Alamri Abdulrahman M, Alsareii Saeed A, Isaway Nadia A, Alshaiban Saleh H, Alyami Saleh Y, Alsaid Mustafa T
Department of Surgery, College of Medicine, Najran University, Najran, SAU.
Department of Medicine, College of Medicine, Najran University, Najran, SAU.
Cureus. 2024 Sep 13;16(9):e69349. doi: 10.7759/cureus.69349. eCollection 2024 Sep.
Background Obesity is a significant health concern among older adults, leading to various comorbidities and reduced quality of life. Bariatric surgery (BS) has emerged as a potential intervention, but its efficacy in geriatric populations, particularly in Saudi Arabia, is not well-established. Aims This retrospective study aims to evaluate the impact of BS on weight reduction and comorbidity resolution in Saudi Arabian geriatric populations. Methods A retrospective cohort study was conducted at King Khalid Hospital, Saudi Arabia, involving geriatric patients aged 60 and above who underwent BS between January 2018 and December 2022. Data were collected from medical records and analyzed using descriptive statistics, chi-square tests, t-tests, and multivariate regression analysis. Results The study included a total of 26 patients with a mean age of 64 years. Of these, 18 (69.3%) were females, while eight (30.7%) were males, and 23 (87%) underwent sleeve gastrectomy (SG), while three (13%) had Roux-en-Y gastric bypass (RYGB). Preoperative comorbidities majorly included diabetes (17, 35.42%), hypertension (11, 22.92%), and anemia (four, 8.33%). The average body mass index (BMI) of the patients decreased significantly from 45.12 to 37.29 at three months and further to 31.36 at six months post surgery. Total weight loss (TWL) was 19.92% at three months and 35.15% at six months, while the percentage of excess weight loss (%EWL) was 33.42% at three months and 57.85% at six months. Results also showed a significant reduction in the number of comorbidities postoperatively. A significant association with gender, preoperative weight, and preoperative height at three and six months and a significant association with preoperative BMI and comorbidity status at six months were recorded. Conclusion The study suggests that bariatric surgery is effective in achieving significant weight loss and improving comorbidities in geriatric patients. Few demographic and clinical features affect the outcome of the weight loss.
肥胖是老年人中一个重要的健康问题，会导致各种合并症并降低生活质量。减重手术已成为一种潜在的干预措施，但其在老年人群体中的疗效，尤其是在沙特阿拉伯，尚未得到充分证实。目的：这项回顾性研究旨在评估减重手术对沙特阿拉伯老年人群体体重减轻和合并症缓解的影响。方法：在沙特阿拉伯的哈立德国王医院进行了一项回顾性队列研究，纳入了2018年1月至2022年12月期间接受减重手术的60岁及以上老年患者。从病历中收集数据，并使用描述性统计、卡方检验、t检验和多元回归分析进行分析。结果：该研究共纳入26例患者，平均年龄64岁。其中，18例（69.3%）为女性，8例（30.7%）为男性，23例（87%）接受了袖状胃切除术（SG），3例（13%）接受了Roux-en-Y胃旁路术（RYGB）。术前合并症主要包括糖尿病（17例，35.42%）、高血压（11例，22.92%）和贫血（4例，8.33%）。患者的平均体重指数（BMI）在术后三个月时从45.12显著降至37.29，在术后六个月时进一步降至31.36。三个月时总体重减轻（TWL）为19.92%，六个月时为35.15%，而多余体重减轻百分比（%EWL）在三个月时为33.42%，六个月时为57.85%。结果还显示术后合并症数量显著减少。记录到在术后三个月和六个月时与性别、术前体重和术前身高存在显著关联，在术后六个月时与术前BMI和合并症状态存在显著关联。结论：该研究表明，减重手术在老年患者中能有效实现显著体重减轻并改善合并症。少数人口统计学和临床特征会影响体重减轻的结果。
