Метаболічний Синдром Як Вагомий Фактор Під Час Розробки Концепціїфізичної Реабілітації Для Осіб Після Холецистектомії

Abstract

Topicality. There is a need to review the potential long-term negative consequences of gallbladder removal (GBR), especially the associated risk of further metabolic syndrome (MS), considering the rehabilitation prognosis of patients after laparoscopic cholecystectomy (LC). The Aim of the Research is to conduct a synthesis and analysis of the scientific literature that studies the risks of MS foe people after LC and to determine whether there are risk factors for MS among people after LC at the long-term stage of rehabilitation who were in the Morshynkurort sanatorium-resort complex. Methods. A synthesis of scientific works, a retrospective analysis of 100 medical records of patients after LC who were rehabilitated in the Morshynkurort sanatorium-resort complex was carried out. Inclusion criteria: charts of patients after LC from 1 month to 1 year after the intervention. Randomization, blinding of evaluators. Outcome measures: triglycerides (units), fasting plasma glucose (mmol/L), systolic blood pressure (mm Hg), diastolic blood pressure (mm Hg). Results. LC has a high prognostic risk of MS, bowel cancer, cardiovascular disease, dysbiosis, and pancreatic inflammation. It has been established that cholecystectomy (СС) significantly increases the risk of developing MS. The analysis of medical records revealed 3 existing criteria for the presence of MC in patients undergoing sanatorium treatment: triglycerides (2,10 ± 0,30, mmol/L) – above 1,7; fasting blood glucose (6,20 ± 0,56, mmol/L) – above 5,6; elevated blood pressure (systolic and diastolic). Conclusions. Patients in the long-term rehabilitation stages have been found to have signs of MS. The assessment of the modifiable risk factors for MS in patients after CC should be mandatory when planning individual rehabilitation programs.