In recent years, both the actual number of overweight and obese people and their share in the population have been steadily increasing worldwide. Obese patients can no longer be considered as a small group, and they deserve special attention in relation to their surgical treatment. The results of this treatment are often difficult to combine due to differences between surgical interventions, surgical approaches, organ-specific complications, surgical techniques, and classifications of complications. This review aims to provide results on the impact of obesity on the frequency and types of complications after emergency abdominal surgery based on recent publications.

1. Bokiev, F. B. Ostryj holecistit i laparoskopicheskaya holecistektomiya u bol‘nyh s arterial‘noj gipertoniej – me­tabolicheskim sindromom / F. B. Bokiev, N. U. Usmanov, M. A. Kurbanova // Doklady Akademii nauk Respubliki Tadzhikistan. – 2017. – T. 10, № 54. – S. 856–862.

2. Vahmistrov, A. V. Kliniko-psihologicheskij analiz naru­shenij pishchevogo povedeniya pri ozhirenii / A. V. Vahmistrov, T. G. Voznesenskaya, S. I. Posohov // ZHurn. nevrologii i psihiatrii. 2002. – № 12. – S. 1924.

3. Kurbanov, V. A. Osobennosti techeniya i taktika hirurgicheskogo lecheniya ostrogo kal‘kulyoznogo holecistita u gerontologicheskih bol‘nyh na fone saharnogo diabeta i ozhireniya: avtoref. dis. kand. med. nauk: 14.01.17 / V. A. Kurbanov ; Moskovskij gosudarstvennyj mediko-stomatologicheskij universitet. – Moskva, 2013. – 23 s.

4. Nacional‘nyj statisticheskij komitet. Statisticheskij Sbornik «Social‘noe polozhenie i uroven‘ zhizni naseleniya Respubliki Belarus‘, 2019». Minsk 2019. – S. 205.

5. Nudel‘man, S. V. Lap-band: chast‘ kompleksnoj programmy lecheniya patologicheskogo ozhireniya / S. V. Nudel‘man, A. I. Prudkov // Medicina i tekhnika. 1999. – № 1. – S. 4–6.

6. Epshtejn, S. L. Osobennosti anestezii i analgezii pri hirurgicheskom lechenii pacientov, stradayushchih morbidnym ozhireniem / S. L. Epshtejn // Regional‘naya anesteziya i lechenie ostroj boli. – 2009. – № 2. – S. 43–60.

7. A Lauro, S Vaccari, M Cervellera, Giuseppina Casella, V D‘Andrea, F M Di Matteo, A Panarese, A Santoro, R Cirocchi, V Tonini. Laparoscopic cholecystectomy for acute cholecystitis: are intended operative approach, timing and outcome affected by BMI? A multicenter retrospective study. Il Giornale di chirurgia. 2018;39(2):87-91.

8. Adams, J. P., Murphy P. G. Obesity in anesthesia and intensive care / J. P. Adams, P. G. Murphy // Br. J. Anaesth. – 2000. – Vol. 85, № 1. – R. 91–108.

9. Ali, Fadwa; Al-Kindi, Sadeer G.; Blank, Jacqueline J.; Peterson, Carrie Y.; Ludwig, Kirk A.; Ridolfi, Timothy J. (2018). Elevated Venous Thromboembolism Risk Following Colecto my for IBD Is Equal to Those for Colorectal Cancer for Ninety Days After Surgery. Diseases of the Colon & Rectum, 61(3), 375–381.

10. Alvarez-Alvarez, F. A., Maciel-Gutierrez, V. M., Rocha-Muñoz, A. D., Lujan, J. H., & Ploneda-Valencia, C. F. (2016). Diagnostic value of serum fibrinogen as a predictive factor for complicated appendicitis (perforated). A cross-sectional study. International Journal of Surgery, 25, 109–113.

11. Andrey Kebkalo, Olha Tkachuk, Andrian Reyti, Archil Chanturidze, Yaroslav Pashunskyi. Surgical treatment of acute cholecystitis in obese patients. Przegląd piśmiennictwa chirurgicznego. 2020 Aug. 27;92(5):1-5.

12. Aune, Dagfinn; Sen, Abhijit; Leitzmann, Michael F.; Norat, Teresa; Tonstad, Serena; Vatten, Lars J. (2017). Body mass index and physical activity and the risk of diverticular disease: a systematic review and meta-analysis of prospective studies. European Journal of Nutrition.

13. Benjamin, E. R., Dilektasli, E., Haltmeier, T., Beale, E., Inaba, K., & Demetriades, D. (2017). The effects of body mass index on complications and mortality after emergency abdominal operations: The obesity paradox. The American Journal of Surgery, 214(5), 899–903.

