jsmsJournal of Siberian Medical SciencesJournal of Siberian Medical Sciences2542-1174Federal state budgetary educational institution of higher education "Novosibirsk state medical university" of Ministry of Health of the Russian Federation (FSBEI HE NSMU MOH Russia)10.31549/2542-1174-2026-10-3-123-140jsms-1378Research ArticleОБЗОРЫREVIEWСовременные подходы к терапевтическому ведению пациентов после бариатрических операций (обзор литературы)Modern approaches to the management of patients after bariatric surgery (literature review)https://orcid.org/0000-0002-5442-1869ОдинцоваН. Ф.OdintsovaN. F.

Одинцова Наталья Фанисовна – канд. мед. наук, доцент кафедры поликлинической терапии с курсами клинической фармакологии и профилактической медицины

Ижевск

Natalya F. Odintsova – Cand. Sci. (Med.), Associate Professor, Department of Outpatient Therapy with Courses in Clinical Pharmacology and Preventive Medicine

Izhevsk

https://orcid.org/0000-0002-4162-5416НиколаеваА. В.NikolaevaA. V.

Николаева Алла Витальевна – канд. мед. наук, доцент, доцент кафедры поликлинической терапии с курсами клинической фармакологии и профилактической медицины

Ижевск

Alla V. Nikolaeva – Cand. Sci. (Med.), Associate Professor, Associate Professor of the Department of Outpatient Therapy with Courses in Clinical Pharmacology and Preventive Medicine

Izhevsk

ФГБОУ ВО «Ижевский государственный медицинский университет» Минздрава РоссииРоссияzhevsk State Medical UniversityRussian Federation20261210202603123140Copyright © Одинцова Н.Ф., Николаева А.В., 20262026Одинцова Н.Ф., Николаева А.В.Odintsova N.F., Nikolaeva A.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://jsms.elpub.ru/jour/article/view/1378

Распространенность ожирения продолжает расти во всем мире, что обусловливает потребность в действенных и долговременных методах лечения. Бариатрические операции показали свою эффективность в снижении массы тела, а также установлено уменьшение проявлений заболеваний, которые непосредственно связаны с ожирением. Но несмотря на это отмечены и побочные эффекты данных операций, которые влияют на качество и продолжительность жизни и могут существенно различаться в зависимости от вида оперативного вмешательства. В связи с этим пациентам необходимо пожизненное наблюдение, чтобы снизить риск осложнений и формирования дефицитов питательных веществ. Однако осведомленность о возможностях бариатрической хирургии, ведении пациентов после таких оперативных вмешательств остается низкой среди врачей большинства специальностей.

The prevalence of obesity continues to rise worldwide, necessitating the development of effective and long-term treatments. Bariatric surgery has shown its effectiveness in reducing body weight and the manifestations of diseases that are closely related to obesity. But there are side effects of these operations that affect the quality of life and life expectancy and can vary significantly depending on the type of surgery. Therefore, patients require lifelong follow-up to reduce the risk of complications and nutritional deficiencies. However, the awareness of the bariatric surgery potential and management of patients after bariatric surgery remains low among physicians in most specialties.

бариатрическая хирургияэффективностьосложненияжелудочное шунтированиерукавная резекция желудкаbariatric surgeryeffectivenesscomplicationsgastric bypasssleeve gastrectomyReferencesДедов И.И., Шестакова М.В., Викулова О.К. и др. Сахарный диабет в Российской Федерации: динамика эпидемиологических показателей по данным Федерального регистра сахарного диабета за период 2010–2022 гг. // Сахарный диабет. 2023;26(2):104-123. DOI: 10.14341/DM13035.Dedov I.I., Shestakova М.V., Vikulova О.K. et al. Diabetes mellitus in the Russian Federation: dynamics of epidemiological indicators according to the Federal Register of Diabetes Mellitus for the period 2010– 2022. Diabetes mellitus. 