The long-term benefits of bariatric surgery in elderly and super-obese populations
Rev. esp. enferm. dig
; 111(5): 371-377, mayo 2019. tab, graf
Artigo
em Inglês
| IBECS
| ID: ibc-189990
Biblioteca responsável:
ES1.1
Localização: BNCS
ABSTRACT
Purpose:
to assess the long-term benefits of bariatric surgery in super-obese (body mass index [BMI] ≥ 50) and in elderly obese (age > 60 years) populations.Methods:
one hundred and twenty one patients who underwent laparoscopic Roux-en-Y gastric bypass or laparoscopic sleeve gastrectomy in a university hospital were retrospectively subdivided into the following groups BMI < 50 vs ≥ 50 and age < 60 vs ≥ 60 years. Weight loss, body composition and comorbidity outcomes were registered after one and six months and one, two, three and five years with 100%, 93%, 89%, 80%, 75% and 60% successful follow-up.Results:
the percentage of excess BMI loss (%EBMIL) was comparable between BMI groups and age groups and the difference in the long-term follow up was not statistically significant (p > 0.05). Complication rates, comorbidity resolution, reduction in body fat and increase in fat-free mass were comparable between BMI groups and age groups. Gastric bypass resulted in a greater weight loss compared to sleeve gastrectomy. The % EBMIL was 65.2% vs 46.7% (p = 0.002), 65.8% vs 44.9% (p = 0.004), 64.4% vs 30.5% (p = 0.001), 55.6% vs 17.6% (p = 0.016) at one, two, three and five years postoperative, respectively. Similarly, in the super-obese group, weight loss was more pronounced after gastric bypass versus sleeve gastrectomy.Conclusions:
bariatric surgery in super-obese and elderly populations is an effective and safe weight loss measure with a good comorbidity resolution in the long-term. Gastric bypass is superior to sleeve gastrectomy in terms of long-term weight loss and comorbidity resolution in all the groups investigatedRESUMEN
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Bases de dados nacionais
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Espanha
Base de dados:
IBECS
Assunto principal:
Obesidade Mórbida
/
Anastomose em-Y de Roux
/
Derivação Gástrica
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Diabetes Mellitus Tipo 2
/
Cirurgia Bariátrica
/
Gastrectomia
Limite:
Adulto
/
Feminino
/
Humanos
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Masculino
Idioma:
Inglês
Revista:
Rev. esp. enferm. dig
Ano de publicação:
2019
Tipo de documento:
Artigo
Instituição/País de afiliação:
Clínica Universidad de Navarra/Spain
/
Instituto de Investigación Sanitaria de Navarra/Spain
/
Instituto de Salud Carlos III/Spain