Safety of bariatric surgery in patients older than 65 years

Bariatric surgery outcomes in geriatric patients: a contemporary, nationwide analysis

“…Edwards et al [13] found that geriatric patients had higher rates of readmission, while Quirante et al [35] reported a lower rate at 7%, compared to 10% for younger adults. In the present study, we found no significant difference in risk-adjusted odds of readmission for geriatric patients relative to younger adults, congruent with several other studies [33,34]. Given implications on postdischarge care and associated healthcare costs, further work elucidating the impact of geriatric status on readmissions is warranted.…”

“…While 65 years has traditionally been used as the cutoff for geriatric status, this finding indicates that careful consideration of complications may be warranted at a younger age for bariatric patients. Furthermore, the increase in the rate of complications for geriatric patients has been generally consistent [13,33,34], but data on readmissions following bariatric procedures have been mixed. Edwards et al [13] found that geriatric patients had higher rates of readmission, while Quirante et al [35] reported a lower rate at 7%, compared to 10% for younger adults.…”

Impacto da cirurgia bariátrica em pacientes idosos portadores de obesidade

“…Houve variação significativa no IMC (12,25 ± 5,42, p<0,001), colesterol total (31,37 ± 38,89 p<0,001), colesterol LDL (23,45 ± 34,9, p=0,002), colesterol HDL (5,14 ± 11,13, p=0,024), triglicerídeos (48,85 ± 56,15 p<0,001), HbA1C (1,81 ± 1,97, p<0,001) e PCR (1,43 ± 1,96, p<0,001). Conclusão: a cirurgia bariátrica se mostrou eficaz na perda de peso e na remissão de comorbidades na população de idosos com obesidade no longo prazo.. perda ponderal, porém a cirurgia ainda é considerada segura 9,10 . No que tange a relevância clínica a longo prazo, apesar de uma menor quantidade de estudos prospectivos publicados, existem indícios de benefícios no controle de comorbidades 11,12 .…”

Impact of bariatric surgery in elderly patients with obesity

“…Several studies have already demonstrated the safety of such operations in the elderly, with perioperative morbidity and mortality rates like the ones of the general population, both in relation to RYGB and SG6-8. On the other hand, 1 -Universidade Federal de Pernambuco, Pós-Graduação em Cirurgia -Recife -PE -Brasil 2 -Universidade Federal de Pernambuco, Curso de Medicina -Recife -PE -Brasil 3 -Hospital Getúlio Vargas, Programa de Residência Médica em Cirurgia Geral -Recife -PE -Brasil 4 -Universidade Federal de Pernambuco, Departamento de Cirurgia -Recife -PE -Brasil when it comes to individuals over 65 years of age, there is also evidence of higher rates of complications and less weight loss, but the surgery is still considered safe 9,10 .…”