2023;26(2):104-123. DOI: 10.14341/DM13035. (In Russ.)Reid T.J., Korner J. Medical and surgical treatment of obesity // Med. Clin. North Am. 2022;106(5):837-852. DOI: 10.1016/j.mcna.2022.03.002.Reid T.J., Korner J. Medical and surgical treatment of obesity. Med. Clin. North Am. 2022;106(5):837-852. DOI: 10.1016/j.mcna.2022.03.002.Roth A.E., Thornley C.J., Blackstone R.P. Outcomes in bariatric and metabolic surgery: an updated 5-year review // Curr. Obes. Rep. 2020;9(4):380-389. DOI: 10.1007/s13679-020-00389-8.Roth A.E., Thornley C.J., Blackstone R.P. Outcomes in bariatric and metabolic surgery: an updated 5-year review. Curr. Obes. Rep. 2020;9(4):380-389. DOI: 10.1007/s13679-020-00389-8.Buchwald H., Buchwald J.N. Metabolic (bariatric and nonbariatric) surgery for type 2 diabetes: a personal perspective review // Diabetes Care. 2019;42(2):331-340. DOI: 10.2337/dc17-2654.Buchwald H., Buchwald J.N. Metabolic (bariatric and nonbariatric) surgery for type 2 diabetes: a personal perspective review. Diabetes Care. 2019;42(2):331-340. DOI: 10.2337/dc17-2654.Behary P., Tharakan G., Alexiadou K. et al. Combined GLP-1, oxyntomodulin, and peptide YY improves body weight and glycemia in obesity and prediabetes/ type 2 diabetes: a randomized, single-blinded, placebocontrolled study // Diabetes Care. 2019;42(8):1446-1453. DOI: 10.2337/dc19-0449.Behary P., Tharakan G., Alexiadou K. et al. Combined GLP-1, oxyntomodulin, and peptide YY improves body weight and glycemia in obesity and prediabetes/type 2 diabetes: a randomized, single-blinded, placebo-controlled study. Diabetes Care. 2019;42(8):1446-1453. DOI: 10.2337/dc19-0449.Arterburn D.E., Telem D.A., Kushner R.F., Courcoulas A.P. Benefits and risks of bariatric surgery in adults: a review // JAMA. 2020;324(9):879-887. DOI: 10.1001/jama.2020.12567.Arterburn D.E., Telem D.A., Kushner R.F., Courcoulas A.P. Benefits and risks of bariatric surgery in adults: a review. JAMA. 2020;324(9):879-887. DOI: 10.1001/jama.2020.12567.Elbahrawy A., Bougie A., Loiselle S.E. et al. Medium to long-term outcomes of bariatric surgery in older adults with super obesity // Surg. Obes. Relat. Dis. 2018;14(4):470-476. DOI: 10.1016/j.soard.2017.11.00.Elbahrawy A., Bougie A., Loiselle S.E. et al. Medium to long-term outcomes of bariatric surgery in older adults with super obesity. Surg. Obes. Relat. Dis. 2018;14(4):470-476. DOI: 10.1016/j.soard.2017.11.00.Shen S.C., Wang W., Tam K. et al. Validating risk prediction models of diabetes remission after sleeve gastrectomy // Obes. Surg. 2019;29(1):221-229. DOI: 10.1007/s11695-018-3510-7.Shen S.C., Wang W., Tam K. et al. Validating risk prediction models of diabetes remission after sleeve gastrectomy. Obes. Surg. 2019;29(1):221-229. DOI: 10.1007/s11695-018-3510-7.Ilyas S., Al-Refai R., Maharjan R. et al. Bariatric surgery and type 2 diabetes mellitus: assessing factors leading to remission: a systematic review // Cureus. 2020;12(8):e9973. DOI: 10.7759/cureus.9973.Ilyas S., Al-Refai R., Maharjan R. et al. Bariatric surgery and type 2 diabetes mellitus: assessing factors leading to remission: a systematic review. Cureus. 