Erschienen in:
06.10.2016 | Review Article
The Effectiveness and Safety of Sleeve Gastrectomy in the Obese Elderly Patients: a Systematic Review and Meta-Analysis
verfasst von:
Yao Wang, Xiaoyan Yi, Qifu Li, Jun Zhang, Zhihong Wang
Erschienen in:
Obesity Surgery
|
Ausgabe 12/2016
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Abstract
Background
This systematic review was performed to compare the effectiveness and safety of SG in the obese elderly patients with the young ones.
Methods
Cohort studies that compared outcomes among old and young patients who had undergone SG were included. Summary odds ratios were estimated using a random effect model.
Results
Eleven studies were included. Old patients had a worse outcome in percentage of excess weight loss than the young ones (SMD −0.39, 95 % CI −0.55 to −0.24). No significant differences were recorded in resolution of co-morbidities: type 2 diabetes mellitus (OR 1.60, 95 % CI 0.84–3.05), hypertension (OR 1.05, 95 % CI 0.65–1.68), dyslipidemia (OR 1.38, 95 % CI 0.68–2.80), OSAS (OR 0.64, 95 % CI 0.30–1.34), or postoperative complications (OR 0.89, 95 % CI 0.51–1.55) between the elderly and the young who had undergone SG.
Conclusions
SG was effective for weight loss and resolution of co-morbidities with low complication rate in the obese elderly patients.