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Master Thesis

La sleeve gastrectomie est un bon compromis chez les individus âgés candidats à la chirurgie bariatrique : résultats à long terme d'une étude comparant la sleeve gastrectomie au Roux-en-Y gastric by-pass

Abstract : Objective: the aim of this study was to compare the sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) in individuals aged 60 years or more undergoing a first bariatric surgery.
Patients and methods: we retrospectively analyzed a prospective database and made a telephone inquiry in march 2020. Primary end-points were the excess weight loss (%EWL) and the success of surgery defined as %EWL associated with comorbidities resolution. Secondary end-points were morbidity, length of stay, compliance with recommended diet and patients’ satisfaction.
Results: between 2012 and 2020, 204 morbidly obese individuals aged 60 years or more underwent a primary SG (123, 60%) or RYGB (81, 40%) as primary bariatric surgery. %EWL was significantly higher in the RYGB group than in SG (X% vs Y%; p<0.0001). There was no difference between the two groups when the composite criterion of %EWL and resolution of one (p=0.92) or all (p=0.07) comorbidities was considered. The rate of early complications was significantly higher in the RYGB group (p<0.0001) and the length of stay was also significantly higher in the RYGB group (p=0.0002). Compliance with recommended diet was comparable between the two groups while patients’ satisfaction was higher in those undergoing the RYGB79 (64.2 % in the SG group vs 81.5% in the RYGB p=0.0036).
Conclusion: SG is a good compromise for patients aged 60 years or more as a first bariatric surgery, leading to comparable results when a composite criterion of success including %EWL and comorbidities resolution is considered.
Document type :
Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02961753
Contributor : Bibliothèque Universitaire de Médecine Nice Connect in order to contact the contributor
Submitted on : Thursday, October 8, 2020 - 4:33:17 PM
Last modification on : Thursday, April 15, 2021 - 3:12:42 AM

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  • HAL Id : dumas-02961753, version 1

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Céline Drai. La sleeve gastrectomie est un bon compromis chez les individus âgés candidats à la chirurgie bariatrique : résultats à long terme d'une étude comparant la sleeve gastrectomie au Roux-en-Y gastric by-pass. Médecine humaine et pathologie. 2020. ⟨dumas-02961753⟩

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