老年肥胖者何时以及为何进行手术。
WHEN AND WHY OPERATE ELDERLY OBESE.
作者信息
Nassif Paulo Afonso Nunes, Malafaia Osvaldo, Ribas-Filho Jurandir Marcondes, Czeczko Nicolau Gregori, Garcia Rodrigo Ferreira, Ariede Bruno Luiz
机构信息
University Evangelic Hospital of Curitiba, Evangelic Faculty of Paraná, Medical Research Institute, Curitiba, PR, Brazil.
出版信息
Arq Bras Cir Dig. 2015;28 Suppl 1(Suppl 1):84-5. doi: 10.1590/S0102-6720201500S100022.
INTRODUCTION
Concurrently with the pandemic obesity is observed global aging phenomenon, with a significant increase of obesity in the elderly population.
AIM
To review the indications for bariatric surgery for the elderly, mainly focusing on the morbidity and mortality of procedures.
METHOD
Review of the literature in PubMed/Medline and Scielo focusing on the relationship of risk factors with different techniques of bariatric surgery in the elderly. The following descriptors were crossed in the form of AND/OR: Obesity; Bariatric surgery; Complications; Elderly.
CONCLUSION
In people older than 60 years bariatric procedures represent acceptable and effective treatment option. The elderly should be treated in specialized centers with experience in major surgical procedures and low morbimortality. Going in this way, they experience the benefits of bariatric surgery with acceptable morbidity and mortality. However, age alone should not be considered as an absolute impediment for surgical indication.
引言
在全球老龄化现象与疫情同时出现的情况下，老年人群体中的肥胖率显著上升。
目的
回顾老年患者减重手术的适应症，主要关注手术的发病率和死亡率。
方法
在PubMed/Medline和Scielo数据库中检索文献，重点关注老年患者减重手术不同技术与危险因素之间的关系。以下描述词以“与/或”形式交叉检索：肥胖；减重手术；并发症；老年人。
结论
对于60岁以上的人群，减重手术是一种可接受且有效的治疗选择。老年患者应在具备大型手术经验且手术死亡率低的专业中心接受治疗。如此一来，他们能够在可接受的发病率和死亡率情况下体验到减重手术的益处。然而，年龄本身不应被视为手术适应症的绝对障碍。
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