Department of Surgery, Catharina Hospital Eindhoven, Michelangelolaan 2, 5623 EJ, Eindhoven, The Netherlands.
Surg Endosc. 2013 Jun;27(6):2014-9. doi: 10.1007/s00464-012-2703-8. Epub 2013 Jan 24.
With global aging, obesity will increasingly affect the older population with higher risks of morbidity and mortality, yet full consensus has been obtained for the role of sleeve gastrectomy (SG) in the older obese.
The aim of this study is to report the outcomes of SG in the older obese.
Bariatric department, large teaching hospital, The Netherlands.
Between August 2006 and December 2011, 135 patients aged 55 years or older underwent SG. Outcomes in terms of perioperative complications, weight loss, remission of comorbidities, and revision were extracted from our prospectively held database. A subanalysis was done comparing three age groups: 55-59 years, 60-64 years, and 65 years and older.
During mean follow-up of 14.6 months, short-term mortality was 0 %. The 30-day complication rate was 11.1 %, without significant differences between age groups. Late complications occurred in 4.4 %. In 14 patients, revisions were performed because of development of reflux disease or dysphagia. Significant reduction of comorbidities was found in all age groups, except for sleep apnea. Among the total cohort, excellent weight loss was achieved during follow-up.
Laparoscopic sleeve gastrectomy (LSG) as a primary treatment modality for the older morbidly obese is an effective and relatively safe procedure in terms of weight loss and remission of comorbidities with an acceptable low complication rate.
随着全球人口老龄化，肥胖将越来越多地影响到患有更高发病率和死亡率的老年人群，但袖状胃切除术（SG）在老年肥胖者中的作用尚未达成完全共识。
本研究旨在报告老年肥胖患者行 SG 的结果。
荷兰一家大型教学医院的减重外科。
2006 年 8 月至 2011 年 12 月，135 名年龄在 55 岁或以上的患者接受了 SG。从我们前瞻性保存的数据库中提取了围手术期并发症、体重减轻、合并症缓解和修正的结果。对三个年龄组（55-59 岁、60-64 岁和 65 岁及以上）进行了亚分析。
在平均 14.6 个月的随访中，短期死亡率为 0%。30 天并发症发生率为 11.1%，各组间无显著差异。迟发性并发症发生率为 4.4%。在 14 例患者中，因反流性疾病或吞咽困难行修正术。所有年龄组的合并症均有显著缓解，除睡眠呼吸暂停外。在总队列中，在随访期间实现了极好的体重减轻。
腹腔镜袖状胃切除术（LSG）作为老年病态肥胖患者的主要治疗方法，在减轻体重和缓解合并症方面是一种有效且相对安全的手术，并发症发生率低，可接受。
