Yaşlılarda Obezite Cerrahisi

Amaç: Bariatrik cerrahi ileri yaş obez hastalar için riskli ve uzun dönem sonuçları müphem olsa da, fayda görmektedirler. Bu çalışmamız da ileri yaştaki hastalarımız da sleeve gastrektomi sonuçlarını değerlendirmeyi amaçladık. Materyal ve Metot: Bu retrospektif çalışmada Nisan 2013-Eylül 2017 tarihleri arasında Laparoskopik sleeve gastrektomi geçirmiş 65 yaş ve üstü tüm hastaları çalışmaya dahil ettik. Hastaların demografik verileri, obezite ile ilgili komorbidite, beden kitle indeksi(BKİ), ameliyat öncesi ve sonrasında kilo durumları, komorbiditenin iyileşmesi, takip süresi, ameliyat sonrası komplikasyonlar ve hastanede kalış süresi kaydedildi. İleri yaştaki hastaları 65 yaş altı sleeve gastrektomi hastalarıyla karşılaştırdık. Bulgular: Ondört hastaya (ortlama yaş 66.9±1.9 yıl) laparoskopik sleeve gastrektomi uygulandı. Hastalar 19 aylık takipten sonra ortalama %52.9 BKİ kaybına ulaştı. Yaşlı hastalar obeziteye bağlı tüm komorbiditelerde belirgin iyileşme gösterdi.Komplikasyon oranları iki grup arasında benzerdi. Sonuç: Yaşlı obezler de laparoskopik sleeve gasterktomi güvenli ve etkilidir ancak kilo kaybı genç obez kişilere göre nisbeten daha azdır. Uygun seçilmiş yaşlı hastalar bariatrik cerrahiden yararlanabilir.

Anahtar Kelimeler:

Obezite Cerrahisi, Tüp Mide, Yaşli Hastalar, Bariatrik Cerrahi, Obezite

Bariatric Surgery in Elderly Patients

Aim: Although bariatric surgery for elderly obese patients is having high complication risks and with indefinite results, can be still beneficifial. The aim of this study is to evaluate the results of sleeve gastrectomy in elderly patients. Materials and methods: All 65 years or older patients underwent laparascopic sleeve gastrectomy operation between April 2013-September 2017 included in this retrospective study. Demographic data, comorbidities due to obesity, body mass index, pre and post operative weight, recovery from comorbidities, follow-up time, post –operative complications, and duration of hospital stay were recorded. Elderly patients and patients under 65 years underwent sleeve gastrectomy were comparised according to results. Results: Fourteen patients ( mean age 66.9+- 1.9 years) operated on for laparascopic sleeve gastrectomy. Mean 52,9% BMI loss obtained in the patients after 19 months follow-up. In the elderly patients significant improvements were obtained for the comorbidities due to obesity. Complication rates were similiar among the two groups. Conclusion: Laparascopic sleeve gastrectomy is an effecitive and safe operation in elderly obese patients, but weight loss is more tolerable compared to younger patients. A selective group of elderly patients may benefit from bariatric surgery.

Keywords:

The surgery of obesity, sleeve gastrectomy, elderly patients, bariatric surgery, obesity,

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