Treatment of weight re-gaining after gastric bypass operation in female patient with morbid obesity and diabetes mellitus


DOI: https://dx.doi.org/10.18565/therapy.2024.8.118-124

Semikova G.V., Volkova A.R., Khalimov Yu.Sh., Lisker A.V., Mozgunova V.S., Ostroukhova E.N., Dora S.V.

Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia
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.
Keywords: semaglutide, weight regain, gastric bypass, morbid obesity, bariatric surgery
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Literature

1. 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.


2. 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.


3. 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.


4. 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.


5. 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.


About the Autors

Galina V. Semikova, MD, PhD (Medicine), assistant at the Department of faculty therapy with a course of endocrinology, cardiology with the clinic named after academician G.F. Lang, Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia. Address: 197022, Saint Petersburg, 6/8 Lva Tolstogo St.
E-mail: Semikovagv@yandex.ru
ORCID: https://orcid.org/0000-0003-0791-4705. eLibrary SPIN: 4534-0974
Anna R. Volkova, MD, Dr. Sci.(Medicine), professor of the Department of faculty therapy with a course of endocrinology, cardiology with the clinic named after academician G.F. Lang, Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia. Address: 197022, Saint Petersburg, 6/8 Lva Tolstogo St.
E-mail: volkovaa@mail.ru
ORCID: https://orcid.org/0000-0002-5189-9365. eLibrary SPIN: 4007-1288
Yuri Sh. Khalimov, MD, Dr. Sci. (Medicine), professor, head of the Department of faculty therapy with a course of endocrinology, cardiology with the clinic named after academician G.F. Lang, Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia. Address: 197022, Saint Petersburg, 6/8 Lva Tolstogo St.
E-mail: yushkha@gmail.com
ORCID: https://orcid.org/0000-0002-7755-7275. eLibrary SPIN: 7315-6746
Anna V. Lisker, MD, PhD (Medicine), head of the Department of endocrinology of the Clinic of the Scientific and Clinical Center of Endocrinology, Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia. Address: 197022, Saint Petersburg, 6/8 Lva Tolstogo St.
E-mail: a.lisker@mail.ru
ORCID: https://orcid.org/0000-0003-4295-1202. eLibrary SPIN: 3688-1505
Valentina S. Mozgunova, MD, assistant at the Department of faculty therapy with the course of endocrinology, cardiology with the clinic named after academician G.F. Lang, Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia. Address: 197022, Saint Petersburg, 6/8 Lva Tolstogo St.
E-mail: sidelnikovavalya@mail.ru
ORCID: http://orcid.org/0000-0002-0841-3438
Elena N. Ostroukhova, MD, PhD (Medicine), associate professor of the Department of faculty therapy with the course of endocrinology, cardiology with the clinic named after academician G.F. Lang, Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia. Address: 197022, Saint Petersburg, 6/8 Lva Tolstogo St.
E-mail: elenikos9@gmail.com
ORCID: https://orcid.org/0000-0002-6542-7959. eLibrary SPIN: 4103-7025
Svetlana V. Dora, MD, Dr. Sci. (Medicine), professor of the Department of faculty therapy with the course of endocrinology, cardiology with the clinic named after academician G.F. Lang, Academician I.P. Pavlov First Saint Petersburg State Medical University of the Ministry of Healthcare of Russia. Address: 197022, Saint Petersburg, 6/8 Lva Tolstogo St.
E-mail: doras2001@mail.ru
ORCID: http://orcid.org/0000-0002-8249-6075. eLibrary SPIN: 9845-0065


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