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Bariatric and Metabolic Surgery in Patients Older than 65 Years – a Multicenter Study

INTRODUCTION: With the increase in life expectancy and a growing number of people suffering from obesity, bariatric and metabolic surgery is becoming a major concern in the elderly population. The study aimed to collect, systematize and present the available data on the surgical treatment of obesity...

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Autores principales: Dowgiałło-Gornowicz, Natalia, Lech, Paweł, Major, Piotr
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10514098/
https://www.ncbi.nlm.nih.gov/pubmed/37566339
http://dx.doi.org/10.1007/s11695-023-06750-9
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author Dowgiałło-Gornowicz, Natalia
Lech, Paweł
Major, Piotr
author_facet Dowgiałło-Gornowicz, Natalia
Lech, Paweł
Major, Piotr
author_sort Dowgiałło-Gornowicz, Natalia
collection PubMed
description INTRODUCTION: With the increase in life expectancy and a growing number of people suffering from obesity, bariatric and metabolic surgery is becoming a major concern in the elderly population. The study aimed to collect, systematize and present the available data on the surgical treatment of obesity among Polish patients over 65 years of age. MATERIAL AND METHODS: A retrospective study analysed patients over 65 years who underwent laparoscopic bariatric procedures in Poland from 2008 to 2022. The efficacy endpoints were percentage of excess weight loss (EWL%), percentage of total weight loss (%TWL), improvement in obesity-related diseases. RESULTS: The group consisted of 284 patients (173 women, 60.9%). The mean follow-up was 47.5 months. The mean BMI before surgery was 43.1 kg/m2. 146 (51.4%) patients had T2D, and 244 (85.9%) had HT. The most common procedure was sleeve gastrectomy (82.0%). The mean EWL% after surgery was 50.9%, and the mean TWL% after surgery was 20.6%. There was the statistically significant difference between AGB vs OAGB, SG vs OAGB in %EWL (p = 0.0116, p = 0.009, respectively) and RYGB vs OAGB in %TWL (p = 0.0291). After surgery, 93 patients (63.7%) had complete or partial remission of T2D, and 112 patients (45.9%) had complete or partial remission of HT. CONCLUSION: Bariatric surgery appears to be a safe and effective method of treatment of obesity in patients over 65 years of age. OAGB seems to have better results in weight loss than SG, RYGB, and AGB in older patients. GRAPHICAL ABSTRACT: [Image: see text]
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spelling pubmed-105140982023-09-23 Bariatric and Metabolic Surgery in Patients Older than 65 Years – a Multicenter Study Dowgiałło-Gornowicz, Natalia Lech, Paweł Major, Piotr Obes Surg Original Contributions INTRODUCTION: With the increase in life expectancy and a growing number of people suffering from obesity, bariatric and metabolic surgery is becoming a major concern in the elderly population. The study aimed to collect, systematize and present the available data on the surgical treatment of obesity among Polish patients over 65 years of age. MATERIAL AND METHODS: A retrospective study analysed patients over 65 years who underwent laparoscopic bariatric procedures in Poland from 2008 to 2022. The efficacy endpoints were percentage of excess weight loss (EWL%), percentage of total weight loss (%TWL), improvement in obesity-related diseases. RESULTS: The group consisted of 284 patients (173 women, 60.9%). The mean follow-up was 47.5 months. The mean BMI before surgery was 43.1 kg/m2. 146 (51.4%) patients had T2D, and 244 (85.9%) had HT. The most common procedure was sleeve gastrectomy (82.0%). The mean EWL% after surgery was 50.9%, and the mean TWL% after surgery was 20.6%. There was the statistically significant difference between AGB vs OAGB, SG vs OAGB in %EWL (p = 0.0116, p = 0.009, respectively) and RYGB vs OAGB in %TWL (p = 0.0291). After surgery, 93 patients (63.7%) had complete or partial remission of T2D, and 112 patients (45.9%) had complete or partial remission of HT. CONCLUSION: Bariatric surgery appears to be a safe and effective method of treatment of obesity in patients over 65 years of age. OAGB seems to have better results in weight loss than SG, RYGB, and AGB in older patients. GRAPHICAL ABSTRACT: [Image: see text] Springer US 2023-08-11 2023 /pmc/articles/PMC10514098/ /pubmed/37566339 http://dx.doi.org/10.1007/s11695-023-06750-9 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Contributions
Dowgiałło-Gornowicz, Natalia
Lech, Paweł
Major, Piotr
Bariatric and Metabolic Surgery in Patients Older than 65 Years – a Multicenter Study
title Bariatric and Metabolic Surgery in Patients Older than 65 Years – a Multicenter Study
title_full Bariatric and Metabolic Surgery in Patients Older than 65 Years – a Multicenter Study
title_fullStr Bariatric and Metabolic Surgery in Patients Older than 65 Years – a Multicenter Study
title_full_unstemmed Bariatric and Metabolic Surgery in Patients Older than 65 Years – a Multicenter Study
title_short Bariatric and Metabolic Surgery in Patients Older than 65 Years – a Multicenter Study
title_sort bariatric and metabolic surgery in patients older than 65 years – a multicenter study
topic Original Contributions
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10514098/
https://www.ncbi.nlm.nih.gov/pubmed/37566339
http://dx.doi.org/10.1007/s11695-023-06750-9
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