Достижение контроля у больных бронхиальной астмой с ожирением: возможности бариатрической хирургии


DOI: https://dx.doi.org/10.18565/therapy.2024.6.84-96

Н.А. Кароли

ФГБОУ ВО «Саратовский государственный медицинский университет им. В.И. Разумовского» Минздрава России
Аннотация. В последние годы проблема трудно контролируемой бронхиальной астмы (БА) становится все более актуальной. Один из факторов, приводящих к плохому ее контролю, – ожирение (ОЖ). Бариатрическая хирургия является многообещающим вмешательством для снижения веса и долгосрочного контроля над сопутствующими заболеваниями, связанными с ОЖ, включая БА. Цель обзора – обобщить результаты, отражающие влияние бариатрической хирургии на возможность достижения контроля БА у больных с ОЖ. Имеющиеся данные подтверждают эффективность бариатрических методов при лечении пациентов с морбидным ОЖ и БА. Большинство исследований свидетельствует об улучшении течения астмы, снижении числа обострений и связанных с ней госпитализаций, а также объема проводимой терапии после бариатрической операции. Описаны случаи полного отказа пациентов от противоастматической терапии после выполненного хирургического вмешательства. Вместе с тем в значительной части рассмотренных исследований участвовало небольшое количество пациентов, в них не указывалась тяжесть БА (либо астма исходно была нетяжелой и контролируемой) и не всегда четко определялись конечные точки исследования.
Ключевые слова: бариатрическая хирургия, контроль бронхиальной астмы, бронхиальная астма, ожирение
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Об авторах / Для корреспонденции

Нина Анатольевна Кароли, д. м. н., профессор кафедры госпитальной терапии лечебного факультета ФГБОУ ВО «Саратовский государственный медицинский университет им. В.И. Разумовского» Минздрава России. Адрес: 410012, г. Саратов, ул. Большая Казачья, д. 112.
E-mail: nina.karoli.73@gmail.com
ORCID: https://orcid.org/0000-0002-7464-826X


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