Caceres Billy A, Moskowitz Dana, O'Connell Theresa
New York University College of Nursing, New York, New York.
New York University Langone Medical Center, New York, New York.
J Am Assoc Nurse Pract. 2015 Jul;27(7):403-10. doi: 10.1002/2327-6924.12235. Epub 2015 Mar 4.
The purpose of this review is to compare outcomes of bariatric surgery in adults over 60 to younger patients. This analysis is important to determine if nurse practitioners (NPs) and other providers should recommend bariatric surgery to obese older adults.
This review included 15 studies published between 2002 and 2013.
Although older adults seem to experience less weight loss, bariatric surgery has potential benefits for these patients. Significant improvements in hypertension, diabetes, and, to a lesser extent, dyslipidemia are noted. Mortality and surgical complications in older adults are low, while differences in length of hospital stay are inconclusive.
The risks of bariatric surgery in older adults need to be carefully evaluated based on individual medical condition. Overall the evidence suggests that bariatric surgery can be safely performed in older adults but more research is needed to determine which older adult patients are the best candidates for bariatric surgery. As bariatric surgery among older adults increases, interdisciplinary teams will continue to serve an important role in the management of bariatric surgery patients. NPs must be aware of trends in this emerging population of bariatric surgery patients.
本综述的目的是比较60岁以上成年人与年轻患者接受减肥手术的结果。该分析对于确定执业护士（NPs）和其他医疗服务提供者是否应向肥胖的老年人推荐减肥手术至关重要。
本综述纳入了2002年至2013年间发表的15项研究。
尽管老年人似乎体重减轻较少，但减肥手术对这些患者有潜在益处。高血压、糖尿病以及程度较轻的血脂异常都有显著改善。老年人的死亡率和手术并发症较低，而住院时间的差异尚无定论。
需要根据个体病情仔细评估老年人接受减肥手术的风险。总体而言，证据表明减肥手术可以在老年人中安全进行，但需要更多研究来确定哪些老年患者是减肥手术的最佳候选人。随着老年人减肥手术的增加，跨学科团队在减肥手术患者的管理中将继续发挥重要作用。NPs必须了解这一新兴减肥手术患者群体的趋势。
