Comparing the safety and efficacy of sleeve gastrectomy versus Roux-en-Y gastric bypass in elderly (>60 years) with severe obesity: an umbrella systematic review and meta-analysis

被引:5
作者
Kermansaravi, Mohammad [1 ,2 ]
Vitiello, Antonio [4 ]
Valizadeh, Rohollah [3 ,5 ]
Shahmiri, Shahab Shahabi [1 ,2 ]
Musella, Mario [4 ,6 ]
机构
[1] Iran Univ Med Sci, Rasool e Akram Hosp, Div Minimally Invas Surg, Sch Med,Minimally Invas Sur Res Ctr, Naples, Italy
[2] Hazrat e Rasool Hosp, Ctr Excellence, European Branch Int Federat Surg Obes, Tehran, Iran
[3] Urmia Univ Med Sci, Orumiyeh, Iran
[4] Univ Naples Federico II, Adv Biomed Sci Dept, Naples, Italy
[5] Urmia Univ Med Sci, Orumiyeh, Iran
[6] Naples Federico II Univ, Adv Biomed Sci Dept AOU Federico II, Via SPansini 5 Bldg 7 80131-Naples-Italy, I-80131 Naples, Italy
关键词
bariatric surgery; obesity; older adults; Roux-en-Y Gastric Bypass; sleeve gastrectomy; umbrella review; BARIATRIC SURGERY; WEIGHT-LOSS; PATIENTS OLDER; AGED; 65; OUTCOMES; PREVALENCE; ADULTS;
D O I
10.1097/JS9.0000000000000629
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background:Today, bariatric surgeons face the challenge of treating older adults with class III obesity. The indications and outcomes of Roux-en-Y gastric bypass (RYGB) versus sleeve gastrectomy (SG) also constitute a controversy.Methods:PubMed, Web of Science and Scopus were searched to retrieve systematic reviews/meta-analyses published by 1 March 2022. The selected articles were qualitatively evaluated using A Measurement Tool to Assess systematic Reviews (AMSTAR).Results:An umbrella review included six meta-analyses retrieved from the literature. The risk of early-emerging and late-emerging complications decreased by 55% and 41% in the patients underwent SG than in those receiving RYGB, respectively. The chance of the remission of hypertension and obstructive sleep apnoea, respectively increased by 43% and 6%, but type-2 diabetes mellitus decreased by 4% in the patients underwent RYGB than in those receiving SG. RYGB also increased excess weight loss by 15.23% in the patients underwent RYGB than in those receiving SG.Conclusion:Lower levels of mortality and early-emerging and late-emerging complications were observed in the older adults undergoing SG than in those receiving RYGB, which was, however, more efficient in term of weight loss outcomes and recurrence of obesity-related diseases
引用
收藏
页码:3541 / 3554
页数:14
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