“…Several recent studies have attempted to demonstrate the safety of weight loss surgery in an elderly population [9][10][11][12][13]. However, there has been some discrepancy in the literature as to what constitutes an "elderly" patient, with the cutoff ranging from 50 to 65 years of age.…”
Weight loss surgery is effective in patients >or=65 years of age, producing significant EWL, reduction in daily medication use, and improvement in QOL. Surgery is also associated with a low mortality rate and an acceptable morbidity profile.
“…Several recent studies have attempted to demonstrate the safety of weight loss surgery in an elderly population [9][10][11][12][13]. However, there has been some discrepancy in the literature as to what constitutes an "elderly" patient, with the cutoff ranging from 50 to 65 years of age.…”
Weight loss surgery is effective in patients >or=65 years of age, producing significant EWL, reduction in daily medication use, and improvement in QOL. Surgery is also associated with a low mortality rate and an acceptable morbidity profile.
“…A similar number of reports are available looking at Roux-en-Y Gastric Bypass (RYGB) in the elderly including case series with n<100 [3,16,27,28] and two nationwide reviews [29,30] both with n>1,300. In the smaller series, early and late major complications range from 6.1% to over 15% and mortality of 0 to 1.6%.…”
Laparoscopic gastric banding can markedly improve quality of life for morbidly obese over 60s. Health gains are significant, but medication use is not substantially altered. Gastric banding is an ideal weight loss operation for this age group due to its safety and efficacy, and the primary goal should be quality-of-life improvement.
“…It should be noted that, in our study, these complications did not result in mortality or an increased length of stay. Other studies, however, found no difference in early complication rate in patients >60 years old versus <60 years old [9]. In Hallowell et al, however, 87% of the patients were female.…”
Section: Discussionmentioning
confidence: 85%
“…Furthermore, the long-term mortality after gastric bypass from diabetes, hypertension, and cancer seems to be decreased in these patients [5]. Although early reports expressed concern about performing bariatric surgery on older patients due to higher early complication rates, recent studies have shown that bariatric surgery in patients >50 years old can be performed safely with good results [6][7][8][9][10][11][12][13][14]. Notably, however, females composed 63-88% of the population in these reports.…”
Despite a higher early morbidity rate, obese males >/=60 years old perform as well as male patients 50-59 years old with respect to excess weight loss, mortality, length of stay, and improvement of diabetes, at 1 year postoperatively.
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