A Propensity Score Cohort Study on the Long-Term Safety and Efficacy of Sleeve Gastrectomy in Patients Older Than Age 60.

IF 3.8 Q2 ENDOCRINOLOGY & METABOLISM
Journal of Obesity Pub Date : 2020-07-31 eCollection Date: 2020-01-01 DOI:10.1155/2020/8783260
Judith Molero, Romina Olbeyra, Josep Vidal, Ferran Torres, Silvia Cañizares, Alba Andreu, Ainitze Ibarzabal, Amanda Jiménez, Ana de Hollanda, Violeta Moizé, Lilliam Flores
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引用次数: 3

Abstract

Background: Bariatric surgery (BS) in older obese subjects (>60 years of age) has risen in the past decade and will continue to rise in the coming years due to ageing of the population.

Aim: To evaluate the short- (12 months) and long-term (60 months) results of laparoscopic sleeve gastroscopy (LSG) in patients older than age 60.

Methods: We performed a retrospective review of patients prospectively included in a database from January 2007 to December 2013. All patients >60 [older group (OG)] who had undergone LSG were included. The control group (CG) included patients aged 50 to 59 years who had undergone LSG during the same period.

Results: 116 (8.4 % of total surgery) and 145 patients were included in the OG and CG, respectively. BS in patients >60 years increased from 2.4% in 2003 to 14% in the last 2 years of the study. After inverse probability of treatment weighting (IPTW) analysis, all absolute standardized differences were <0.15. A 60-month follow-up was attained in 90% of patients in the OG and 74% in the CG. There were no significant differences in postoperative complications between the two groups. At 12 and 60 months after LSG, both groups achieved a similar body mass index. There was no statistical difference in the percentage of resolution of type 2 diabetes, hypertension, dyslipidemia, and SAHS between the two groups. In both groups, all the nutritional parameters evaluated remained within the normal range throughout the study.

Conclusions: LSG provides acceptable outcomes and is safe in older adults indicating that age should not be a limitation to perform BS in this population.

60岁以上患者袖式胃切除术长期安全性和有效性的倾向评分队列研究。
背景:老年肥胖患者(>60岁)的减肥手术(BS)在过去十年中有所上升,并且由于人口老龄化,在未来几年将继续上升。目的:评价60岁以上患者行腹腔镜袖胃镜检查(LSG)的短期(12个月)和长期(60个月)效果。方法:我们对2007年1月至2013年12月前瞻性纳入数据库的患者进行回顾性分析。所有>60岁且行LSG的患者[老年组(OG)]均纳入。对照组(CG)包括同期行LSG的50 ~ 59岁患者。结果:OG组116例(占总手术量8.4%),CG组145例。60岁以上患者BS发生率从2003年的2.4%上升到研究的最后2年的14%。在治疗加权逆概率(IPTW)分析后,所有绝对标准化差异均为:结论:LSG提供了可接受的结果,并且在老年人中是安全的,这表明年龄不应成为在该人群中实施BS的限制。
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
Journal of Obesity
Journal of Obesity ENDOCRINOLOGY & METABOLISM-
CiteScore
7.50
自引率
3.00%
发文量
19
审稿时长
21 weeks
期刊介绍: Journal of Obesity is a peer-reviewed, Open Access journal that provides a multidisciplinary forum for basic and clinical research as well as applied studies in the areas of adipocyte biology & physiology, lipid metabolism, metabolic syndrome, diabetes, paediatric obesity, genetics, behavioural epidemiology, nutrition & eating disorders, exercise & human physiology, weight control and health risks associated with obesity.
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