2020;12(8):e9973. DOI: 10.7759/cureus.9973.Wei X., Yuan H., Wang D. et al. Effect of bariatric surgery on glycemic and metabolic outcomes in people with obesity and type 2 diabetes mellitus: a systematic review, meta-analysis, and meta-evidence of 39 studies // Front. Nutr. 2025;12:1603670. DOI: 0.3389/fnut.2025.1603670.Wei X., Yuan H., Wang D. et al. Effect of bariatric surgery on glycemic and metabolic outcomes in people with obesity and type 2 diabetes mellitus: a systematic review, meta-analysis, and meta-evidence of 39 studies. Front. Nutr. 2025;12:1603670. DOI: 10.3389/fnut.2025.1603670.Salminen P., Grönroos S., Helmiö M. et al. Effect of laparoscopic sleeve gastrectomy vs Roux-en-Y gastric bypass on weight loss, comorbidities, and reflux at 10 years in adult patients with obesity: The SLEEVEPASS randomized clinical trial // JAMA Surg. 2022;157(8):656-666. DOI: 10.1001/jamasurg.2022.2229.Salminen P., Grönroos S., Helmiö M. et al. Effect of laparoscopic sleeve gastrectomy vs Roux-en-Y gastric bypass on weight loss, comorbidities, and reflux at 10 years in adult patients with obesity: The SLEEVEPASS randomized clinical trial. JAMA Surg. 2022;157(8):656-666. DOI: 10.1001/jamasurg.2022.2229.Coleman K.J., Basu A., Barton L.J. et al. Remission and relapse of dyslipidemia after vertical sleeve gastrectomy vs Roux-en-Y gastric bypass in a racially and ethnically diverse population // JAMA Netw. Open. 2022;5(9):e2233843. DOI: 10.1001/jamanetworkopen.2022.33843.Coleman K.J., Basu A., Barton L.J. et al. Remission and relapse of dyslipidemia after vertical sleeve gastrectomy vs Roux-en-Y gastric bypass in a racially and ethnically diverse population. JAMA Netw. Open. 2022;5(9):e2233843. DOI: 10.1001/jamanetworkopen.2022.33843.Schiavon C., Cavalcanti A., Oliveira J. et al. Randomized trial of effect of bariatric surgery on blood pressure after 5 years // JACC. 2024;83(6):637-648. DOI: 10.1016/j.jacc.2023.11.032.Schiavon C., Cavalcanti A., Oliveira J. et al. Randomized trial of effect of bariatric surgery on blood pressure after 5 years. JACC. 2024;83(6):637-648. DOI: 10.1016/j.jacc.2023.11.032.Wong A.M., Barnes H.N., Joosten S.A. et al. The effect of surgical weight loss on obstructive sleep apnoea: a systematic review and meta-analysis // Sleep Med. Rev. 2018;42:85-99. DOI: 10.1016/j.smrv.2018.06.001.Wong A.M., Barnes H.N., Joosten S.A. et al. The effect of surgical weight loss on obstructive sleep apnoea: a systematic review and meta-analysis. Sleep Med. Rev. 2018;42:85-99. DOI: 10.1016/j.smrv.2018.06.001.Al Oweidat K., Toubasi A.A., Tawileh R.B.A. et al. Bariatric surgery and obstructive sleep apnea: a systematic review and meta-analysis // Sleep Breath. 2023;27(1):2283-2294. DOI: 10.1007/s11325-023-02840-1.Al Oweidat K., Toubasi A.A., Tawileh R.B.A. et al. Bariatric surgery and obstructive sleep apnea: a systematic review and meta-analysis. Sleep Breath. 2023;27(1):2283-2294. DOI: 10.1007/s11325-023-02840-1.Tahrani A.A., Morton J. Benefits of weight loss of 10% or more in patients with overweight or obesity: A review // Obesity (Silver Spring). 2022;30(4):802-840. DOI: 10.1002/oby.23371.Tahrani A.A., Morton J. Benefits of weight loss of 10% or more in patients with overweight or obesity: A review. Obesity (Silver Spring). 2022;30(4):802-840. DOI: 10.1002/oby.23371.Lohmander L.S., Peltonen M., Andersson-Assarsson J.C. et al. Bariatric surgery, osteoarthritis and arthroplasty of the hip and knee in Swedish Obese Subjects – up to 31 years follow-up of a controlled intervention study // Osteoarthritis Cartilage. 2023;31(5):636-646. DOI: 10.1016/j.joca.2022.11.015.Lohmander L.S., Peltonen M., Andersson-Assarsson J.C. et al. Bariatric surgery, osteoarthritis and arthroplasty of the hip and knee in Swedish Obese Subjects – up to 31 years follow-up of a controlled intervention study. Osteoarthritis Cartilage. 2023;31(5):636-646. DOI: 10.1016/j.joca.2022.11.015.Mihalsky K.P., Tran R., Moreno-Garcia F. et al. Urinary incontinence in women who have undergone bariatric surgery // Surg. Endosc. 2023;37(11):8791-8798. DOI: 10.1007/s00464-023-10299-0.Mihalsky K.P., Tran R, Moreno-Garcia F. et al. Urinary incontinence in women who have undergone bariatric surgery. Surg. Endosc. 