Open AccessProblemy lecheniya patsientov s morbidnym ozhireniem
Author(s) -
Е. Г. Старостина
Publication year - 2011
Publication title -
ožirenie i metabolizm
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.154
H-Index - 5
eISSN - 2306-5524
pISSN - 2071-8713
DOI - 10.14341/2071-8713-5192
Subject(s) - medicine , psychological intervention , intervention (counseling) , obesity , morbid obesity , mental health , intensive care medicine , surgery , psychiatry , weight loss
The article describes evidence-based approaches to treatment of morbid obesity, including surgical interventions designated forbodyweight reduction and provides comparative analysis of efficacy and safety of lifestyle interventions, medical treatment and varioustypes of bariatric surgery. Detailed description of diagnosis, treatment and prevention of post-surgical vitamin and mineral deficienciesis given. Special attention is paid to high prevalence of mental disorders in patients with morbid obesity, their role in its development,their influence on outcomes of surgical intervention and potential patient dissatisfaction with its results. Necessity of thorough selectionof patients for bariatric surgery is emphasized, with assessment of their mental state and proper organization of subsequent life-longfollow-up after operation