Treatment of weight re-gaining after gastric bypass operation in female patient with morbid obesity and diabetes mellitus
- Authors: Semikova G.V.1, Volkova A.R.1, Khalimov Y.S.1, Lisker A.V.1, Mozgunova V.S.1, Ostroukhova E.N.1
-
Affiliations:
- Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia
- Issue: Vol 10, No 8 (2024)
- Pages: 118-124
- Section: CLINICAL CASE
- URL: https://bakhtiniada.ru/2412-4036/article/view/271118
- DOI: https://doi.org/10.18565/therapy.2024.8.118-124
- ID: 271118
Cite item
Open Access
Access granted
Subscription Access
Abstract
Abstract. Obesity (OB) is a common disease that leads to a significant increase in cardiovascular risk due to the development of insulin resistance, carbohydrate metabolism disorders, and dyslipidemia. The most effective method for treating OB and OB-associated conditions is bariatric surgery. In recent years, the data on weight regain (WR) and recurrence of OB in patients who were not complying with postoperative diet recommendations, physical activity, and doctor visits are accumulated in the literature. As a rule, WR leads to worsening glycemic control, deepens insulin resistance and dyslipidemia. In addition, the restrictive and malabsorptive components of modern bariatric interventions require taking vitamin and mineral supplements, since developing deficiency conditions can lead to serious complications. The article presents a clinical case of a female patient with morbid OB and type 2 diabetes mellitus, who developed WR and complications caused by vitamin and mineral deficiency.
Full Text
##article.viewOnOriginalSite##About the authors
Galina V. Semikova
Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia
Author for correspondence.
Email: Semikovagv@yandex.ru
ORCID iD: 0000-0003-0791-4705
SPIN-code: 4534-0974
MD, PhD (Medicine), assistant
Russian Federation, Saint PetersburgAnna R. Volkova
Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia
Email: volkovaa@mail.ru
ORCID iD: 0000-0002-5189-9365
SPIN-code: 4007-1288
MD, Dr. Sci.(Medicine), professor
Russian Federation, Saint PetersburgYuri Sh. Khalimov
Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia
Email: yushkha@gmail.com
ORCID iD: 0000-0002-7755-7275
SPIN-code: 7315-6746
MD, Dr. Sci. (Medicine), professor
Russian Federation, Saint PetersburgAnna V. Lisker
Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia
Email: a.lisker@mail.ru
ORCID iD: 0000-0003-4295-1202
SPIN-code: 3688-1505
MD, PhD (Medicine)
Russian Federation, Saint PetersburgValentina S. Mozgunova
Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia
Email: sidelnikovavalya@mail.ru
ORCID iD: 0000-0002-0841-3438
MD, assistant
Russian Federation, Санкт-ПетербургElena N. Ostroukhova
Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia
Email: elenikos9@gmail.com
MD, PhD (Medicine), associate professor
Russian Federation, Saint PetersburgReferences
- Shukla A.P., He D., Saunders K.H. Current concepts in management of weight regain following bariatric surgery. Expert Rev Endocrinol Metab. 2018; 13(2): 67–76. https://doi.org/10.1080/17446651.2018.1447922. PMID: 30058859.
- Mechanick J.I., Apovian C., Brethauer S. et al. Clinical practice guidelines for the perioperative nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures – 2019 update: Cosponsored by American Association of Clinical Endocrinologists / American College of Endocrinology, the Obesity Society, American Society for Metabolic & Bariatric Surgery, Obesity Medicine Association, and American Society of Anesthesiologists – executive summary. Endocr Pract. 2019; 25(12): 1346–59. https://doi.org/10.4158/gl-2019-0406. PMID: 31682518.
- Trevino R.P., Pina C., Fuentes J.C., Nunez M. Evaluation of medicare’s intensive behavioral therapy for obesity: The BieneStar experience. Am J Prev Med. 2018; 54(4): 497–502. https://doi.org/10.1016/j.amepre.2018.01.018. PMID: 29449133.
- Wadden T., Tsai A., Tronieri J. A protocol to deliver intensive behavioral therapy (IBT) for obesity in primary care settings: The MODEL-IBT program. Obesity (Silver Spring). 2019; 27(10): 1562–66. https://doi.org/10.1002/oby.22594. PMID: 31544345. PMCID: PMC6786257.
- Magro D.O., Geloneze B., Delfini R. et al. Long-term weight regain after gastric bypass: A 5-year prospective study. Obes Surg. 2008; 18(6): 648–51. https://doi.org/10.1007/s11695-007-9265-1. PMID: 18392907.
Supplementary files
