Evaluation of risk factors for bariatric surgery in elderly patients with morbid obesity

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.

Keywords

• morbid obesity
• surgical treatment of obesity
• bariatric surgery
• metabolic surgery
• postoperative complications