vtioВестник трансплантологии и искусственных органовRussian Journal of Transplantology and Artificial Organs1995-1191Academician V.I.Shumakov National Medical Research Center of Transplantology and Artificial Organs", Ministry of Health of the Russian Federation10.15825/1995-1191-2026-2-39-45vtio-2079Research ArticleКЛИНИЧЕСКАЯ ТРАНСПЛАНТОЛОГИЯCLINICAL TRANSPLANTOLOGYСлив-резекция желудка при морбидном ожирении после трансплантации печениSleeve gastrectomy in a patient with morbid obesity following liver transplantationhttps://orcid.org/0000-0003-0254-8240ГригорьевС. Е.GrigorievS. E.

Григорьев Сергей Евгеньевич - врач-хирург отделения портальной гипертензии ГБУЗ ИОКБ; доцент кафедры кафедры госпитальной хирургии ИГМУ.

664049, Иркутск, мкр. Юбилейный, д. 100

Тел. (902) 176-71-06

Sergey E. Grigoriev.

100, Mikrorayon Yubileynyy, Irkutsk, 664049

Phone: (902) 176-71-06

grigorievse@gmail.comhttps://orcid.org/0000-0003-2070-9263МовсисянМ. О.MovsisyanM. O.

Мовсисян Микаел Оганнесович - врач-хирург отделения портальной гипертензии ГБУЗ ИОКБ; ассистент кафедры кафедры госпитальной хирургии ИГМУ.

Иркутск

Irkutsk

mov-mik@yandex.ruhttps://orcid.org/0000-0003-1957-287XНовожиловА. В.NovozhilovA. V.

Новожилов Александр Владимирович - заведующий отделением портальной гипертензии ГБУЗ ИОКБ; доцент кафедры кафедры госпитальной хирургии ИГМУ.

Иркутск

Irkutsk

Novojilov_av@mail.ruМанвелянА. М.ManvelyanA. M.

Манвелян Аида Манвеловна - врач-гастроэнтеролог отделения портальной гипертензии ГБУЗ ИОКБ.

Иркутск

Irkutsk

aida119@mail.ruГБУЗ «Иркутская областная клиническая больница»; ФГБОУ ВО «Иркутский государственный медицинский университет» Минздрава РоссииРоссияIrkutsk Regional Clinical Hospital; Irkutsk State Medical UniversityRussian FederationГБУЗ «Иркутская областная клиническая больница»РоссияIrkutsk Regional Clinical HospitalRussian Federation2026280620262823945Copyright © Григорьев С.Е., Мовсисян М.О., Новожилов А.В., Манвелян А.М., 20262026Григорьев С.Е., Мовсисян М.О., Новожилов А.В., Манвелян А.М.Grigoriev S.E., Movsisyan M.O., Novozhilov A.V., Manvelyan A.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.transpl.ru/vtio/article/view/2079 

 

Цель

Цель: представить наблюдение пациентки, у которой после трансплантации печени проведена лапароскопическая продольная резекция желудка по поводу морбидного ожирения. Материал и методы. Пациентке 1968 г. р. с первичным билиарным циррозом в 2019 г. выполнена ортотопическая трансплантация печени. Через 3 года – пластика передней брюшной стенки по поводу послеоперационной грыжи. После трансплантации печени отмечалось постепенное увеличение массы тела, ухудшение качества жизни. В условиях выраженного спаечного процесса в брюшной полости выполнена лапароскопическая продольная резекция желудка. Послеоперационный период без осложнений. Результаты. Снижение веса, улучшение качества жизни, оптимальная функция трансплантата. Заключение. Лапароскопическая слив-резекция желудка – эффективный метод лечения ожирения и его осложнений после трансплантации печени.

Objective: to present a clinical case of laparoscopic sleeve gastrectomy (LSG) performed for morbid obesity following liver transplantation (LT). Materials and methods. A female patient (born 1968) with primary biliary cirrhosis underwent orthotopic LT in 2019. Three years later, she required anterior abdominal wall repair for a postoperative hernia. Subsequently, progressive weight gain and deterioration in quality of life were observed. Despite significant intra-abdominal adhesions, LSG was performed. The postoperative period was uneventful. Results. The patient demonstrated significant weight loss, improved quality of life, and preserved graft function. Conclusion. LSG is an effective treatment for morbid obesity and its associated complications following LT.

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The authors declare that there are no conflicts of interest present.