THE STATE OF COMORBID PATHOLOGY IN PATIENTS WITH MORBID OBESITY
DOI:
https://doi.org/10.11603/1681-2786.2018.2.9362Keywords:
morbid obesity, comorbid pathology.Abstract
Purpose: to improve the results of treatment of morbidly obese patients by assessing frequency and characteristics of comorbidity.
Materials and Methods. The results of a preoperative clinical, laboratory, instrumental examination of 205 patients with morbid obesity were analyzed.
Results. Concomitant diseases were diagnosed in 203 (99 %) morbidly obese patients included in the study. In the structure of concomitant pathology cardiovascular diseases prevailed – 135 (65.8 %) patients, carbohydrate metabolism disorders – 135 (65.8 %) patients and lipid metabolism disorders – 161 (78.5 %) patients, reflecting the pathogenesis of the metabolic syndrome and significantly increasing the risk of premature death. Diseases of the respiratory system were diagnosed in 63 (30.7%) patients and digestive system – in 130 (63.4 %) patients.
Conclusions. Peculiarities of morbidly obese patients are high frequency, systemic and, in the most cases, multifocality of organ lesions that requires a systemic implementation of a multidisciplinary approach to improve the results of treatment of this category of patients.References
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