14. Buck, D. L., & Møller, M. H. (2014). Influence of body mass index on mortality after surgery for perforated peptic ulcer. British Journal of Surgery, 101(8), 993–999.

15. CHEN, S. M., XIONG, G. S., & WU, S. M. (2012). Is obesity an indicator of complications and mortality in acute pancreatitis? An updated meta-analysis. Journal of Digestive Diseases, 13(5), 244–251.

16. Ciarrocchi A, Amicucci G. Laparoscopic versus open appendectomy in obese patients: A meta-analysis of prospective and retrospective studies. J Min Access Surg 2014;10:4-9.

17. Clarke T, Katkhouda N, Mason RJ, Cheng BC, Olasky J, Sohn HJ, et al. Laparoscopic versus open appendectomy for the obese patient: A subset analysis from a prospective, randomized, double-blind study. Surg Endosc. 2011;25: 1276–80.

18. Dalma Dobszai, Péter Mátrai, Zoltán Gyöngyi, Dezső Csupor, Judit Bajor, Bálint Erőss, Alexandra Mikó, Lajos Szakó, Ágnes Meczker, Roland Hágendorn, Katalin Márta, Andrea Szentesi, Péter Hegyi, on behalf of the Hungarian Pancreatic Study Group. Body-mass index correlates with severity and mortality in acute pancreatitis: A meta-analysis. World J Gastroenterol 2019 February 14; 25(6): 729-743.

19. Dasari, B. V. M., Baker, J., Markar, S., & Gardiner, K. (2015). Laparoscopic appendicectomy in obese is associated with improvements in clinical outcome: Systematic review. International Journal of Surgery, 13, 250–256.

20. De Fronzo, R. A. Insulin resistance: a multifaceted syndrome responsible for NTDDM, obesity, hypertension, dyslip-idemia, and atherosclerotic disease / R. A. De Fronzo, E. Ferranini // Diabetes Care. 1991. – Vol. 14, № 1. – P. 173– 194.

21. Duchesne, Juan C. MD, FACS, FCCP; Schmieg, Robert E. Jr MD; Simmons, Jon D. MD, NREMT-P; Islam, Tareq MD, MPH; McGinness, Clifton L. MD; McSwain, Norman E. Jr MD. The Journal of Trauma: Injury, Infection, and Critical Care: July 2009 – Volume 67 – Issue 1. – P. 108–114.

22. El-Sayed, Charlotte; Radley, Simon; Mytton, Jemma; Evison, Felicity; Ward, Stephen T. (2018). Risk of Recurrent Disease and Surgery Following an Admission for Acute Diverticulitis. Diseases of the Colon & Rectum, 61(3), 382–389.

23. Hasselager, R. B., Lohse, N., Duch, P., & Møller, M. H. (2016). Risk factors for reintervention after surgery for perforated gastroduodenal ulcer. British Journal of Surgery, 103(12), 1676–1682.

24. Health Effects of Overweight and Obesity in 195 Countries over 25 Years. / Ashkan Afshin [et al.] // New England Journal of Medicine. – 2017. Published online.

25. Kaufman, E. J., Hatchimonji, J. S., Ma, L. W., Passman, J., & Holena, D. N. (2020). Complications and Failure to Rescue After Abdominal Surgery for Trauma in Obese Patients. Journal of Surgical Research, 251, 211–219.

26. Kuan, L. L., Dennison, A. R., & Garcea, G. (2020). Association of visceral adipose tissue on the incidence and severity of acute pancreatitis: A systematic review. Pancreatology.

27. Laparoscopic appendectomy is superior to open appendectomy in obese patients / M. G. Corneille [et al.] // The American Journal of Surgery. – 2007. – Vol. 194, Issue 6. – R. 877–880.

28. Masoomi H, Nguyen NT, Dolich MO, Wikholm L, Naderi N, Mills S, et al. Comparison of laparoscopic versus open appendectomy for acute nonperforated and perforated appendicitis in the obese population. Am J Surg 2011; 202:733-8.

29. Mullen, J. T., Moorman, D. W., & Davenport, D. L. (2009). The Obesity Paradox. Annals of Surgery, 250(1), 166–172.

30. Risk factors of admission for acute colonic diverticulitis in a population-based cohort study: The North Trondelag Health Study, Norway / A. J. Talabani [et al.] // World journal of gastroenterology/ – 2016. – Vol. 22 (48). – R. 10663– 10672.

31. Tan-Tam C, Yorke E, Wasdell M, Barcan C, Konkin D, Blair P. The benefits of laparoscopic appendectomies in obese patients. Am J Surg. 2012;203: 609–12.

32. WHO. Obesity and overweight. Newsletter. Geneva: World Health Organization – 2020. Published online.