Efficacy and safety of laparoscopic bariatric surgery in patients of 70 years and older: A systematic review and meta-analysis.

IF 8 2区医学 Q1 ENDOCRINOLOGY & METABOLISM

Obesity Reviews Pub Date : 2024-11-17 DOI:10.1111/obr.13867

Jan Kapała, Tomasz Maroszczuk, Natalia Dowgiałło-Gornowicz

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引用次数: 0

Abstract

Introduction: Aging population and growing obesity prevalence are two major public health issues. Bariatric surgery has been shown to be both safe and effective, but its role in the treatment of the elderly remains controversial.

Objectives: To evaluate the efficacy and safety of laparoscopic bariatric surgery in patients over 70 years of age.

Methods: A systematic review and assessment of the literature was performed in November-December 2023. Inclusion criteria gathered studies of elderly (age ≥70 years old) who underwent laparoscopic bariatric surgery. The data extraction focused on weight loss, obesity-related diseases, and complications.

Results: Fourteen retrospective studies were included, involving 3923 septuagenarians (female, 69.70%). One year after the surgery, the mean excess weight loss was 54.66%. At last follow-up, the improvement in obesity-related diseases was regarded as 50% diagnosed with diabetes, 36% with hypertension, 50% with reflux, 36% with sleep apnea, and 25% with hyperlipidemia. The overall postoperative major morbidity and mortality were about 2% and 1%, respectively.

Conclusions: This systematic review suggests that laparoscopic bariatric surgery is an effective and safe treatment for patients over 70 years of age.

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腹腔镜减肥手术对 70 岁及以上患者的疗效和安全性：系统回顾和荟萃分析。

引言人口老龄化和肥胖症日益普遍是两大公共卫生问题。减肥手术已被证明既安全又有效，但其在老年人治疗中的作用仍存在争议：评估腹腔镜减肥手术对 70 岁以上患者的疗效和安全性：方法：2023 年 11 月至 12 月对文献进行了系统性回顾和评估。纳入标准是对接受腹腔镜减肥手术的老年人（年龄≥70岁）进行研究。数据提取的重点是体重减轻、肥胖相关疾病和并发症：结果：共纳入 14 项回顾性研究，涉及 3923 名七旬老人（女性，69.70%）。手术一年后，平均超重率为 54.66%。在最后一次随访中，肥胖相关疾病得到改善的比例为：50%确诊为糖尿病，36%确诊为高血压，50%确诊为反流，36%确诊为睡眠呼吸暂停，25%确诊为高脂血症。术后主要发病率和死亡率分别约为2%和1%：本系统综述表明，腹腔镜减肥手术对 70 岁以上的患者是一种有效而安全的治疗方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Obesity Reviews 医学-内分泌学与代谢

CiteScore

19.30

自引率

1.10%

发文量

130

审稿时长

1 months

期刊介绍： Obesity Reviews is a monthly journal publishing reviews on all disciplines related to obesity and its comorbidities. This includes basic and behavioral sciences, clinical treatment and outcomes, epidemiology, prevention and public health. The journal should, therefore, appeal to all professionals with an interest in obesity and its comorbidities. Review types may include systematic narrative reviews, quantitative meta-analyses and narrative reviews but all must offer new insights, critical or novel perspectives that will enhance the state of knowledge in the field. The editorial policy is to publish high quality peer-reviewed manuscripts that provide needed new insight into all aspects of obesity and its related comorbidities while minimizing the period between submission and publication.