Gastrointestinal complications in the late postoperative period after longitudinal resection of the stomach
Objective of the Paper. To update the problems of eating disorders and psychosocial characteristics of patients with morbid obesity and associated gastrointestinal complications after bariatric intervention in the late postoperative period. Key Points. Obesity is an urgent medical and social problem that increases the cost of medical care and worsens the quality of life of patients and requires lifelong treatment. In severe forms of obesity, surgical methods of treatment remain uncontested. The paper presents the literature data on the epidemiology of obesity, methods of treatment of morbid obesity, the risk of complications associated with bariatric surgery. We present our own observation of the clinical case, demonstrating the development of gastrointestinal complications that occurred in the patient in the late postoperative period, the main component of the development of which were non-compliance with the diet and diet after bariatric intervention and especially the psycho-social characteristics of the patient. Conclusion. In the treatment of gastrointestinal complications of surgical treatment of morbid obesity, it is necessary to take into account the peculiarities of eating behavior, violation of dietary recommendations, diet, personal characteristics of patients. Patients who have undergone bariatric surgery are recommended to be under the supervision of a multidisciplinary team of specialists with experience in the treatment of medical, psychological and gastroenterological side effects of bariatric surgery for life.