Department of General, Minimally Invasive and Elderly Surgery, Collegium Medicum, University of Warmia and Mazury, Olsztyn, Poland.
Department of General, Oncological and Digestive Tract Surgery, Centre of Postgraduate Medical Education, Orłowski Hospital, Warsaw, Poland.
Pol Przegl Chir. 2024 Jan 1;96(3):1-5. doi: 10.5604/01.3001.0053.9871.
<b><br>Introduction:</b> It is already known that bariatric surgery can improve the health and quality of life of morbidly obese patients of all ages. Our population is getting older. That is why the number of bariatric surgeries among obese people over 65 years of age is systematically increasing.</br> <b><br>Aims:</b> The study aims to analyze the management of patients over 65 years of age in Polish bariatric centers.</br> <b><br>Material and methods:</b> The study was conducted on representatives from the 30 largest bariatric departments in Poland. By collecting surveys, we aimed to analyze changes in qualifications for surgery and care for elderly patients.</br> <b><br>Results:</b> 13 of 30 (43.3%) representatives responded to the survey. The remaining centers did not qualify patients over 65 years old for the surgical treatment of obesity. The mean percentage of patients over 65 who underwent bariatric surgery was 2.75. Most representatives (69.2%) chose SG as the procedure of choice in patients over 65 years of age. According to 84.6% of surgeons, age did not matter when qualifying patients over 65 years of age for BS. The majority of surgeons (53.8%) believed that bariatric surgery in older patients was comparable to the one in younger patients. Nine (69.2%) surgeons believed that there should be no age limit for bariatric surgery.</br> <b><br>Conclusions:</b> Only almost half of the bariatric centers in Poland perform operations on patients over 65 years of age. Most Polish surgeons claim that operations on older and on younger patients have comparable benefits, and that there is no need for age limit.</br>.
<b><br>引言:</b>众所周知,减重手术可以改善各个年龄段病态肥胖患者的健康和生活质量。我们的人口正在老龄化。这就是为什么 65 岁以上肥胖人群的减重手术数量在系统地增加。</br> <b><br>目的:</b>本研究旨在分析波兰减重中心 65 岁以上患者的管理情况。</br> <b><br>材料与方法:</b>该研究在波兰 30 个最大的减重部门的代表中进行。通过收集调查,我们旨在分析手术资格和老年患者护理的变化。</br> <b><br>结果:</b>30 个中心中有 13 个(43.3%)代表回应了调查。其余中心未为 65 岁以上的肥胖患者提供手术治疗。接受减重手术的 65 岁以上患者的平均百分比为 2.75%。大多数代表(69.2%)选择 SG 作为 65 岁以上患者的首选手术。根据 84.6%的外科医生的说法,在为 65 岁以上的患者进行 BS 资格认定时,年龄并不重要。大多数外科医生(53.8%)认为,老年患者的减重手术与年轻患者的手术相当。9 名(69.2%)外科医生认为,减重手术不应有年龄限制。</br> <b><br>结论:</b>波兰只有近一半的减重中心为 65 岁以上的患者进行手术。大多数波兰外科医生声称,老年和年轻患者的手术具有相当的益处,并且没有年龄限制的必要。</br>.