Kapała Jan, Maroszczuk Tomasz, Dowgiałło-Gornowicz Natalia
Department of General, Minimally Invasive and Elderly Surgery, Collegium Medicum, University of Warmia and Mazury, Olsztyn, Poland.
Obes Rev. 2025 Mar;26(3):e13867. doi: 10.1111/obr.13867. Epub 2024 Nov 17.
Aging population and growing obesity prevalence are two major public health issues. Bariatric surgery has been shown to be both safe and effective, but its role in the treatment of the elderly remains controversial.
To evaluate the efficacy and safety of laparoscopic bariatric surgery in patients over 70 years of age.
A systematic review and assessment of the literature was performed in November-December 2023. Inclusion criteria gathered studies of elderly (age ≥70 years old) who underwent laparoscopic bariatric surgery. The data extraction focused on weight loss, obesity-related diseases, and complications.
Fourteen retrospective studies were included, involving 3923 septuagenarians (female, 69.70%). One year after the surgery, the mean excess weight loss was 54.66%. At last follow-up, the improvement in obesity-related diseases was regarded as 50% diagnosed with diabetes, 36% with hypertension, 50% with reflux, 36% with sleep apnea, and 25% with hyperlipidemia. The overall postoperative major morbidity and mortality were about 2% and 1%, respectively.
This systematic review suggests that laparoscopic bariatric surgery is an effective and safe treatment for patients over 70 years of age.
人口老龄化和肥胖患病率不断上升是两个主要的公共卫生问题。减肥手术已被证明是安全有效的，但其在老年患者治疗中的作用仍存在争议。
评估腹腔镜减肥手术在70岁以上患者中的疗效和安全性。
于2023年11月至12月对文献进行了系统回顾和评估。纳入标准为收集接受腹腔镜减肥手术的老年患者（年龄≥70岁）的研究。数据提取重点关注体重减轻、肥胖相关疾病和并发症。
纳入14项回顾性研究，涉及3923名七十多岁的老人（女性占69.70%）。术后一年，平均超重减轻率为54.66%。在最后一次随访时，肥胖相关疾病的改善情况为：50%的糖尿病患者、36%的高血压患者、50%的反流患者、36%的睡眠呼吸暂停患者和25%的高脂血症患者病情得到改善。术后总体主要发病率和死亡率分别约为2%和1%。
这项系统评价表明，腹腔镜减肥手术对70岁以上的患者是一种有效且安全的治疗方法。
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