Bariatric surgery as a safe and effective intervention for the control of comorbidities in older adults

• Autor(a) principal: Cunha,<p>Juliana Bento da
• Data de Publicação: 2020
• Outros Autores: Fialho,Maria Clara Pereira, Arruda,Sergio Lincoln de Matos, Nobrega,Otavio Toledo, Camargos</p>,Einstein Francisco
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Geriatrics, Gerontology and Aging (Online)
• Texto Completo: https://ggaging.com/details/1638
• topic: bariatric surgery; aged; comorbidity; postoperative complications; mortality.

<p><b>INTRODUCTION:</b> In addition to being associated with worsening of diseases related to metabolic syndrome and musculoskeletal disorders, obesity in older adults increases the risk of falls, frailty syndrome, depression, and dementia, with consequent functional loss. Among all treatments available, bariatric surgery is an option for eligible patients.<br> <b>OBJECTIVES:</b> To discuss aspects related to the safety and benefits of bariatric surgery for the control or remission of comorbidities in older adults.<br> <b>METHODS:</b> This literature review was carried out in databases, using the following keywords: bariatric surgery <i>and</i> elderly <i>or</i> aged <i>or</i> older adult <i>and</i> comorbidities <i>or</i> safety. We included clinical trials, observational studies, comparative studies, and reviews that evaluated the effect of bariatric surgery on the control or remission of comorbidities in older adults.<br> <b>RESULTS:</b> In recent years, several studies have evidenced not only control or remission of comorbidities, such as diabetes, hypertension, and sleep apnea syndrome, but also a low rate of complications, similar to those observed in young people.<br> <b>CONCLUSIONS:</b> Based on the results of these studies, bariatric surgical procedures can be indicated for eligible older adults, without age restriction, taking into account functional and life expectancy aspects.</p>