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Safety and effectiveness of laparoscopic Y-en-Roux gastric bypass surgery in obese elderly patients
Santos, Marcelo Protásio dos; Gonçalves, José Eduardo; Takahashi, André Akira Ramos; Britto, Bruno Barros; Beraldo, Fernando Bray; Waisberg, Jaques; Tanno, Luciana Kase.
Afiliação
  • Santos, Marcelo Protásio dos; Hospital do Servidor Público Estadual. Department of Surgery. São Paulo. Brasil
  • Gonçalves, José Eduardo; Hospital do Servidor Público Estadual. Department of Surgery. São Paulo. Brasil
  • Takahashi, André Akira Ramos; Faculdade de Medicina do ABC. Department of Surgery. Santo André. Brasil
  • Britto, Bruno Barros; Faculdade de Medicina Tiradentes. Department of Surgery. Aracaju. Brasil
  • Beraldo, Fernando Bray; Hospital do Servidor Público Estadual. Department of Surgery. São Paulo. Brasil
  • Waisberg, Jaques; Hospital do Servidor Público Estadual. Department of Surgery. São Paulo. Brasil
  • Tanno, Luciana Kase; University Hospital of Montpellier. Hôpital Arnaud de Villeneuve. Department of Pulmonology. Division of Allergy. Paris. França
Acta cir. bras. ; 35(6): [e202000606], jul. 2020. tab
Article em En | VETINDEX | ID: vti-29183
Biblioteca responsável: BR68.1
Localização: BR68.1
ABSTRACT
Purpose. To analyze, in aged obese patients, the weight loss, comorbidity control, and safety postoperative complications of bariatric surgery by Roux-en-Y gastric bypass technique.. Methods. Twenty-seven patients who underwent laparoscopic weight-reducing gastroplasty with Roux-en-Y gastric bypass to treat obesity were included. All patients were ≥ 60 years old at the time of surgery. The Wilcoxon test was used for statistical analysis, and a p-value ≤0.05it was considered significant.. Results. Ten (90.9%) patients with dyslipidemia were cured (p < 0.001). Nine (81.8%) patients with type 2 diabetes mellitus had total improvement and 2 (18.2%) had partial improvement (p = 0.003). In 23 patients with systemic arterial hypertension, 9 (39.1%) achieved total improvement and 14 (60.9%) partial improvement (p = 0.140). Five (71.4%) patients with obstructive sleep apnea syndrome were cured (p = <0.001). For other comorbidities, no partial improvement or cure was shown.. Conclusions. Roux-en-Y gastric bypass surgery in obese elderly patients can be performed safely and with low morbidity and mortality rates. The benefits of weight loss and reduced comorbidities are promising and like those of the younger population.(AU)
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Texto completo: 1 Base de dados: VETINDEX Assunto principal: Idoso / Anastomose em-Y de Roux / Laparoscopia / Cirurgia Bariátrica Limite: Humans Idioma: En Revista: Acta cir. bras. Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Base de dados: VETINDEX Assunto principal: Idoso / Anastomose em-Y de Roux / Laparoscopia / Cirurgia Bariátrica Limite: Humans Idioma: En Revista: Acta cir. bras. Ano de publicação: 2020 Tipo de documento: Article