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Michael Kachmar¹, Isaac Soliman², Nicholas Mason²

¹Rowan School of Osteopathic Medicine, Stratford, NJ. (Drs. Kachmar, Mason, Sandifer, Balsama, and Mr. Soliman).

JSLS : Journal of the Society of Laparoendoscopic Surgeons

|October 13, 2023

概括

代谢和减肥手术 (MBS) 在老年患者 (≥65) 中有效降低体重. 这项研究发现,与一般和老年人群相比,老年人体重减轻的百分比 (%EWL) 是相似的,这表明MBS的安全性和有效性.

科学领域:

老年医学老年医学
手术治疗肥胖的方法
腹部外科手术的结果

背景情况:

老龄化人口中肥胖率的上升带来了重大的健康挑战.
代谢和减肥手术 (MBS) 为老年人肥胖和相关并发症提供了潜在的解决方案.
在老年人群中MBS的安全性和有效性需要在社区环境中进一步调查.

研究的目的:

评估65岁及以上接受MBS治疗的患者的百分比多余体重减轻 (%EWL).
为了比较这个老年人队列中的%EWL结果与以前发布的一般和老年人群的数据.
评估MBS在老年人社区环境中的重复性和临床意义.

主要方法:

laparoscopic 袖子胃切除术和 laparoscopic roux-en-Y 胃绕道手术的回顾性审查.
从2011年11月1日到2017年4月30日,在一个机构收集的数据.
对103名老年患者 (平均年龄67.75岁,平均体重指数45.95公斤/米2) 的3,6个月和12个月随访后减肥的分析.

主要成果:

3个月的平均EWL为31.9%,6个月为43.7%,12个月为53.4%.
一年后的%EWL在统计学上与以前关于老年腹患者的报告没有差异 (p=0.979).
虽然在统计学上低于普通人群,但老年患者的EWL%在临床上相似 (p < 0.001),没有30天死亡率.

结论:

代谢和减肥手术显示,老年患者的EWL%与老年人和一般人群相比相当.
在老年人中,MBS是一种有效且耐受良好的肥胖干预措施,产生可重复的结果.
对MBS的安全性和有效性的持续报告对于扩大老年人获得这种治疗的机会至关重要.

关键词:

腹部疾病治疗腹部疾病治疗年长的老人.老年人医院老年人医院致病性肥胖症致病性肥胖症减肥减肥减肥减肥减肥

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