2023;37(11):8791-8798. DOI: 10.1007/s00464-023-10299-0.Waeckel T., Ait Said K., Menahem B. et al. Urinary continence resolution after bariatric surgery: longterm results after six-year follow-up // J. Clin. Med. 2023;12(6):2109. DOI: 10.3390/jcm12062109.Waeckel T., Ait Said K., Menahem B. et al. Urinary continence resolution after bariatric surgery: longterm results after six-year follow-up. J. Clin. Med. 2023;12(6):2109. DOI: 10.3390/jcm12062109.Rodrigues A.F.S., Korkes F., Bezerra D.S.D. et al. Impact of bariatric surgery in patients with stress urinary incontinence // Einstein (Sao Paulo). 2021;19:eAO5701. DOI: 10.31744/einstein_journal/2021AO5701.Rodrigues A.F.S., Korkes F., Bezerra D.S.D. et al. Impact of bariatric surgery in patients with stress urinary incontinence. Einstein (Sao Paulo). 2021;19:eAO5701. DOI: 10.31744/einstein_journal/2021AO5701.Lee Y., Yu J., Tikkinen K.A.O. et al. The impact of bariatric surgery on urinary incontinence: a systematic review and meta-analysis // BJU Int. 2019;124(6):917-934. DOI: 10.1111/bju.14829.Lee Y., Yu J., Tikkinen K.A.O. et al. The impact of bariatric surgery on urinary incontinence: a systematic review and meta-analysis. BJU Int. 2019;124(6):917-934. DOI: 10.1111/bju.14829.Almutairi H., Aldhalea M.S., Almaaz M.A. et al. The effectiveness of bariatric surgery on treating infertility in women – a systematic review and meta-analysis // J. Clin. Med. 2024;13(18):5569. DOI: 10.3390/jcm13185569.Almutairi H., Aldhalea M.S., Almaaz M.A. et al. The effectiveness of bariatric surgery on treating infertility in women – a systematic review and meta-analysis. J. Clin. Med. 2024;13(18):5569. DOI: 10.3390/jcm13185569.Wiggins T., Antonowicz S.S., Markar S.R. Cancer risk following bariatric surgery – systematic review and meta-analysis of national population-based cohort studies // Obes. Surg. 2019;29(4):1031-1039. DOI: 10.1007/s11695-018-3501-8.Wiggins T., Antonowicz S.S., Markar S.R. Cancer risk following bariatric surgery – systematic review and meta-analysis of national population-based cohort studies. Obes. Surg. 2019;29(4):1031-1039. DOI: 10.1007/s11695-018-3501-8.Aminian A., Wilson R., Al-Kurd A. et al. Association of bariatric surgery with cancer risk and mortality in adults with obesity // JAMA. 2022;327(24):2423-2433. DOI: 10.1001/jama.2022.9009.Aminian A., Wilson R., Al-Kurd A. et al. Association of bariatric surgery with cancer risk and mortality in adults with obesity. JAMA. 2022;327(24):2423-2433. DOI: 10.1001/jama.2022.9009.Kumbhari V., le Roux C.W., Cohen R.V. Endoscopic evaluation and management of late complications after bariatric surgery: a narrative review // Obes. Surg. 2021;31(10):4624-4633. DOI: 10.1007/s11695-021-05603-7.Kumbhari V., le Roux C.W., Cohen R.V. Endoscopic evaluation and management of late complications after bariatric surgery: a narrative review. Obes. Surg. 2021;31(10):4624-4633. DOI: 10.1007/s11695-021-05603-7.Peterli R., Wölnerhanssen B.K., Peters T. et al. Effect of laparoscopic sleeve gastrectomy vs laparoscopic Roux-en-Y gastric bypass on weight loss in patients with morbid obesity: the SM-BOSS randomized clinical trial // JAMA. 2018;319(3):255-265. DOI: 10.1001/jama.2017.20897.Peterli R., Wölnerhanssen B.K., Peters T. et al. Effect of laparoscopic sleeve gastrectomy vs laparoscopic Roux-en-Y gastric bypass on weight loss in patients with morbid obesity: the SM-BOSS randomized clinical trial. JAMA. 2018;319(3):255-265. DOI: 10.1001/jama.2017.20897.Veziant J., Benhalima S., Piessen G., Slim K. Obesity, sleeve gastrectomy and gastro-esophageal reflux disease // J. Visc. Surg. 2023;160(2S):S47-S54. DOI: 10.1016/j.jviscsurg.2023.01.004.Veziant J., Benhalima S., Piessen G., Slim K. Obesity, sleeve gastrectomy and gastro-esophageal reflux disease. J. Visc. Surg. 2023;160(2S):S47-S54. DOI: 10.1016/j.jviscsurg.2023.01.004.Lupoli R., Lembo E., Ciciola P. et al. Continuous glucose