Obesity surgery in Russia

• Published in: Obesity surgery Vol. 9; no. 1; pp. 40 - 43
• Main Authors: Yashkov, Y I, Kuzin, N M, Sedletsky, Y I
• Format: Journal Article
• Language: English
• Published: United States Springer Nature B.V 01.02.1999
• Subjects: Data Collection; Female; Gastric Bypass - statistics & numerical data; Gastroplasty - statistics & numerical data; Humans; Jejunoileal Bypass - statistics & numerical data; Male; Obesity; Obesity, Morbid - epidemiology; Obesity, Morbid - surgery; Russia - epidemiology; Surgery; Survival Rate; Treatment Outcome; Weight Loss; Russia
• ISSN: 0960-8923; 1708-0428
• DOI: 10.1381/096089299765553737

In Russia, 40% of the population are overweight, and 26% are obese. As was mentioned at the IFSO Symposium in Cancun, very little is known about obesity surgery in Russia. The authors undertook a literature search and interviewed surgeons who are known to perform bariatric procedures. Jejunoileal bypass (JIB) was used in the 1970s but has been abandoned by most surgeons. Since 1977, 334 JIBs, of a total of 360 bariatric operations, have been performed at I Saint Petersburg Medical University. The remaining 26 operations included 14 gastric bandings, 6 horizontal and 4 vertical gastroplasties, and 2 gastric bypasses. Since 1984, 545 gastric banding procedures have been done at the Moscow Medical Academy, where the current approach is the lap-band type of gastric banding. The laparoscopic technique of adjustable gastric banding is beginning to be used. Vertical banded gastroplasty (VBG) was begun in the early 1990s. At the Russian Research Center of Surgery in Moscow, 48 Mason VBGs have been done. The other group in Moscow reported 28 VBGs without the creation of a window and including covering the stoma by polypropylene mesh. There are only a few known cases of gastric bypass procedures. No data on biliopancreatic diversion were found. Obesity surgery is not being performed enough to satisfy the requirements of the Russian population. Simple operations are more common than complex ones. The use of the laparoscopic approach has begun and probably will increase.