Contemporary international experience of the most common bariatric surgical interventions

We analyzed international experience of the most common modern bariatric surgical interventions. In case of traditional therapy, no more than 10% of patients with morbid obesity achieve optimal results. Currently, bariatric surgery is the only one that leads to stable weight loss for more than 10 years. We summarized data on the most popular bariatric procedures (laparoscopic longitudinal gastrectomy and Roux-en-Y gastric bypass) available in the Russian and English-language literature published over the past 10 years. Selection was based on relevance of study issue to current understanding of bariatric surgery. Both techniques demonstrated significant efficacy in the treatment of morbid obesity. However, the researchers presented discrete results demonstrating discrepancies in rates of postoperative complications, weight loss and regression of comorbidities. It is necessary to develop a modified surgical technique for more effective management of this patient population.