monitoring in subjects undergoing bariatric surgery: diurnal and nocturnal glycemic patterns // Nutr. Metab. Cardiovasc. Dis. 2020;30(11):1954-1960. DOI: 10.1016/j.numecd.2020.06.029.Lupoli R., Lembo E., Ciciola P. et al. Continuous glucose monitoring in subjects undergoing bariatric surgery: diurnal and nocturnal glycemic patterns. Nutr. Metab. Cardiovasc. Dis. 2020;30(11):1954-1960. DOI: 10.1016/j.numecd.2020.06.029.van Furth A.M., de Heide L.J.M., Emous M. et al. Dumping syndrome and postbariatric hypoglycemia: supporting evidence for a common etiology // Surg. Obes. Relat. Dis. 2021;17(11):1912-1918. DOI: 10.1016/j.soard.2021.05.020.van Furth A.M., de Heide L.J.M., Emous M. et al. Dumping syndrome and postbariatric hypoglycemia: supporting evidence for a common etiology. Surg. Obes. Relat. Dis. 2021;17(11):1912-1918. DOI: 10.1016/j.soard.2021.05.020.Sun W., Zhang Y., Shen Q. Prevalence and risk factors for symptoms suggestive of hypoglycemia and early dumping syndrome after sleeve gastrectomy // Surg. Obes. Relat. Dis. 2019;15(9):1439-1446. DOI: 10.1016/j.soard.2019.06.026.Sun W., Zhang Y., Shen Q. Prevalence and risk factors for symptoms suggestive of hypoglycemia and early dumping syndrome after sleeve gastrectomy. Surg. Obes. Relat. Dis. 2019;15(9):1439-1446. DOI: 10.1016/j.soard.2019.06.026.Ahmad A., Kornrich D.B., Krasner H. et al. Prevalence of dumping syndrome after laparoscopic sleeve gastrectomy and comparison with laparoscopic Rouxen-Y gastric bypass // Obes. Surg. 2019;29(5):1506-1513. DOI: 10.1007/s11695-018-03699-y.Ahmad A., Kornrich D.B., Krasner H. et al. Prevalence of dumping syndrome after laparoscopic sleeve gastrectomy and comparison with laparoscopic Roux-en-Y gastric bypass. Obes. Surg. 2019;29(5):1506-1513. DOI: 10.1007/s11695-018-03699-y.Masclee G.M.C., Masclee A.A.M. Dumping syndrome: pragmatic treatment options and experimental approaches for improving clinical outcomes // Clin. Exp. Gastroenterol. 2023;16:197-211. DOI: 10.2147/CEG.S392265.Masclee G.M.C., Masclee A.A.M. Dumping syndrome: pragmatic treatment options and experimental approaches for improving clinical outcomes. Clin. Exp. Gastroenterol. 2023;16:197-211. DOI: 10.2147/CEG.S392265.Pontecorvi V., Matteo M.V., Bove V. et al. Long-term outcomes of Transoral Outlet Reduction (TORe) for dumping syndrome and weight regain after Roux-en-Y gastric bypass // Obes. Surg. 2023;33(4):1032-1039. DOI: 10.1007/s11695-023-06466-w.Pontecorvi V., Matteo M.V., Bove V. et al. Long-term outcomes of Transoral Outlet Reduction (TORe) for dumping syndrome and weight regain after Roux-en-Y gastric bypass. Obes. Surg. 2023;33(4):1032-1039. DOI: 10.1007/s11695-023-06466-w.Reicher R., Cohen N.A., Fishman S., Shnell M. Endoscopic transoral outlet reduction for the treatment of biliary reflux symptoms in patients after one-anastomosis gastric bypass – a case series // Obes. Surg. 2023;33(3):870-878. DOI: 10.1007/s11695-023-06463-z.Reicher R., Cohen N.A., Fishman S., Shnell M. Endoscopic transoral outlet reduction for the treatment of biliary reflux symptoms in patients after one-anastomosis gastric bypass – a case series. Obes. Surg. 2023;33(3):870-878. DOI: 10.1007/s11695-023-06463-z.Gasmi A., Bjørklund G., Mujawdiya P.K. et al. Micronutrients deficiencies in patients after bariatric surgery // Eur. J. Nutr. 2022;61(1):55-67. DOI: 10.1007/s00394-021-02619-8.Gasmi A., Bjørklund G., Mujawdiya P.K. et al. Micronutrients deficiencies in patients after bariatric surgery. Eur. J. Nutr. 2022;61(1):55-67. DOI: 10.1007/s00394-021-02619-8.Holmberg D., Lagergren J. What do we know about long-term effects of bariatric surgery? // Br. J. Surg. 2022;110(1):1-2. DOI: 10.1093/bjs/znac327.Holmberg D., Lagergren J. What do we know about long-term effects of bariatric surgery? Br. J. Surg. 2022;110(1):1-2. DOI: 10.1093/bjs/znac327.Théreaux J., Lesuffleur T., Czernichow S. et al. Longterm adverse events after sleeve gastrectomy or gastric bypass: a 7-year nationwide, observational, population-based, cohort study // Lancet Diabetes Endocrinol. 