Changes in the degree of oxygenation of gastric mucosa before and after the operation of creating a small stomach in patients with the extreme degree of alimentary-constitutional obesity

• Published in: Hirurgija (Moskva) no. 10; p. 70
• Main Authors: Kashevarov, S B, Kuzin, N M, Zavodnov, V Ia, Loshchenov, V B, Korablin, S N, Markov, V K
• Format: Journal Article
• Language: Russian
• Published: Russia (Federation) 01-10-1991
• Subjects: Adolescent; Adult; Feeding Behavior - physiology; Feeding Behavior - psychology; Female; Gastric Mucosa - metabolism; Gastroplasty - methods; Humans; Male; Middle Aged; Obesity, Morbid - etiology; Obesity, Morbid - metabolism; Obesity, Morbid - psychology; Obesity, Morbid - surgery; Oxygen Consumption - physiology; Postoperative Period; Psychophysiologic Disorders - etiology; Psychophysiologic Disorders - metabolism; Psychophysiologic Disorders - surgery; Weight Loss - physiology
• ISSN: 0023-1207

The authors examined 131 patients with alimentary-constitutional obesity of Degrees III-IV before and after operation for "small stomach" formation. All patients underwent pre- and post-operative endoscopy of the esophagus, stomach and duodenum. The level of gastric mucosa oxygenation was measured in 50 patients before and in various periods after surgery. For this purpose the authors suggested an original endoscopic +spectrum analyzer and a method for determining the level of oxygenation of the mucosa of the organ. The level of gastric mucosa oxygenation was significantly lower in patients with obesity than in healthy individuals of the control group. After the operation the oxygenation level increased significantly, which was connected with an altered diet regimen, reduced amount of the ingested food, loss of weight, and improved microcirculation in the mucous membrane of the organs of the alimentary tract. The authors emphasize in particular the absence of blood supply disorders at the site of application of a synthetic fluoronlavsan band (in the region of the anastomosis), which is among the indices of the physiological property of this method for surgical treatment of patients with alimentary-constitutional obesity.