PDF(Pubmed)
Abstract：
UNASSIGNED: In the era of an aging society and a growing number of obese people, an increasing number of older patients are consulting bariatric surgeons. The incidence of hypertension (HT) also rises with age and body weight, making the treatment of the elderly a significant challenge.
UNASSIGNED: To identify predictors of HT remission after bariatric surgery in patients over 65 years of age.
UNASSIGNED: A retrospective study analyzed patients over 65 years old with HT who underwent laparoscopic bariatric procedures in Poland between 2008 and 2022. The data came from 11 bariatric centers. Patients were categorized into two groups: responders (R) and non-responders (NR). A multivariate logistic regression analysis was conducted to identify significant independent risk factors.
UNASSIGNED: The study analyzed 244 patients, with complete HT remission observed in 55 (22.5%) patients. Almost 90% of patients showed improvement in HT. The mean follow-up time was 47.4 months. Factors contributing to HT remission included HT duration of less than 5 years, the use of single medication, and a significant correlation with %EWL.
UNASSIGNED: Bariatric surgery in patients aged over 65 has a positive effect on HT remission. The chance of HT remission increases with fewer medications, shorter HT duration, and greater weight loss after surgery.
UNASSIGNED: To identify predictors of HT remission after bariatric surgery in patients over 65 years of age.
UNASSIGNED: A retrospective study analyzed patients over 65 years old with HT who underwent laparoscopic bariatric procedures in Poland between 2008 and 2022. The data came from 11 bariatric centers. Patients were categorized into two groups: responders (R) and non-responders (NR). A multivariate logistic regression analysis was conducted to identify significant independent risk factors.
UNASSIGNED: The study analyzed 244 patients, with complete HT remission observed in 55 (22.5%) patients. Almost 90% of patients showed improvement in HT. The mean follow-up time was 47.4 months. Factors contributing to HT remission included HT duration of less than 5 years, the use of single medication, and a significant correlation with %EWL.
UNASSIGNED: Bariatric surgery in patients aged over 65 has a positive effect on HT remission. The chance of HT remission increases with fewer medications, shorter HT duration, and greater weight loss after surgery.
摘要：
■在老龄化社会和越来越多的肥胖人群的时代，越来越多的老年患者正在咨询减肥外科医师。高血压（HT）的发病率也随着年龄和体重而上升，使老年人的治疗成为一个重大挑战。
■确定65岁以上患者减重手术后HT缓解的预测因素。
■一项回顾性研究分析了2008年至2022年在波兰接受腹腔镜减肥手术的65岁以上HT患者。数据来自11个减肥中心。患者分为两组：反应者（R）和非反应者（NR）。进行多因素logistic回归分析以确定显著的独立危险因素。
■该研究分析了244名患者，55例（22.5%）患者的HT完全缓解。几乎90%的患者显示HT改善。平均随访时间为47.4个月。导致HT缓解的因素包括HT持续时间少于5年，使用单一药物，与%EWL有显著相关性。
■65岁以上患者的减重手术对HT缓解有积极作用。HT缓解的机会随着药物的减少而增加，较短的HT持续时间，手术后体重减轻更大。
■确定65岁以上患者减重手术后HT缓解的预测因素。
■一项回顾性研究分析了2008年至2022年在波兰接受腹腔镜减肥手术的65岁以上HT患者。数据来自11个减肥中心。患者分为两组：反应者（R）和非反应者（NR）。进行多因素logistic回归分析以确定显著的独立危险因素。
■该研究分析了244名患者，55例（22.5%）患者的HT完全缓解。几乎90%的患者显示HT改善。平均随访时间为47.4个月。导致HT缓解的因素包括HT持续时间少于5年，使用单一药物，与%EWL有显著相关性。
■65岁以上患者的减重手术对HT缓解有积极作用。HT缓解的机会随着药物的减少而增加，较短的HT持续时间，手术后体重减轻更大。