2019;7(8):786-795. DOI: 10.1016/S2213-8587(19)30191-3.Théreaux J., Lesuffleur T., Czernichow S. et al. Longterm adverse events after sleeve gastrectomy or gastric bypass: a 7-year nationwide, observational, population-based, cohort study. Lancet Diabetes Endocrinol. 2019;7(8):786-795. DOI: 10.1016/S2213-8587(19)30191-3.Johansson K., Svensson P.A., Soderling J. et al. Long-term risk of anaemia after bariatric surgery: results from the Swedish Obese Subjects study // Lancet Diabetes Endocrinol. 2021;9(8):515-524. DOI: 10.1016/S2213-8587(21)00141-8.Johansson K., Svensson P.A., Soderling J. et al. Longterm risk of anaemia after bariatric surgery: results from the Swedish Obese Subjects study. Lancet Diabetes Endocrinol. 2021;9(8):515-524. DOI: 10.1016/S2213-8587(21)00141-8.Saad R.K., Ghezzawi M., Habli D. et al. Fracture risk following bariatric surgery: a systematic review and meta-analysis // Osteoporos. Int. 2022;33(2):511-526. DOI: 10.1007/s00198-021-06206-9.Saad R.K., Ghezzawi M., Habli D. et al. Fracture risk following bariatric surgery: a systematic review and meta-analysis. Osteoporos. Int. 2022;33(2):511-526. DOI: 10.1007/s00198-021-06206-9.Araújo M.M., Mendes M.M., Lanham-New S.A. et al. Frequency of vitamin D deficiency and associated factors in long-term bariatric surgery patients: a crosssectional study // Obes. Surg. 2022;32(7):2386-2396. DOI: 10.1007/s11695-022-06090-0.Araújo M.M., Mendes M.M., Lanham-New S.A. et al. Frequency of vitamin D deficiency and associated factors in long-term bariatric surgery patients: a crosssectional study. Obes. Surg. 2022;32(7):2386-2396. DOI: 10.1007/s11695-022-06090-0.Ahlin S., Peltonen M., Sjöholm K. et al. Fracture risk after three bariatric surgery procedures in Swedish obese subjects: up to 26 years follow-up of a controlled intervention study // J. Intern. Med. 2020;287(5):546-557. DOI: 10.1111/joim.13020.Ahlin S., Peltonen M., Sjöholm K. et al. Fracture risk after three bariatric surgery procedures in Swedish obese subjects: up to 26 years follow-up of a controlled intervention study. J. Intern. Med. 2020;287(5):546-557. DOI: 10.1111/joim.13020.Crespo-Yanguas M., Lumpuy-Castillo J., Espadas C. et al. A program of lifestyle modification improved body weight and micronutrient status in obese patients after bariatric surgery // Nutrients. 2023;15(17):3807. DOI: 10.3390/nu15173807.Crespo-Yanguas M., Lumpuy-Castillo J., Espadas C. et al. A program of lifestyle modification improved body weight and micronutrient status in obese patients after bariatric surgery. Nutrients. 2023;15(17):3807. DOI: 10.3390/nu15173807.Lourensz K., Himantoko I., Shaw K. et al. Longterm outcomes of revisional malabsorptive bariatric surgery: do the benefits outweigh the risk? // Obes. Surg. 2022;32(6):1822-1830. DOI: 10.1007/s11695-022-06019-7.Lourensz K., Himantoko I., Shaw K. et al. Long-term outcomes of revisional malabsorptive bariatric surgery: do the benefits outweigh the risk? Obes. Surg. 2022;32(6):1822-1830. DOI: 10.1007/s11695-022-06019-7.Schiavo L., Mingo M., Rossetti G. et al. Effectiveness of a bariatric-specific multivitamin versus conventional targeted supplementation for preoperative micronutrient deficiency correction in bariatric surgery candidates: a multicenter retrospective cohort study // Nutrients. 2026;18(7):1047. DOI: 10.3390/nu18071047.Schiavo L., Mingo M., Rossetti G. et al. Effectiveness of a bariatric-specific multivitamin versus conventional targeted supplementation for preoperative micronutrient deficiency correction in bariatric surgery candidates: a multicenter retrospective cohort study. Nutrients. 