SUMMARY
Mylytsya ?. M., Lavryk ?. S., Lavryk ?. ?. SIMULTANEOUS DEBULKING OF GREAT OMENTUM LIKE A PALLIATIVE STAGE OF METABOLIC SYNDROM AND OBESITY TREATMENT = ???????????? ????????? ????? ?? ??????????? ???? ????????? ????????????? ???????? ? ????????. Journal of Education, Health and Sport. 2016;6(9):691-698. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.159095http://ojs.ukw.edu.pl/index.php/johs/article/view/3896 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 755 (23.12.2015).755 Journal of Education, Health and Sport eISSN 2391-8306 7© The Author (s) 2016;This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, PolandOpen Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium,provided the original author(s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License(http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted, non commercialuse, distribution and reproduction in any medium, provided the work is properly cited.The authors declare that there is no conflict of interests regarding the publication of this paper.Received: 02.09.2016. Revised 24.09.2016. Accepted: 24.09.2016. SIMULTANEOUS DEBULKING OF GREAT OMENTUM LIKE A PALLIATIVE STAGE OF METABOLIC SYNDROM AND OBESITY TREATMENT ?. M. Mylytsya1, ?. S. Lavryk2, ?. ?. Lavryk2 1State Institution “Zaporizhia Medical Academy of Post-Graduate Education Ministry of Health of Ukraine”2Shalimov National Institute of Surgery and Transplantology of NAMS of Ukraine SummaryThe article discusses the possibility and expediency of simultaneous visceral fat debulking (omentectomy) in patients with metabolic syndrome and obesity. The investigation of the level index HOMA in the pre- and postoperative period in 50 patients with metabolic syndrome and obesity. Of these various 25 performed abdominal surgery, the rest of the 25 performed similar operations with simultaneous omentectomy. Results indicate that the greater omentum debulking affect carbohydrate metabolism by reducing the severity of insulin resistance and hyperinsulinemia.Key words: debulking, greater omentum, metabolic syndrome, obesity, simultaneous surgery. ???????????? ????????? ???????? ???????? ??? ???????????? ???? ??????? ??????????????? ???????? ? ???????? ?. ?. ??????1, ?. ?. ??????2, ?. ?. ??????2 1 ?? «??????????? ??????????? ???????? ??????????????? ??????????? ?? ???????»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«?????????? ??????? ???????? ?????????????? ?????? ??? ???????»,2 ???????????? ???????? ???????? ?? ??????????????i? ????? ?. ?. ???????? ???? ???????, ???? ?????? ? ?????? ????????????? ??????? ?????????? ? ??????????? ???????????? ????????????? ?????????? ???????????? ??????? ??????? ? ??????? ???????????? ? ????????? ? ???????????? ????????? ?? ?????????. ????????? ??????????? ????? ??????? HOMA ? ??- ? ????????????????? ??????? ? 50 ????????? ? ???????????? ????????? ?? ?????????. ? 25 ????????? ???????? ????? ???????????? ????????, ? ????? – ??????? ???????? ? ???????????? ?????????????. ?????????? ???????? ?? ??, ?? ????????? ???????? ????? ??????? ?? ??????????? ????? ?? ??????? ???????? ??????????? ???????????????? ? ??????????????????????.??????? ?????: ?????????, ??????? ??????, ???????????? ???????, ????????, ??????????? ????????.