Macgregor A M, Rand C S
Department of Surgery, North Florida Regional Medical Center, Gainesville.
Arch Surg. 1993 Oct;128(10):1153-7. doi: 10.1001/archsurg.1993.01420220073010.
To evaluate long-term outcome of gastric restrictive surgery in morbidly obese patients aged 55 years and older.
Retrospective review with 3- to 13-year postoperative follow-up. Average follow-up 6 years.
Private surgical practice with bariatric surgery specialty.
Eighty-eight morbidity obese patients, 73 women and 15 men, aged 55 years and older.
Between 1977 and 1989, 77 patients had Roux-en-Y gastric bypass, four had vertical banded gastroplasty, and seven had silicone ring vertical gastroplasty.
Weight loss, change in incidence of comorbidity, and reduction in medication use.
Patients had an average of 57% excess body weight loss, lost 31 kg, and decreased their body mass index by 12 kg/m2. There was a 20% to 48% reduction in the number of patients requiring medication for obesity-related disorders (eg, diabetes mellitus and hypertension). Body mass index of less than 30 kg/m2 was achieved and maintained by 42% of patients.
This form of therapy is appropriate for selected patients in the older age groups.
评估55岁及以上病态肥胖患者接受胃限制性手术的长期疗效。
进行术后3至13年的回顾性研究。平均随访6年。
设有减肥手术专科的私人外科诊所。
88例病态肥胖患者，73名女性和15名男性，年龄在55岁及以上。
1977年至1989年间，77例患者接受了Roux-en-Y胃旁路手术，4例接受了垂直束带胃成形术，7例接受了硅胶环垂直胃成形术。
体重减轻、合并症发病率变化以及药物使用减少情况。
患者平均减轻了57%的超重体重，体重减轻31千克，体重指数降低了12千克/平方米。因肥胖相关疾病（如糖尿病和高血压）而需要药物治疗的患者人数减少了20%至48%。42%的患者实现并维持了体重指数低于30千克/平方米。
这种治疗方式适用于特定的老年患者群体。
