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Цель вмешательства — **снижение веса** за счёт корректировки объёмов желудка или пути прохождения пищи по пищеварительному тракту [10](https://bariatriya05.ru/blog/chto-takoe-bariatricheskaya-operaciya/). Также бариатрическая хирургия помогает: \n- **Лечить сахарный диабет 2 типа** — после процедуры многие пациенты прекращают принимать сахароснижающие препараты или уменьшают дозировки [5](https://www.bariatriya.ru/poleznaya-informatsiya/info/?ELEMENT_ID=84)[12](https://www.smclinic.ru/professional-services/bariatricheskie-operacii/). \n- **Нормализовать липидный обмен** — уменьшается уровень холестерина, триглицеридов и ЛПНП в крови [5](https://www.bariatriya.ru/poleznaya-informatsiya/info/?ELEMENT_ID=84). \n- **Лечить заболевания, связанные с ожирением**: гипертонию, заболевания опорно-двигательного аппарата, сердечную недостаточность и другие [1](https://new.nmicr.ru/pacientam/metody-diagnostiki-i-lechenija/bariatricheskaja-hirurgija/)[2](https://plastica-pershin.ru/services/bariatricheskaya-hirurgiya/).\n\n## Показания\nБариатрическую операцию назначают, если: \n* **Индекс массы тела (ИМТ) 40 и выше** — выраженное ожирение с риском для здоровья [7](https://volgograd.rzd-medicine.ru/services/bariatricheskie-operacii-stacionar). \n* **ИМТ от 35 до 40** при наличии сопутствующих заболеваний, таких как сахарный диабет 2 типа, гипертония, синдром апноэ сна, артрит, бесплодие и др. [7](https://volgograd.rzd-medicine.ru/services/bariatricheskie-operacii-stacionar). \n* **Консервативные методы** (диеты, медикаменты, психотерапия) не дали результата [7](https://volgograd.rzd-medicine.ru/services/bariatricheskie-operacii-stacionar). \n* **Необходимость снижения веса** для улучшения состояния при ортопедических операциях или других серьёзных проблемах со здоровьем [7](https://volgograd.rzd-medicine.ru/services/bariatricheskie-operacii-stacionar).\n\n## Виды операций\nНекоторые виды бариатрических операций, которые проводит бариатрический хирург: \n* **Рукавная гастрэктомия** — удаляется большая часть желудка, остаётся узкий «рукав» [7](https://volgograd.rzd-medicine.ru/services/bariatricheskie-operacii-stacionar). \n* **Гастрошунтирование** — создаётся шунт между верхней частью желудка и тонкой кишкой, уменьшая объём желудка и всасывание пищи [7](https://volgograd.rzd-medicine.ru/services/bariatricheskie-operacii-stacionar). \n* **Бандажирование желудка** — на верхнюю часть желудка надевается силиконовый бандаж, ограничивающий объём пищи [7](https://volgograd.rzd-medicine.ru/services/bariatricheskie-operacii-stacionar).\n\nИллюстрации различных видов бариатрических операций:\n\n\n\n## Противопоказания\nРешение о возможности проведения бариатрической операции в каждом случае принимается индивидуально [8](https://xn--b1abfbo.xn--p1ai/blogs/komu-pokazana-operaciya-ot-ozhireniya). Некоторые противопоказания: \n* язва желудка и двенадцатиперстной кишки в стадии обострения [16](https://www.phag-rostov.ru/articles/protivopokazaniya-k-bariatricheskoj-operatsii/); \n* онкологические заболевания при сроке ремиссии менее 5 лет [16](https://www.phag-rostov.ru/articles/protivopokazaniya-k-bariatricheskoj-operatsii/); \n* психические болезни (депрессии, психозы, алкогольная и наркотическая зависимость, психопатии) [16](https://www.phag-rostov.ru/articles/protivopokazaniya-k-bariatricheskoj-operatsii/).\n\n## Реабилитация\nПосле операции пациенту назначается **строгая диета** и **длительное наблюдение** для контроля веса и состояния здоровья [7](https://volgograd.rzd-medicine.ru/services/bariatricheskie-operacii-stacionar). 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