Laparoscopic Gastric Bypass in Patients 60 Years and Older: Early Postoperative Morbidity and Resolution of Comorbidities

Wittgrove, Alan C.; Martinez, Tracy

doi:10.1007/s11695-009-9929-0

Cited by 45 publications

(20 citation statements)

References 16 publications

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“…Bariatric surgery has during recent years shown to be safe for patients over 60 years and older with good results especially considering resolving of comorbidities [1][2][3][4][5]. The recovery after the operation has been comparable with younger patients in these studies.…”

Section: Introductionmentioning

confidence: 70%

Laparoscopic Sleeve Gastrectomy in Patients over 59 Years: Early Recovery and 12-Month Follow-Up

et al. 2011

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Background Bariatric surgery has shown to be safe for patients over 60 years with good results especially considering resolving of comorbidities. Sleeve gastrectomy is considered to be safer than gastric bypass (GBP) and more effective than gastric banding with less adverse symptoms. Weight loss may be more modest than after GBP, but the effect on vitamins may also be milder. Methods Since 2007, we collected prospectively 12-month follow-up data from 55 sleeve gastrectomy patients of whom 12 were over 59 years of age. Vitamin and calcium supplements were used postoperatively. The recovery from the operation was recorded during hospital stay, at 1-and 12-month follow-up visits using a standard protocol including laboratory tests. The results between patients over and under 59 years were compared. Results The preoperative weight and weight loss were comparable between the groups. Operation time was shorter and hospital stay was longer for older patients, p= ns. There was no operative mortality. Early major complications were seen more often in the older age group, 42% vs 9% (p=0.02), but late complications were more common in younger patients, 17% vs 44%, p=ns. Early complications were mostly bleedings, which did not lengthen the hospital stay, neither were re-operations nor endoscopic procedures needed. Excess weight loss and resolving of comorbidities after 12 months was comparable between the groups. However, vitamin deficiencies and hypoalbuminemia were more common in the older age group, 42% and 23% for vitamins and 44% and 29% for proteins, p =ns. The older patients had more adverse effects related to surgery, 25% vs 9%, and younger had more adverse psychiatric effects, p=ns. Conclusions Sleeve gastrectomy is effective and safe for older bariatric patients. Weight loss is comparable to younger patients and enough to resolve the comorbidities in most of the patients. With standardized nutritional supplementation, the older patients had more often vitamin deficiencies and hypoalbuminemia. Although operative treatment of older bariatric patients is safe, their postoperative care is demanding considering vitamins and protein.

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Section: Introductionmentioning

confidence: 70%

Laparoscopic Sleeve Gastrectomy in Patients over 59 Years: Early Recovery and 12-Month Follow-Up

et al. 2011

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“…However, the role of bariatric surgery in patients C60 years old is unclear regarding safety and efficacy [5][6][7][8][9][10] and was the purpose of our study. With the rising incidence of this agegroup combined with the epidemic of obesity, the rate of bariatric operations in patients C60 is increasing.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, however, numerous authors have published studies on the safety and efficacy of bariatric operations in this patient population [2,[6][7][8][9][10].…”

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confidence: 99%

Laparoscopic mini-gastric bypass in patients age 60 and older

Peraglie

2015

Surg Endosc

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“…14 Single institution studies have been variable in their conclusions regarding perioperative safety of the elderly following bariatric surgery. [15][16][17][18][19] The utility of bariatric surgery in the elderly population is often queried. While this is beyond the scope of this paper, previous studies have demonstrated significant excess weight loss, improvement in quality of life, reduction in daily medication use, and improvement in obesity-related comorbid illness in the elderly population.…”

Section: Discussionmentioning

confidence: 99%

“…While this is beyond the scope of this paper, previous studies have demonstrated significant excess weight loss, improvement in quality of life, reduction in daily medication use, and improvement in obesity-related comorbid illness in the elderly population. 15,16,18,19 Therefore, elderly patients do experience the benefits of bariatric surgery with acceptable rates of morbidity and mortality, and age alone should not function as an absolute deterrent. While this study contributes to the current knowledge of bariatric surgery, several limitations exist.…”

Section: Discussionmentioning

confidence: 99%

Bariatric Surgery Outcomes in the Elderly: An ACS NSQIP Study

Dorman

Abraham

Al‐Refaie

et al. 2012

Journal of Gastrointestinal Surgery

131

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Laparoscopic Gastric Bypass in Patients 60 Years and Older: Early Postoperative Morbidity and Resolution of Comorbidities

Abstract: LGBRY can be done safely in patients over 60 years of age in an experienced bariatric program, even in patients with relatively high risk based on their comorbid conditions preoperatively. Resolution of associated comorbidities far exceeds that found with any other treatment modality.

Cited by 45 publications

References 16 publications

Laparoscopic Sleeve Gastrectomy in Patients over 59 Years: Early Recovery and 12-Month Follow-Up

Laparoscopic Sleeve Gastrectomy in Patients over 59 Years: Early Recovery and 12-Month Follow-Up

Laparoscopic mini-gastric bypass in patients age 60 and older

Bariatric Surgery Outcomes in the Elderly: An ACS NSQIP Study

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