When and Why Operate Elderly Obese

Nassif, Paulo Afonso Nunes; Malafaia, Osvaldo; Ribas-Filho, Jurandir Marcondes; Czeczko, Nicolau Gregori; Garcia, Rodrigo Ferreira; Ariede, Bruno Luiz

doi:10.1590/s0102-6720201500s100022

Cited by 7 publications

(2 citation statements)

References 17 publications

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“…However, these fewer complications never became statistically significant. So we can’t point to a single operation as being the safest in the geriatric population but we can say that any operation performed for obesity should have complication rates similar to non-geriatric patient populations (Zamboni and Mazzali 2012 ; Giordano and Victorzon 2015 ; Nassif et al 2015 ; Fatima et al 2006 ; Trieu et al 2007 ). This should allow clinicians to make operational choices based on patient characteristics other than age.…”

Section: Discussionmentioning

confidence: 99%

A comparison of outcomes of bariatric surgery in patient greater than 70 with 18 month of follow up

Zaveri¹,

Surve²,

Cottam³

et al. 2016

SpringerPlus

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BackgroundThere is a scarcity of data available to determine the safety and effectiveness of bariatric surgery in the elderly population. Additionally, there are no studies showing the effect of the single anastomosis duodenal switch (SADS) has on the elderly obese, in comparison with other more popular procedures. Here we compare laparoscopic gastric band surgery (LAGB), Laparoscopic Roux-en-Y gastric bypass surgery (LRYGB), and the SADS to analyze the weight loss, perioperative and postoperative morbidity in the patients >70 years of age at a single US center.MethodsA retrospective analysis was performed on 53 consecutive patients ≥70 years old who underwent weight loss surgery from 2009 to 2015.Weight loss in terms of the percentage excess body mass index lost (%EBMIL), percentage excess weight lost (%EWL) and body mass index (BMI) points lost, resolution of comorbidities, length of stay, early (30-day) and late complication rates were compared using descriptive statistics and non-linear regression analysis.ResultsOf 53 patients, 24 underwent LAGB, 14 underwent LRYGB and 15 underwent SADS. The average patient age was 72.7 ± 2.5 years (range, 70–81.4) and 66 % were females. There was no statistical difference in the demographic data between three groups except for age and sleep apnea. There were no operative or early deaths. There were differences in complication rates between the surgical arms; however, with our small data set statistical significance was not achieved. There was 1 patient who lost to follow up in SADS group. Follow up time period was 18 months. % EBMIL and BMI reduction showed a statistically significant difference between the procedures, where the SADS had the highest loss of %EBMIL and BMI points. Comorbidities prevalence decreased post-operatively with SADS having higher percentage of patients who had resolution of their comorbidities.ConclusionEach of the three procedures can be performed on patients older than 70 with low morbidity rate. However, when the focus is weight loss alone, the SADS procedure is the most effective of the three procedures in regards to weight loss in the short term for patients older than 70. The SADS is as safe as RYGB but LAGB with all its limitations is still the safest bariatric procedure.

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Section: Discussionmentioning

confidence: 99%

A comparison of outcomes of bariatric surgery in patient greater than 70 with 18 month of follow up

Zaveri¹,

Surve²,

Cottam³

et al. 2016

SpringerPlus

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“…In 2014, the World Health Organization (WHO) estimated that approximately 1.9 billion adults worldwide were overweight and at least 600 million were obese 2 . The major medical concern regarding obesity is the large number of associated diseases, especially cardiovascular disease, diabetes, and malignant neoplasms 3 . Several long-term epidemiological studies have been able to demonstrate this strong association, as well as evidence of reduced quality of life and increased mortality in these patients 4 - 6 .…”

Section: Introductionmentioning

confidence: 99%

Safety and effectiveness of laparoscopic Y-en-Roux gastric bypass surgery in obese elderly patients

et al. 2020

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Purpose To analyze, in aged obese patients, the weight loss, comorbidity control, and safety postoperative complications of bariatric surgery by Roux-en-Y gastric bypass technique. Methods Twenty-seven patients who underwent laparoscopic weight-reducing gastroplasty with Roux-en-Y gastric bypass to treat obesity were included. All patients were ≥ 60 years old at the time of surgery. The Wilcoxon test was used for statistical analysis, and a p-value ≤0.05it was considered significant. Results Ten (90.9%) patients with dyslipidemia were cured (p < 0.001). Nine (81.8%) patients with type 2 diabetes mellitus had total improvement and 2 (18.2%) had partial improvement (p = 0.003). In 23 patients with systemic arterial hypertension, 9 (39.1%) achieved total improvement and 14 (60.9%) partial improvement (p = 0.140). Five (71.4%) patients with obstructive sleep apnea syndrome were cured (p = <0.001). For other comorbidities, no partial improvement or cure was shown. Conclusions Roux-en-Y gastric bypass surgery in obese elderly patients can be performed safely and with low morbidity and mortality rates. The benefits of weight loss and reduced comorbidities are promising and like those of the younger population.

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Malnutrition in Obesity

Pitchumoni

2021

Geriatric Gastroenterology

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When and Why Operate Elderly Obese

Cited by 7 publications

References 17 publications

A comparison of outcomes of bariatric surgery in patient greater than 70 with 18 month of follow up

A comparison of outcomes of bariatric surgery in patient greater than 70 with 18 month of follow up

Safety and effectiveness of laparoscopic Y-en-Roux gastric bypass surgery in obese elderly patients

Malnutrition in Obesity

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