Laparoscopic Roux-En-Y Gastric Bypass in Elderly Patients (60 Years or Older): A Meta-Analysis of Comparative Studies

Giordano, Salvatore; Victorzon, Mikael

doi:10.1177/1457496917731183

Cited by 37 publications

(16 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

Section: Discussionmentioning

confidence: 99%

“…In those over 65 years, Obesity Surgery (both LSG and RYGBP) seems to have a greater number of complications, especially RYGBP, and to be associated with a lower rate of resolution of comorbidities (Giordano S, Haywood C, Marczuk P, Level of Evidence 1++) [ 55 , 63 , 88 ]. RYGBP also seems to be associated with higher mortality (Giordano S, Marczuk P, Level of Evidence 1++) [ 55 , 88 ]. Weight loss appears to be significantly less than in younger RYGBP patients (Giordano S, Marczuk P, Level of Evidence 1++) [ 55 , 88 ], although with LSG it seems that the loss is similar (Haywood C, Level of Evidence 1−) [ 63 ].…”

Section: Discussionmentioning

confidence: 99%

“…RYGBP also seems to be associated with higher mortality (Giordano S, Marczuk P, Level of Evidence 1++) [ 55 , 88 ]. Weight loss appears to be significantly less than in younger RYGBP patients (Giordano S, Marczuk P, Level of Evidence 1++) [ 55 , 88 ], although with LSG it seems that the loss is similar (Haywood C, Level of Evidence 1−) [ 63 ]. Consequently, RYGBP should be discouraged in people over 65, especially in cases of high cardiovascular risk (Giordano S, Marczuk P, Level of Evidence 1++, grade of recommendation A) [ 55 , 88 ], and LSG could be considered as an option (Haywood C, Level of Evidence 1−, grade of recommendation B) [ 63 ].…”

Section: Discussionmentioning

confidence: 99%

“…References of the studies reviewed in this section: [ 8 , 9 , 19 , 20 , 23 , 24 , 29 , 33 , 40 , 41 , 46 , 47 , 48 , 49 , 53 , 54 , 55 , 56 , 60 , 63 , 64 , 66 , 68 , 69 , 72 , 86 , 88 , 89 , 91 , 92 , 93 , 94 , 100 , 102 , 106 , 107 , 108 , 109 , 112 , 114 , 117 , 118 , 119 , 135 , 137 , 139 , 140 , 144 , 149 , 158 , 159 ].…”

Section: Discussionunclassified

See 3 more Smart Citations

Recommendations Based on Evidence by the Andalusian Group for Nutrition Reflection and Investigation (GARIN) for the Pre- and Postoperative Management of Patients Undergoing Obesity Surgery

et al. 2020

View full text Add to dashboard Cite

In order to develop evidence-based recommendations and expert consensus for nutrition management of patients undergoing bariatric surgery and postoperative follow-up, we conducted a systematic literature search using PRISMA methodology plus critical appraisal following the SIGN and AGREE-II procedures. The results were discussed among all members of the GARIN group, and all members answered a Likert scale questionnaire to assess the degree of support for every recommendation. Patients undergoing bariatric surgery should be screened preoperatively for some micronutrient deficiencies and treated accordingly. A VLCD (Very Low-Calorie Diet) should be used for 4–8 weeks prior to surgery. Postoperatively, a liquid diet should be maintained for a month, followed by a semi-solid diet also for one month. Protein requirements (1–1.5 g/kg) should be estimated using adjusted weight. Systematic use of specific multivitamin supplements is encouraged. Calcium citrate and vitamin D supplements should be used at higher doses than are currently recommended. The use of proton-pump inhibitors should be individualised, and vitamin B12 and iron should be supplemented in case of deficit. All patients, especially pregnant women, teenagers, and elderly patients require a multidisciplinary approach and specialised follow-up. These recommendations and suggestions regarding nutrition management when undergoing bariatric surgery and postoperative follow-up have direct clinical applicability.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionunclassified

See 2 more Smart Citations

Recommendations Based on Evidence by the Andalusian Group for Nutrition Reflection and Investigation (GARIN) for the Pre- and Postoperative Management of Patients Undergoing Obesity Surgery

et al. 2020

View full text Add to dashboard Cite

show abstract

“…The use of BS in older adults was initially limited due to a greater inherent risk, the lack of evidence of long-term impact of BS on weight control, remission, improvement of comorbidities, and nutritional level as well as the potential harmful effects of massive WL on muscle and bone mass [ 5 , 6 ]. Nonetheless, the use of BS in subjects >60 years has risen in the last decade, representing 10% of patients undergoing BS in the United States [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

A Propensity Score Cohort Study on the Long-Term Safety and Efficacy of Sleeve Gastrectomy in Patients Older Than Age 60

et al. 2020

View full text Add to dashboard Cite

Background. Bariatric surgery (BS) in older obese subjects (>60 years of age) has risen in the past decade and will continue to rise in the coming years due to ageing of the population. Aim. To evaluate the short- (12 months) and long-term (60 months) results of laparoscopic sleeve gastroscopy (LSG) in patients older than age 60. Methods. We performed a retrospective review of patients prospectively included in a database from January 2007 to December 2013. All patients >60 [older group (OG)] who had undergone LSG were included. The control group (CG) included patients aged 50 to 59 years who had undergone LSG during the same period. Results. 116 (8.4 % of total surgery) and 145 patients were included in the OG and CG, respectively. BS in patients >60 years increased from 2.4% in 2003 to 14% in the last 2 years of the study. After inverse probability of treatment weighting (IPTW) analysis, all absolute standardized differences were <0.15. A 60-month follow-up was attained in 90% of patients in the OG and 74% in the CG. There were no significant differences in postoperative complications between the two groups. At 12 and 60 months after LSG, both groups achieved a similar body mass index. There was no statistical difference in the percentage of resolution of type 2 diabetes, hypertension, dyslipidemia, and SAHS between the two groups. In both groups, all the nutritional parameters evaluated remained within the normal range throughout the study. Conclusions. LSG provides acceptable outcomes and is safe in older adults indicating that age should not be a limitation to perform BS in this population.

show abstract

Bariatric Surgery in Older Adults

Giordano

Oranges

Cherubino

et al. 2021

Geriatric Gastroenterology

View full text Add to dashboard Cite

Laparoscopic Roux-En-Y Gastric Bypass in Elderly Patients (60 Years or Older): A Meta-Analysis of Comparative Studies

Cited by 37 publications

References 45 publications

Recommendations Based on Evidence by the Andalusian Group for Nutrition Reflection and Investigation (GARIN) for the Pre- and Postoperative Management of Patients Undergoing Obesity Surgery

Recommendations Based on Evidence by the Andalusian Group for Nutrition Reflection and Investigation (GARIN) for the Pre- and Postoperative Management of Patients Undergoing Obesity Surgery

A Propensity Score Cohort Study on the Long-Term Safety and Efficacy of Sleeve Gastrectomy in Patients Older Than Age 60

Bariatric Surgery in Older Adults

Contact Info

Product

Resources

About