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肥胖的 70 岁以上老年患者可考虑进行减重手术。

Bariatric Surgery Should Be Proposed in Certain Septuagenarian Patients with Obesity.

机构信息

Unité de Nutrition-Prévention, Service de Chirurgie cardiaque, Université Paris Cité, AP-HP.Nord, Hôpital Bichat Claude Bernard, LVTS, UMR 1148, Inserm, 46 Rue Henri Huchard, Paris, France.

Université Paris Cité, AP-HP.Centre, Hôpital Européen Georges Pompidou, HeKA, UMR 1138, Centre de Recherche Des Cordeliers, Inserm, INRIA Paris, Paris, France.

出版信息

Obes Surg. 2023 Aug;33(8):2608-2610. doi: 10.1007/s11695-023-06655-7. Epub 2023 Jun 22.

Abstract

Bariatric surgery (BS) is rarely performed on patients aged 70 and over, due to the fear of adverse effects, particularly related to sarcopenia. We examined the outcome of obese patients who underwent BS after the age of 69 in the French population. Operated subjects were matched with non-operated obese patients (n = 1307 in each group after matching). We showed that BS was associated with a reduction in mortality and no increase in the risks of rehospitalization or fracture events.

摘要

减重手术(BS)很少在 70 岁及以上的患者中进行,因为担心会产生不良影响,尤其是与肌肉减少症相关的影响。我们在法国人群中检查了 69 岁以上接受 BS 的肥胖患者的结局。手术组与未手术肥胖患者进行匹配(每组匹配后 n = 1307)。结果表明,BS 与死亡率降低相关,并且不会增加再住院或骨折事件的风险。

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