Evaluation of risk factors for bariatric surgery in elderly patients with morbid obesity
https://doi.org/10.24884/1607-4181-2021-28-4-81-85
Abstract
The objective was to improve the efficiency and safety of surgical treatment in elderly patients with morbid obesity.
Methods and materials. The study included 20 patients with morbid obesity aged 60 to 69 years. The following scores and indices were used to assess the comorbidity of patients and the risk of complications from surgery: OS-MRS, Charlson comorbidity index, Caprini score, HAS-BLED score.
Results. The course of the postoperative period in elderly patients with morbid obesity was smooth in 17 (85 %) people and did not differ from that in middle-aged patients, subject to careful preoperative examination and preparation. The factors of the initial comorbid background and the duration of the operation had the greatest influence on the result of bariatric surgery.
Conclusion. Bariatric surgery in elderly patients with morbid obesity should be carried out taking into account careful selection, examination and assessment of the risk of adverse outcome in a specialized surgical center of a multidisciplinary hospital.
About the Authors
K. A. Anisimova
Pavlov University
Russian Federation
Russian Federation
Anisimova Kristina A., Surgeon, Surgical Department № 2 of the Research Institute of Surgery and Emergency Medicine
6-8, L’va Tolstogo str., Saint Petersburg, 197022
L. I. Davletbaevа
Pavlov University
Davletbaevа Leysan I., Endoscopist
Saint Petersburg
S. G. Balandov
Pavlov University
Balandov Stanislav G., Cand. of Sci. (Med.), Head of the Surgical Department № 2 of the Research Institute of Surgery and Emergency Medicine
Saint Petersburg
D. I. Vasilevsky
Pavlov University
Vasilevskii Dmitriy I., Dr. of Sci. (Med.), Professor of the Department of Faculty Surgery with Courses of Cardiovascular and Laparoscopic Surgery
Saint Petersburg
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For citations:
Anisimova K.A., Davletbaevа L.I., Balandov S.G., Vasilevsky D.I. Evaluation of risk factors for bariatric surgery in elderly patients with morbid obesity. The Scientific Notes of the Pavlov University. 2021;28(4):81-85. (In Russ.) https://doi.org/10.24884/1607-4181-2021-28-4-81-85
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