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首页> 外文期刊>Obesity research >Safety and efficacy of laparoscopic adjustable gastric banding in the elderly.
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Safety and efficacy of laparoscopic adjustable gastric banding in the elderly.

机译：腹腔镜可调节胃束带在老年人中的安全性和有效性。

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OBJECTIVE: Bariatric surgery is not usually recommended in the elderly. The aim of this study is to evaluate the safety and efficacy of laparoscopic adjustable gastric banding (LAGB) in older patients registered in the database of the Italian Group for Lap-Band Gruppo Italiano Lap-Band (GILB). METHODS AND PROCEDURES: GILB is a centralized database which collects operative and follow-up data from 26 Italian surgical centers who utilize the Lap-Band System as a restrictive procedure. Patients > or =60 years were selected from the database of the GILB and analyzed according to co-morbidities, conversion, peri-operative complications, and weight loss. RESULTS: Of 5,290 patients, 216 (4.1%; 184F/32M) were > or =60 years old at surgery (mean age 64.1 +/- 4.0 years; range 60-83). Baseline BMI was similar in both sets of patients i.e., > or =60 and <60 years of age (44.2 +/- 7.6 kg/m(2) vs. 44.9 +/- 7.4 kg/m(2)). Patients > or =60 years of age were more frequently affected by co-morbidities than patients <60 years of age. Two cases of operative mortality were observed in patients <60 years old (0.04%) and one in patients > or =60 years old (0.46%). The proportion of patients requiring revision surgery was comparable as well. Weight loss was significantly lower in elderly patients. Despite their lower weight loss, patients > or =60 years of age experienced a significant improvement of obesity-related co-morbidities (they showed improvement 1 year after surgery in 100% of cases of diabetes or sleep apnoea, 67.1% of cases of hypertension, and 34.9% of cases of osteoarthritis). DISCUSSION: LAGB may be performed safely in patients > or =60 years old. Weight loss in older patients seems unsatisfactory if compared to younger subjects. However, the majority of elderly patients show an improvement in obesity-related co-morbidities.
机译：目的：通常不建议老年人进行减肥手术。这项研究的目的是评估在意大利Lap-Band Gruppo Italiano Lap-Band（GILB）集团数据库中注册的老年患者的腹腔镜可调胃绑扎术（LAGB）的安全性和有效性。方法和程序：GILB是一个集中式数据库，收集来自26个意大利医疗中心的手术数据和随访数据，这些中心使用Lap-Band系统作为限制性手术。从GILB数据库中选择≥60岁的患者，并根据合并症，转换，围手术期并发症和体重减轻进行分析。结果：在5290名患者中，有216名（4.1％; 184F / 32M）在手术时≥60岁（平均年龄64.1 +/- 4.0岁;范围60-83）。两组患者的基线BMI均相似，即>或= 60岁和<60岁（44.2 +/- 7.6 kg / m（2）与44.9 +/- 7.4 kg / m（2））。大于或等于60岁的患者比小于60岁的患者更容易受到合并症的影响。在<60岁的患者中观察到两例手术死亡率（0.04％），在≥60岁的患者中观察到一例手术死亡率（0.46％）。需要翻修手术的患者比例也相当。老年患者的体重减轻明显更低。尽管体重减轻得较低，但≥60岁的患者却出现了与肥胖相关的合并症的显着改善（100％的糖尿病或睡眠呼吸暂停病例术后1年改善，高血压的67.1％ ，占骨关节炎病例的34.9％）。讨论：LAGB可以在≥60岁的患者中安全地进行。与年轻受试者相比，老年患者的体重减轻似乎并不令人满意。但是，大多数老年患者的肥胖相关合并症都有改善。

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