Problems of Early Pathogenetic Diagnosis of Biliary Reflux after Bariatric Surgery

Abstract

Many studies devoted to the analysis of the long-term results of bypass surgeries provide contradictory information about the advantages of one or another method in the treatment of obesity and concomitant comorbid conditions. Moreover, in studies devoted to the analysis of the effectiveness of weight loss, remission of type 2 diabetes mellitus, many authors tend to give preference to mini-gastric bypass. As for some studies, some studies report a higher incidence of gastroenteroanastomosis ulcers in the long-term postoperative period after Roux-en-Y gastric bypass. At the same time, in the vast majority of studies, the assessment of biliary reflux is formed by analyzing clinical symptoms using various scales, questionnaires and endoscopic data, and only in three studies a morphological study was performed. This makes this scientific direction extremely promising for identifying risk groups after mini-gastric bypass and making timely decisions on revision interventions.