Yaşlılarda Obezite Cerrahisi
Yıl: 2021 Cilt: 11 Sayı: 1 Sayfa Aralığı: 23 - 26 Metin Dili: Türkçe DOI: 10.5505/kjms.2021.24540 İndeks Tarihi: 07-02-2022
Yaşlılarda Obezite Cerrahisi
Öz: 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: On dört 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 Kelime: Bariatric Surgery in Elderly Patients
Öz: 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. Material and Method: 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, followup time, postoperative 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-month 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.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | CIFTCI F, anuk t (2021). Yaşlılarda Obezite Cerrahisi. , 23 - 26. 10.5505/kjms.2021.24540 |
| Chicago | CIFTCI FATIH,anuk turgut Yaşlılarda Obezite Cerrahisi. (2021): 23 - 26. 10.5505/kjms.2021.24540 |
| MLA | CIFTCI FATIH,anuk turgut Yaşlılarda Obezite Cerrahisi. , 2021, ss.23 - 26. 10.5505/kjms.2021.24540 |
| AMA | CIFTCI F,anuk t Yaşlılarda Obezite Cerrahisi. . 2021; 23 - 26. 10.5505/kjms.2021.24540 |
| Vancouver | CIFTCI F,anuk t Yaşlılarda Obezite Cerrahisi. . 2021; 23 - 26. 10.5505/kjms.2021.24540 |
| IEEE | CIFTCI F,anuk t "Yaşlılarda Obezite Cerrahisi." , ss.23 - 26, 2021. 10.5505/kjms.2021.24540 |
| ISNAD | CIFTCI, FATIH - anuk, turgut. "Yaşlılarda Obezite Cerrahisi". (2021), 23-26. https://doi.org/10.5505/kjms.2021.24540 |
| APA | CIFTCI F, anuk t (2021). Yaşlılarda Obezite Cerrahisi. Kafkas Tıp Bilimleri Dergisi, 11(1), 23 - 26. 10.5505/kjms.2021.24540 |
| Chicago | CIFTCI FATIH,anuk turgut Yaşlılarda Obezite Cerrahisi. Kafkas Tıp Bilimleri Dergisi 11, no.1 (2021): 23 - 26. 10.5505/kjms.2021.24540 |
| MLA | CIFTCI FATIH,anuk turgut Yaşlılarda Obezite Cerrahisi. Kafkas Tıp Bilimleri Dergisi, vol.11, no.1, 2021, ss.23 - 26. 10.5505/kjms.2021.24540 |
| AMA | CIFTCI F,anuk t Yaşlılarda Obezite Cerrahisi. Kafkas Tıp Bilimleri Dergisi. 2021; 11(1): 23 - 26. 10.5505/kjms.2021.24540 |
| Vancouver | CIFTCI F,anuk t Yaşlılarda Obezite Cerrahisi. Kafkas Tıp Bilimleri Dergisi. 2021; 11(1): 23 - 26. 10.5505/kjms.2021.24540 |
| IEEE | CIFTCI F,anuk t "Yaşlılarda Obezite Cerrahisi." Kafkas Tıp Bilimleri Dergisi, 11, ss.23 - 26, 2021. 10.5505/kjms.2021.24540 |
| ISNAD | CIFTCI, FATIH - anuk, turgut. "Yaşlılarda Obezite Cerrahisi". Kafkas Tıp Bilimleri Dergisi 11/1 (2021), 23-26. https://doi.org/10.5505/kjms.2021.24540 |
