BARIATRIK JARROHLIKDA ME’DA REZEKTSIYASINI OPTIMALLASHTIRISHNING KLINIK VA PATOMORFOLOGIK ASOSLARI
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bariatrik jarrohlikAbstrak
Bariatrik jarrohlikda me’da rezektsiyasini optimallashtirish klinik, anatomik, funksional va patomorfologik xususiyatlarning kompleks tahlilini talab qiladi. Zamonaviy bariatrik yondashuvlar sleeve-gastrektomiyaning faqat restriktiv ta’sirini emas, balki uning metabolik va gormonal natijalarini ham muhim deb hisoblaydi. Bu jarayonlar me’da shilliq qavati mikrostrukturasiga, endokrin hujayralar taqsimotiga, qon tomirlar arxitekturasiga va mushak qatlamining morfologik tuzilishiga bog‘liq. Ushbu maqolada optimal rezektsiya chegaralarini belgilaydigan klinik va patomorfologik omillar – fundusni to‘liq olib tashlash darajasi, antrumni saqlash, stapler yo‘nalishi va operatsiyadan keyingi funksional stenozning oldini olish – batafsil tahlil qilinadi. Grelin ajraladigan zonalar kabi endokrin faktorlar, gastroezofageal reflyuks kuchayish mexanizmlari va natijaga ta’sir qiluvchi anatomik-funksional farqlar alohida yoritiladi. So‘nggi klinik va morfologik tadqiqotlar asosida individual jarrohlik rejasini shakllantirish uchun tavsiyalar ishlab chiqilgan. Maqola patomorfologiyaga asoslangan, bemorga moslashtirilgan rezektsiya strategiyasi vazn yo‘qotishning barqarorligini oshirish, asoratlar sonini kamaytirish va uzoq muddatli metabolik natijalarni yaxshilashini ko‘rsatadi.
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