2026;18(7):1047. DOI: 10.3390/nu18071047.Anveden Å., Peltonen M., Näslund I. et al. Longterm incidence of gallstone disease after bariatric surgery: results from the nonrandomized controlled Swedish Obese Subjects study // Surg. Obes. Relat. Dis. 2020;16(10):1474-1482. DOI: 10.1016/j.soard.2020.05.025.Anveden Å., Peltonen M., Näslund I. et al. Longterm incidence of gallstone disease after bariatric surgery: results from the nonrandomized controlled Swedish Obese Subjects study. Surg. Obes. Relat. Dis. 2020;16(10):1474-1482. DOI: 10.1016/j.soard.2020.05.025.Sneineh M.A., Harel L., Elnasasra A. et al. Increased incidence of symptomatic cholelithiasis after bariatric Roux-en-Y gastric bypass and previous bariatric surgery: a single center experience // Obes. Surg. 2020;30(3):846-850. DOI: 10.1007/s11695-019-04366-6.Sneineh M.A., Harel L., Elnasasra A. et al. Increased incidence of symptomatic cholelithiasis after bariatric Roux-en-Y gastric bypass and previous bariatric surgery: a single center experience. Obes. Surg. 2020;30(3):846-850. DOI: 10.1007/s11695-019-04366-6.Fearon N.M., Kearns E.C., Kennedy C.A. et al. The impact of ursodeoxycholic acid on gallstone disease after bariatric surgery: a meta-analysis of randomized control trials // Surg. Obes. Relat. Dis. 2022;18(1):77-84. DOI: 10.1016/j.soard.2021.10.004.Fearon N.M., Kearns E.C., Kennedy C.A. et al. The impact of ursodeoxycholic acid on gallstone disease after bariatric surgery: a meta-analysis of randomized control trials. Surg. Obes. Relat. Dis. 2022;18(1):77-84. DOI: 10.1016/j.soard.2021.10.004.Haal S., Guman M.S.S., Boerlage T.C.C. et al. Ursodeoxycholic acid for prevention of symptomatic gallstone disease after bariatric surgery (UPGRADE): a multicentre, double-blind, randomized, placebocontrolled trial // Lancet Gastroenterol. Hepatol. 2021;6(12):993-1001. DOI: 10.1016/S2468-1253(21)00301-0.Haal S., Guman M.S.S., Boerlage T.C.C. et al. Ursodeoxycholic acid for prevention of symptomatic gallstone disease after bariatric surgery (UPGRADE): a multicentre, double-blind, randomized, placebo-controlled trial. Lancet Gastroenterol. Hepatol. 2021;6(12):993-1001. DOI: 10.1016/S2468-1253(21)00301-0.Han M.L., Lee M.H., Lee W.J. et al. Probiotics for gallstone prevention in patients with bariatric surgery: A prospective randomized trial // Asian J. Surg. 2022;45(12):2664-2669. DOI: 10.1016/j.asjsur.2022.01.120.Han M.L., Lee M.H., Lee W.J. et al. Probiotics for gallstone prevention in patients with bariatric surgery: A prospective randomized trial. Asian J. Surg. 2022;45(12):2664-2669. DOI: 10.1016/j.asjsur.2022.01.120.Amorim-Cruz F., Santos-Sousa H., Ribeiro M. et al. Risk and prophylactic management of gallstone disease in bariatric surgery: a systematic review and a Bayesian meta-analysis // J. Gastrointest. Surg. 2023;27(2):433-448. DOI: 10.1007/s11605-022-05567-8.Amorim-Cruz F., Santos-Sousa H., Ribeiro M. et al. Risk and prophylactic management of gallstone disease in bariatric surgery: a systematic review and a Bayesian meta-analysis. J. Gastrointest. Surg. 2023;27(2):433-448. DOI: 10.1007/s11605-022-05567-8.Van Reekum E.A., Darcy M., Drage J. et al. Psychiatric and cognitive functioning after metabolic and bariatric surgery: a systematic review and meta-analysis // Obes. Rev. 2025;26(11):e13968. DOI: 10.1111/obr.13968.Van Reekum E.A., Darcy M., Drage J. et al. Psychiatric and cognitive functioning after metabolic and bariatric surgery: a systematic review and meta-analysis. Obes. Rev. 2025;26(11):e13968. DOI: 10.1111/obr.13968.Brunault P., Bourbao-Tournois C., Ballon N., de Luca A. Psychiatric, psychological and addiction management in obesity surgery: Early identification for better support // J. Visc. Surg. 2023;160(2S):S22-S29. DOI: 10.1016/j.jviscsurg.2022.12.005.Brunault P., Bourbao-Tournois C., Ballon N., de Luca A. Psychiatric, psychological and addiction management in obesity surgery: Early identification for better support. J. Visc. Surg. 2023;160(2S):S22-S29. DOI: 10.1016/j.jviscsurg.2022.12.005Simoni A.H., Ladebo L., Christrup L.L. et al. Chronic abdominal pain and persistent opioid use after bariatric surgery // Scand. J. Pain. 2020;20(2):239-251. DOI: 10.1515/sjpain-2019-0092.Simoni A.H., Ladebo L., Christrup L.L. et al. Chronic abdominal pain and persistent opioid use after bariatric surgery. Scand. J. Pain. 2020;20(2):239-251. DOI: 10.1515/sjpain-2019-0092.Maciejewski M.L., Smith V.A., Berkowitz T.S.Z. et al. Long-term opioid use after bariatric surgery // Surg. Obes. Relat. Dis. 2020;16(8):1100-1110. DOI: 10.1016/j.soard.2020.04.037.Maciejewski M.L., Smith V.A., Berkowitz T.S.Z. et al. Long-term opioid use after bariatric surgery. Surg. Obes. Relat. Dis. 2020;16(8):1100-1110. DOI: 10.1016/j.soard.2020.04.037.Smith V.A., Maciejewski M.L., Berkowitz T.S.Z. et al. The effect of bariatric surgery on long-term depression treatment in patients with obesity // Ann. Surg. 2022;276(2):318-323. DOI: 10.1097/SLA.0000000000005520.Smith V.A., Maciejewski M.L., Berkowitz T.S.Z. et al. The effect of bariatric surgery on long-term depression treatment in patients with obesity. Ann. Surg. 2022;276(2):318-323. DOI: 10.1097/SLA.0000000000005520.Kim J., Kelley J., Kleinschmit K. et al. Development of dementia in patients who underwent bariatric surgery // Surg. Endosc. 2023;37(5):3507-3521. DOI: 10.1007/s00464-022-09837-z.Kim J., Kelley J., Kleinschmit K. et al. Development of dementia in patients who underwent bariatric surgery. Surg. Endosc. 2023;37(5):3507-3521. DOI: 10.1007/s00464-022-09837-z.Ogden J., Quirke-McFarlane S. Sabotage, collusion, and being a feeder: towards a new model of negative social support and its impact on weight management // Curr. Obes. Rep. 2023;12(2):183-190. DOI: 10.1007/s13679-023-00504-5.Ogden J., Quirke-McFarlane S. Sabotage, collusion, and being a feeder: towards a new model of negative social support and its impact on weight management. Curr. Obes. Rep. 2023;12(2):183-190. DOI: 10.1007/s13679-023-00504-5.Conceição E.M., Fernandes M., de Lourdes M. et al. Perceived social support before and after bariatric surgery: association with depression, problematic eating behaviors, and weight outcomes // Eat. Weight Disord. 2020;25(3):679-692. DOI: 10.1007/s40519-019-00671-2.Conceição E.M., Fernandes M., de Lourdes M. et al. Perceived social support before and after bariatric surgery: association with depression, problematic eating behaviors, and weight outcomes. Eat. Weight Disord. 2020;25(3):679-692. DOI: 10.1007/s40519-019-00671-2.Athanasiadis D.I., Carr R.A., Smith C. et al. Social support provided to bariatric surgery patients through a facebook group may improve weight loss outcomes // Surg. Endosc. 2022;36(10):7652-7655. DOI: 10.1007/s00464-022-09067-3.Athanasiadis D.I., Carr R.A., Smith C. et al. Social support provided to bariatric surgery patients through a facebook group may improve weight loss outcomes. Surg. Endosc. 2022;36(10):7652-7655. DOI: 10.1007/s00464-022-09067-3.Robinson A., Husband A.K., Slight R.D., Slight S.P. Digital support for patients undergoing bariatric surgery: narrative review of the roles and challenges of online forums // JMIR Perioper. Med. 2020;15;3(2):e17230. DOI: 10.2196/17230.Robinson A., Husband A.K., Slight R.D., Slight S.P. Digital support for patients undergoing bariatric surgery: narrative review of the roles and challenges of online forums. JMIR Perioper. Med. 2020;15;3(2):e17230. DOI: 10.2196/17230.

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