在某些患有肥胖症的七十多岁患者中,应提出腹手术
Boris Hansel1, Pierre Sabatier2, Diana Kadouch3
1Unité de Nutrition-Prévention, Service de Chirurgie cardiaque, Université Paris Cité, AP-HP.Nord, Hôpital Bichat Claude Bernard, LVTS, UMR 1148, Inserm, 46 Rue Henri Huchard, Paris, France. boris.hansel@aphp.fr.
Obesity surgery
|June 22, 2023
概括
69岁以上的患者的腹腔外科手术 (BS) 是安全的,减少死亡率而不增加再住院或骨折风险. 这项研究为老年人肥胖管理提供了关键的见解.
科学领域:
- 老年医学 老年医学
- 手术治疗肥胖的方法
- 公共卫生 公共卫生
背景情况:
- 腹腔外科手术 (BS) 很少在70岁及以上的个体中进行.
- 对有害影响的担忧,特别是肉症,限制了它在这个人口群中的应用.
- 老年人肥胖症带来了独特的健康挑战和管理考虑.
研究的目的:
- 评估69岁及以上肥胖患者减肥手术的结果.
- 评估BS对这一特定老年人群的死亡率,再住院和骨折风险的影响.
- 提供基于证据的见解,了解BS在老年肥胖症的安全性和有效性.
主要方法:
- 法国69岁以后接受BS的肥胖患者的回顾性分析.
- 将经过手术的受试者与未经手术的肥胖患者 (1307人/组) 的对照组进行匹配.
- 两组之间的死亡率,再住院事件和骨折发生率的比较.
主要成果:
- 减肥手术与老年肥胖患者的死亡率显著降低有关.
- 与对照组相比,BS组没有观察到重新住院的风险增加.
- 骨折事件的发生率在经过手术和未经手术的老年肥胖患者之间没有显著差异.
结论:
- 腹部外科手术对于70岁及以上的选定肥胖患者来说是一个可行的和安全的选择.
- 在这个年龄段的BS可以提高生存率,而不会影响重新住院或骨折的安全性.
- 这些发现挑战了以前的担忧,并支持对肥胖的老年人进行BS的考虑.
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