Russian Academy of Sciences, professor, rector, head of Dept of Faculty Therapy and Gastroenterology

Omsk

rector@omsk-osma.ruhttps://orcid.org/0000-0001-9252-9152БикбавоваГ. Р.BikbavovaG. R.

Бикбавова Галия Равильевна - к.м.н., доцент, доцент кафедры госпитальной терапии, эндокринологии

 Омск

Bikbavova Galiya R. - DM Sci (habil.), associate professor at Dept of Hospital Therapy and Endocrinology.

Omsk

galiya1976@mail.ruФГБОУ ВО «Омский государственный медицинский университет» Минздрава РоссииРоссияOmsk State Medical UniversityRussian Federation202410112024026«Практическая гастроэнтерология» (2)3440Copyright © Туркевич А.В., Храмых Т.П., Ливзан М.А., Бикбавова Г.Р., 20242024Туркевич А.В., Храмых Т.П., Ливзан М.А., Бикбавова Г.Р.Turkevich A.V., Khramykh T.P., Livzan M.A., Bikbavova G.R.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/3966

В последние десятилетия медицинское сообщество во всем мире занято поисками средств борьбы с морбидным ожирением, и, несмотря на разнообразие способов и методик, в последние годы большой прогресс отмечается в направлении бариатрической хирургии. Несмотря на свою эффективность, в бариатрической хирургии остается большое количество вопросов, связанных с эффективностью тех или иных методик, их отдаленными результатами и выбором операции. Цель представленного обзора литературы: рассмотреть механизмы формирования, развития и течения остеопении и остеопороза после проведения бариатрических операций, а также частоту их возникновения в зависимости от вида бариатрической процедуры (рукавная резекция желудка, желудочное шунтирование по Ру, бандажирование желудка, билиопанкреатическое шунтирование). Для достижения поставленной цели проведен поиск литературы по данной проблеме на платформах PubMed, eLIBRARY.RU, Google scholar. Материал был обобщен и проанализирован с целью поиска ранее неизученных звеньев патогенеза остеопении и остеопороза и в целом механизмов нарушения минерального обмена в послеоперационном периоде у больных, перенесших бариатрические операции различного объема.

In recent decades, the medical community around the world has been searching for ways to combat morbid obesity, and despite the variety of methods and techniques, great progress has been noted in recent years in the field of bariatric surgery. Despite its effectiveness, bariatric surgery still has a large number of questions related to the effectiveness of certain methods, their long-term results and the choice of surgery. The purpose of this literature review: to consider the mechanisms of formation, development and course of osteopenia and osteoporosis after bariatric surgery, as well as the frequency of their occurrence depending on the type of bariatric procedure (sleeve gastrectomy, Roux-en-Y gastric bypass, gastric banding, biliopancreatic diversion). To achieve this goal, a literature search on this issue was conducted on the PubMed, eLIBRARY.RU, Google scholar platforms. The material was summarized and analyzed in order to find previously unexplored links in the pathogenesis of osteopenia and osteoporosis and, in general, the mechanisms of mineral metabolism disorders in the postoperative period in patients who underwent bariatric surgeries of varying volumes.

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The authors declare that there are no conflicts of interest present.