Rowan School of Osteopathic Medicine, Stratford, NJ. (Drs. Kachmar, Mason, Sandifer, Balsama, and Mr. Soliman).
Rowan School of Osteopathic Medicine, Stratford, NJ. (Drs. Kachmar, Mason, Sandifer, Balsama and Mr. Soliman).
JSLS. 2023 Jul-Sep;27(3). doi: 10.4293/JSLS.2023.00028.
As the population continues to age, the number of elderly patients affected by obesity is rising. Metabolic and bariatric surgery (MBS) can benefit elderly patients seeking treatment for obesity and its related diseases. We aimed to quantify percent excess weight loss (%EWL) for elderly patients (≥ 65) undergoing MBS at a single institution and compare our results to %EWL previously reported for general and elderly populations. Additionally, we believe the safety and effectiveness of MBS is repeatable in our community setting.
Laparoscopic sleeve gastrectomy and laparoscopic roux-en-Y gastric bypass performed from November 1, 2011 - April 30, 2017 at a single institution was retrospectively reviewed. Weight loss was measured at 3, 6, and 12 month follow-up. A total of 103 patients met inclusion criteria, mean age was 67.75 years old and mean pre-operative body mass index was 45.95 kg/m.
Mean %EWL was 31.9%, 43.7%, and 53.4% at 3, 6, and 12 months, respectively. %EWL at one year was not statistically different to prior reports of elderly bariatric patients (p = 0.979). While statistically lower when compared to reports in the general population, %EWL in our elderly patients was clinically similar ( < 0.001). No 30-day mortality was observed.
Elderly patients undergoing MBS were noted to have %EWL similar to previous reports in elderly and general populations. MBS is efficacious and well tolerated in the elderly population with repeatable results. Continued reporting on the safety and efficacy is important in ensuring wider coverage and availability of these important interventions in elderly populations.
随着人口老龄化的持续，肥胖症老年患者的数量不断增加。代谢和减重手术（MBS）可以使寻求肥胖及其相关疾病治疗的老年患者受益。我们旨在量化单一机构接受 MBS 的老年患者（≥65 岁）的超额体重减轻百分比（%EWL），并将我们的结果与先前报道的普通人群和老年人群的%EWL 进行比较。此外，我们认为 MBS 的安全性和有效性在我们的社区环境中是可重复的。
回顾性分析 2011 年 11 月 1 日至 2017 年 4 月 30 日在单一机构行腹腔镜袖状胃切除术和腹腔镜 Roux-en-Y 胃旁路术的患者。在 3、6 和 12 个月的随访时测量体重减轻。共有 103 例患者符合纳入标准，平均年龄为 67.75 岁，术前平均体重指数为 45.95kg/m。
术后 3、6 和 12 个月的平均%EWL 分别为 31.9%、43.7%和 53.4%。与老年减重患者的先前报告相比，一年时的%EWL 无统计学差异（p=0.979）。与普通人群的报告相比，虽然统计学上较低，但老年患者的%EWL 在临床上相似（<0.001）。未观察到 30 天死亡率。
接受 MBS 的老年患者的%EWL 与先前报道的老年和普通人群中的报告相似。MBS 在老年人群中是有效且耐受良好的，结果可重复。持续报告安全性和有效性对于确保这些重要干预措施在老年人群中的广泛覆盖和可用性非常重要。
