дислипидемия, ожирение, метаболический синдром, эффективность бариатрических операций, dislipodemia, obesity, metabolic syndrome, efficacy of bariatric operations, Surgery, RD1-811

The results of surgical treatment of 139 patients with metabolic syndrome, obesity and dislipodemia were analyzed. Modern bariatric operations (4 types) were performed by using laparoscopic method. There were regulated bandages of the stomach (RBS), lengthwise gastric resections (LGR), biliopancreatic and stomach bypass surgeries (BBS, SBS). Results of five-year follow-up indicated that restrictive operations on the stomach (RBS, LGR) aimed to correct overweight and dislipodemia had some limitations to application in a varying degree. The RBS operation should be appropriate to use for women of the young age group, when an initial body-weight index wasn’t more than 43 kg/m². The LGR operation was effective for men of the young age group and women in case of moderately expressed dislipodemia and in case when the initial body-weight index didn’t exceed more than 45 kg/m². Combined bariatric operations (BBS, SBS) were most likely effective on body weight and dislipodemia.