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代谢手术对日本老年患者的安全性和有效性
Minoru Takemoto1,2, Aiko Hayashi3, Yosuke Inaba4
1Department of Diabetes, Metabolism, and Endocrinology International University of Health and Welfare Narita Japan.
Annals of gastroenterological surgery
|September 4, 2023
概括
腹和代谢手术对于严重肥胖的老年人来说是安全有效的,挑战了日本的年龄限制. 与年轻人相比,老年患者经历了类似的并发症率和并发症改善.
科学领域:
- 代谢手术是一种代谢手术.
- 腹腔外科手术是什么意思
- 老年人肥胖管理的管理.
背景情况:
- 目前日本的指导方针规定,腹和代谢手术的上限年龄为65岁.
- 这种年龄限制可能会限制严重肥胖的老年人获得有效治疗的机会.
研究的目的:
- 评估日本减肥和代谢手术65岁上限年龄的适当性.
- 为了比较65岁以下的患者和65岁以上的患者之间的结果.
主要方法:
- 来自日本肥胖治疗协会数据库的患者数据的回顾性分析.
- 在两个年龄组 (<65岁和≥65岁) 之间比较术后减肥,并发症改善和术后并发症.
- 倾向性得分匹配用于调整共变量平衡.
主要成果:
- 总共分析了2885名65岁以下的患者和56名65岁以上的患者.
- 65岁以上的患者患脂质不良和高血压的比率较高,但重复手术和并发症的比率相似.
- 两个年龄组都实现了显著的体重减轻和并发症改善,在倾向性得分匹配后没有发现显著差异.
结论:
- 腹和代谢手术对于临床严重肥胖的老年患者 (≥65岁) 是安全有效的.
- 总体重减轻的百分比在老年和年轻的患者群体之间没有差异.
- 这些发现表明,目前的65岁的年龄限制可能会被重新考虑.
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