ORIGINAL RESEARCH
Stomach wall changes after gastroplication in patients with morbid obesity
Bashkir State Medical University, Ufa, Russia
Correspondence should be addressed: Vladislav O. Khanov
Sultanova, 24-24, Ufa, 450076; ur.liam@vvonahk
Compliance with ethical standards: the clinical study was approved by the Ethics Committee of the Bashkir State Medical University Clinic (protocol № 47 dated May 29, 2020). The informed consent was submitted by all patients or their legal representatives. The animals were treated in strict compliance with the Declaration of Helsinki, Directive 2010/63/EU of the European Parliament and the Council (September 22, 2010) on the protection of animals used for scientific purposes, and Good Laboratory Practice guidelines established by the Order 708n of the Ministry of Healthcare of the Russian Federation (August 23, 2010).
Author contribution: Galimov OV, Khanov VO — study concept and design; Khanov VO, Ziangirov RA, Galimova ES — study planning; Minigalin DM, Galimov DO, Galimova ES — literature analysis; Ziangirov RA, Minigalin DM, Galimov DO — data acquisition and processing; Galimova ES, Minigalin DM — statistical analysis; Galimov OV, Khanov VO, Minigalin DM — data interpretation; Minigalin DM, Galimov DO — manuscript preparation; О. В. Галимов, В. О. Х Galimov OV, Khanov VO, Ziangirov RA — editing.
Morbid obesity is a distinct disorder which leads to metabolic disorders and to the development of many severe chronic diseases, therefore, the effective treatment of the disorder is an urgent problem of modern medicine. Currently, morbid obesity and the corresponding disorders are a growing problem associated with a significant risk of morbidity and mortality. The study was aimed to assess the morphological and functional changes in the stomach wall after gastroplication performed by the new method worked out in the Clinic of the Department of Surgical Diseases and New Technologies of the Bashkir State Medical University. Gastroplication was performed in 15 male rabbits of the Gray Giant breed aged 12–16 months weighting 3050–5380 g. The animals were withdrawn from the experiment 3, 6 and 12 months after surgery, followed by histological examination of the stomach wall plicated section. Changes in the mucous membrane and the muscle layer of the stomach wall after gastroplication were adaptive and associated with no severe morphological impairment. That made it possible to use the method in clinical practice in 15 patients with morbid obesity, 9 women and 6 men aged 42 ± 2.1. In most patients (13 people, 86.7%), a steady decrease in the body weight was achieved during the first 2–12 months. Long-term treatment results had been tracked during two years. It has been confirmed, that the new laparoscopic gastroplication technique does not lead to pathological changes in the stomach wall plicated section, therefore, the simple and cost-effective method may be used in clinical practice for treatment of patients with morbid obesity.
Keywords: bariatric surgery, laparoscopic surgery, gastroplication, clinical and experimental studies, operations on rabbits