Is age a real or perceived discriminator for bariatric surgery? A long-term analysis of bariatric surgery in the elderly

Prasad, J.K.; Vogels, Ellen; Dove, James T.; Wood, Craig; Petrick, Anthony; Parker, David M.

doi:10.1016/j.soard.2018.12.019

Cited by 12 publications

(2 citation statements)

References 16 publications

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“…Interestingly, most respondents believed that it is safe and effective to perform bariatric surgery in both elderly and adolescents with BMI over 50 kg/m 2 [18][19][20].…”

Section: Discussionmentioning

confidence: 99%

The first survey addressing patients with BMI over 50: a survey of 789 bariatric surgeons

et al. 2022

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Background Bariatric surgery in patients with BMI over 50 kg/m2 is a challenging task. The aim of this study was to address main issues regarding perioperative management of these patients by using a worldwide survey. Methods An online 48-item questionnaire-based survey on perioperative management of patients with a BMI superior to 50 kg/m2 was ideated by 15 bariatric surgeons from 9 different countries. The questionnaire was emailed to all members of the International Federation of Surgery for Obesity (IFSO). Responses were collected and analyzed by the authors. Results 789 bariatric surgeons from 73 countries participated in the survey. Most surgeons (89.9%) believed that metabolic/bariatric surgery (MBS) on patients with BMI over 50 kg/m2 should only be performed by expert bariatric surgeons. Half of the participants (55.3%) believed that weight loss must be encouraged before surgery and 42.6% of surgeons recommended an excess weight loss of at least 10%. However, only 3.6% of surgeons recommended the insertion of an Intragastric Balloon as bridge therapy before surgery. Sleeve Gastrectomy (SG) was considered the best choice for patients younger than 18 or older than 65 years old. SG and One Anastomosis Gastric Bypass were the most common procedures for individuals between 18 and 65 years. Half of the surgeons believed that a 2-stage approach should be offered to patients with BMI > 50 kg/m2, with SG being the first step. Postoperative thromboprophylaxis was recommended for 2 and 4 weeks by 37.8% and 37.7% of participants, respectively. Conclusion This survey demonstrated worldwide variations in bariatric surgery practice regarding patients with a BMI superior to 50 kg/m2. Careful analysis of these results is useful for identifying several areas for future research and consensus building.

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“…Interestingly, most respondents believed that it is safe and effective to perform bariatric surgery in both elderly and adolescents with BMI over 50 kg/m 2 [18][19][20].…”

Section: Discussionmentioning

confidence: 99%

The first survey addressing patients with BMI over 50: a survey of 789 bariatric surgeons

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Current scientific evidence, nevertheless, supports the beneficial effects of bariatric surgery in older patients. It has shown to improve comorbidities and reduce daily medication requirements, and morbidity and mortality are acceptable [11][12][13][14][15][16][17][18][19][20][21][22][23]. The numbers of patients in studies carried out to date are low, however, and the follow-up period is short.…”

Section: Introductionmentioning

confidence: 99%

Is Sleeve Gastrectomy as Effective in Older Patients as in Younger Patients? A Comparative Analysis of Weight Loss, Related Comorbidities, and Medication Requirements

et al. 2022

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Background Bariatric surgery in the older population has been the subject of ongoing debate but several studies have recently demonstrated its short-term advantages in this age group. It is not yet clear, however, whether these benefits are long-lasting. Methods We retrospectively analyzed patients with morbid obesity who underwent laparoscopy sleeve gastrectomy (LSG). These patients were divided into two groups: those above 60 years of age (older group) and those of 60 years or under (younger group). Variables evaluated included demographics and anthropometrics data, comorbidities, and daily medication requirements. Results Two hundred fifty-two patients underwent LSG, 57 in the older group and 195 in the younger group. Outcomes related to weight loss in the older subjects were modest compared to those in the younger population (older group %EWL 41.6 vs younger group %EWL 51.1, p < 0.05, older group %TWL 24.9% vs younger group %TWL 25.2%, p < 0.05). During follow-up, both older and younger patients showed an improvement in all the comorbidities: hypertension (older 82.5% vs 38.1%, younger 52.6% vs 29.2%, p < 0.05), type 2 diabetes mellitus (older 38.6% vs 27.3%, 34.9% vs 23.9%, p < 0.05), hyperlipidemia (older 75.4% vs 42.9%, younger 35.9% vs 21.1%, p < 0.05), and OSAHS (older 57.9% vs 30%, younger 40.4% vs 7.1%, p < 0.05). The average number of daily medications used to manage comorbidities decreased in both groups. Conclusion LSG in older patients is effective in terms of weight loss, improvement of comorbidities, and lower daily medication requirements up to 5 years of follow-up. Graphical abstract

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Comparative Safety and Effectiveness of Roux-en-Y Gastric Bypass and Sleeve Gastrectomy in Obese Elder Patients: a Systematic Review and Meta-analysis

Yan

Liu

et al. 2020

OBES SURG

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Is age a real or perceived discriminator for bariatric surgery? A long-term analysis of bariatric surgery in the elderly

Cited by 12 publications

References 16 publications

The first survey addressing patients with BMI over 50: a survey of 789 bariatric surgeons

The first survey addressing patients with BMI over 50: a survey of 789 bariatric surgeons

Is Sleeve Gastrectomy as Effective in Older Patients as in Younger Patients? A Comparative Analysis of Weight Loss, Related Comorbidities, and Medication Requirements

Comparative Safety and Effectiveness of Roux-en-Y Gastric Bypass and Sleeve Gastrectomy in Obese Elder Patients: a Systematic Review and Meta-analysis

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