Laparoscopic sleeve gastrectomy for 71-year-old obese patient: a case report

doi:10.3877/cma.j.issn.2095-9605.2022.03.011

Abstract

Abstract:

Bariatric surgery is more and more widely used in obese people, but there are few reports on the effect of bariatric surgery in elderly obese patients with underlying diseases such as hypertension and diabetes. A 71-year-old obese patient underwent laparoscopic sleeve gastrectomy (LSG) and was followed up for 14 months after multidisciplinary discussion in Changzhou No.2 People's Hospital affiliated to Nanjing Medical University. This paper reports a case of an elderly obese patient with LSG complicated with hypertension and diabetes.

Key words: Obesity, Type 2 diabetes mellitus, Laparoscopic sleeve gastrectomy, The elderly

Gengdi Cai, Shengfang Zhou, Yuwen Jiao, Jing Wang, Jun Qian. Laparoscopic sleeve gastrectomy for 71-year-old obese patient: a case report[J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2022, 08(03): 209-213.

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References 23

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	体重（kg）	身高（cm）	BMI（kg/m²）	%EWL（%）	%TWL（%）	胸围（cm）	腰围（cm）	臀围（cm）	腰臀比
术前	113.00	168.00	40.04	—	—	127.00	147.00	134.00	1.10
术后1月	102.10	168.00	36.17	25.68	9.56	—	—	—	—
术后5月	93.30	168.00	33.06	46.42	17.43	114.00	123.00	134.00	0.94
术后14月	85.80	168.00	30.40	64.09	24.16	—	—	—	—

	体重（kg）	身高（cm）	BMI（kg/m²）	%EWL（%）	%TWL（%）	胸围（cm）	腰围（cm）	臀围（cm）	腰臀比
术前	113.00	168.00	40.04	—	—	127.00	147.00	134.00	1.10
术后1月	102.10	168.00	36.17	25.68	9.56	—	—	—	—
术后5月	93.30	168.00	33.06	46.42	17.43	114.00	123.00	134.00	0.94
术后14月	85.80	168.00	30.40	64.09	24.16	—	—	—	—

	体脂（kg）	水分含量（L）	蛋白质（kg）	无机盐（kg）	体脂百分比（%）	BCM（kg）	BMC（kg）	BMR（kcal）
术后1月	43.40	43.80	11.00	3.91	42.50	36.50	3.13	1637.00
术后5月	32.60	45.30	11.40	4.03	35.00	37.80	3.22	1680.00
术后14月	24.90	45.70	11.40	3.83	29.00	37.80	3.10	1685.00

	体脂（kg）	水分含量（L）	蛋白质（kg）	无机盐（kg）	体脂百分比（%）	BCM（kg）	BMC（kg）	BMR（kcal）
术后1月	43.40	43.80	11.00	3.91	42.50	36.50	3.13	1637.00
术后5月	32.60	45.30	11.40	4.03	35.00	37.80	3.22	1680.00
术后14月	24.90	45.70	11.40	3.83	29.00	37.80	3.10	1685.00

检验指标	术前	术后1月	术后5月	术后14月
HbA1c （%）	6.50	5.90	5.20	5.10
FPG（mmol/L）	7.37	6.99	6.66	6.96
TC（mmol/L）	3.23	—	5.53	7.50
TG（mmol/L）	1.01	—	1.01	0.82
HDL-C（mmol/L）	1.53	—	1.78	2.43
LDL-C（mmol/L）	1.12	—	2.81	3.28
ALB（g/L）	39.90	36.90	39.00	32.90
GLB（g/L）	35.10	33.60	32.70	36.60
A/G	1.10	1.10	1.20	0.90
BUN（mmol/L）	5.40	4.50	6.20	5.80
CR（μmoI/L）	80.00	64.00	62.00	65.00
UA（umol/L）	343.00	258.00	324.00	314.00
S-F （ng/mL）	—	448.60	339.00	326.80
FC（ng/mL）	—	18.12	20.00	16.17
VB₁₂（pg/mL）	—	2000.00	1802.00	1557.00

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