Bariatric surgery in the elderly: outcomes analysis of patients over 70 using the ACS-NSQIP database

Pechman, David; Flores, Fernando Munoz; Kinkhabwala, Corin; Salas, Rubén Morales; Berk, Robin; Weithorn, David; Camacho, Diego

doi:10.1016/j.soard.2019.08.011

Cited by 43 publications

(16 citation statements)

References 5 publications

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“…As reported previously [9], the weight loss over time was also somewhat reduced in older patients. However, in contrast to previous reports [28], we were unable to detect any relation between postoperative relative weight loss and improvements in any aspects of QoL (data not shown). Previous studies have shown that also a modest weight loss in the range of 5% is associated with improvements in QoL over 1 to 2 years, irrespective if this was achieved by surgery or by conservative means [29].…”

Section: Discussioncontrasting

confidence: 99%

Effect of age on quality of life after gastric bypass: data from the Scandinavian Obesity Surgery Registry

Gerber¹,

Gustafsson²,

Anderin³

et al. 2022

Surgery for Obesity and Related Diseases

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Section: Discussioncontrasting

confidence: 99%

Effect of age on quality of life after gastric bypass: data from the Scandinavian Obesity Surgery Registry

Gerber¹,

Gustafsson²,

Anderin³

et al. 2022

Surgery for Obesity and Related Diseases

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“…However, the reproducibility of safety and efficacy of this intervention in the extremes of age has been controversial [3][4][5] . In older, frail individuals, the perioperative and short-term safety of the intervention has been called into question; while in adolescent and younger individuals, the long-term metabolic and developmental effects are often cited as areas of concern and not well understood [6][7][8][9] .…”

Section: Introductionmentioning

confidence: 99%

Safety and efficacy of roux-en-y gastric bypass in older aged patients

Rodríguez-Quintero

Grosser

Romero-Vélez

et al. 2022

Rev. Col. Bras. Cir.

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Introduction: laparoscopic Roux-en-Y Gastric Bypass (LRYGB) has been a revolutionary intervention for weight loss with reduction of up to 60-70% of excess body weight. However, these outcomes are not as well validated at the extremes of age, where the safety of the intervention still has some caveats. The aim of this study is to assess the efficacy and safety of primary LRYGB among different age groups. Methods: the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database was queried for patients who underwent primary LRYGB from January 2014 to December 2017 at a single institution. Four groups were created and compared by dividing our sample by age quartiles. The primary outcome was percent excess weight loss (%EWL) at 1 year. Additional operative outcomes and complications were also compared across groups. Results: a total of 1013 patients underwent non-revisional LRYGB during the study period. Mean %EWL at one year was 55%. When compared between quartiles, there was a statistically significant difference in %EWL: 1st 62%, 2nd 57%, 3rd 54% and 4th 47% (p=0.010). The differences in the secondary outcomes between age groups did not demonstrate statistical significance. Conclusions: though patients in the fourth age quartile (range) did not demonstrate a statistically significant increase in adverse outcomes, they did lose less weight compared to other cohorts. The %EWL at one year after RYGB varied by age in our cohort. Goals after bariatric surgery should be individualized as weight loss is less robust with aging.

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“…Die Abwägung des individuellen perioperativen Risikos beeinflusst die Wahl der Operationsmethode zum Teil entscheidend. Bei Patienten mit hohem Risiko (EOSS 3 – 4, u. a. Herzinsuffizienz, Niereninsuffizienz, Leberzirrhose, Z. n. Organtransplantation) hat die Sleeve-Gastrektomie im Vergleich zu den Bypassverfahren ein geringeres Morbiditäts- und Letalitätsrisiko 12 . Sind intraabdominell nach vorhergehenden Operationen erhebliche Adhäsionen insbesondere der Darmschlingen zu erwarten, bietet sich die Sleeve-Gastrektomie ebenfalls als das Verfahren der Wahl an.…”

Section: Standardoperationen – Wirkprinzipienunclassified