Study of Lipid Metabolism Disorders in Patients with Morbid Obesity and Evaluation of the Corrective Effect of Laparoscopic Sleeve Gastrectomy on These Changes

Abstract

Goals: To study the evaluation of lipid metabolism after the operation of sleeve resection in patients with morbid obesity. Materials and Methods: From 2019 to 2022, 277 bariatric and metabolic surgeries were performed in our clinical sites, including 125 MGSH and 152 PRG. Results: In our clinic, we studied the effect of sleeve resection practice on lipid metabolism before surgery and in the long term 6 months after surgery. The frequency of occurrence of the studied types of dyslipidemia depended on the degree of obesity. The frequency of the studied types of dyslipidemia depended on the degree of obesity. Hypercholesterolemia persisted in 4 (8.9%) patients after traditional sleeve resection, and after the proposed method of sleeve resection, this indicator in all patients did not differ from the normative indicators. The proposed surgical procedure leads to a decrease in the coefficient of atherogenicity and prevents dyslipoproteinemia.

Conclusion: After 6 months of bariatric surgery, a statistically significant decrease in the level of UAG in serum blood was observed in the primary and control group of patients, which testifies to the greater effectiveness of the proposed operative intervention compared to the control group and the ratio of complete liquidation of hypertriglyceridemia.