评估老年人的术后转换趋势:一种代谢和腹外科认证和质量改善 基于计划的分析腹外科结果
Juan S Barajas-Gamboa1, Gabriela Restrepo-Rodas2, Valentin Mocanu3
1Digestive Diseases Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates.
概括
老年患者的腹腔外科手术后转化显示出不同的模式. 虽然通常是安全的,但垂直带式胃整形转换为Roux-en-Y胃绕道的并发症和死亡率更高.
科学领域:
- 腹部外科 腹部外科
- 老年人手术是一门老年人手术.
- 外科手术的结果
背景情况:
- 腹腔外科手术越来越多地在老年患者中进行.
- 在这个人口群体中,手术后转换趋势尚不清楚.
研究的目的:
- 分析老年患者 (≥65岁) 减肥手术后的转化趋势.
- 使用MBSAQIP数据库检查与这些转换相关的指示,并发症和死亡率.
主要方法:
- 对代谢和腹部外科认证和质量改善计划 (MBSAQIP) 数据库 (2020-2022) 的回顾性分析.
- 分析包括3746名接受减肥手术转换的老年患者.
- 人口统计,初级手术 (袖子胃切除术,可调节的胃带,垂直带胃整形手术),转换类型,指示,并发症和死亡率被评估.
主要成果:
- 可调节的胃带 (AGB) 和袖子胃切除术 (SG) 是最常见的初级手术.
- 体重增加和GERD是主要的转换指标.
- 将AGB转换为Roux-en-Y胃绕道 (RYGB) 显示出更高的并发症/死亡率 (P=.02).
- 垂直带式胃口整形 (VBG) 转换为RYGB具有最高的并发症 (18.4%) 和死亡率 (4.1%),尽管在统计学上并不显著.
结论:
- 老年患者表现出 postbariatric 手术转换的独特模式.
- 大多数转换程序是安全的,但VBG到RYGB转换带有更大的风险.
- 进一步研究优化老年人的转换策略是有必要的.
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