Safety of Bariatric Surgery in ≥ 65-Year-Old Patients During the COVID-19 Pandemic

Singhal, Rishi; Omar, Islam; Madhok, Brijesh; Rajeev, Yashasvi; Graham, Yitka; Tahrani, Abd A; Ludwig, Christian; Wiggins, Tom; Mahawar, Kamal

doi:10.1007/s11695-022-06067-z

Cited by 4 publications

(3 citation statements)

References 22 publications

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“…In the bariatric surgical field, for example, these features translate into the ability to perform better traction of a normally thick abdominal wall, relieving the surgeon's physical efforts to overcome the counterproductive forces, as well as a highly stable camera and better manipulation of the surgical structures ( 23 ).…”

Section: Discussionmentioning

confidence: 99%

Can robotic gastric bypass be considered a valid alternative to laparoscopy? Our early experience and literature review

Pavone,

Pacilli,

Gerundo

et al. 2024

Front. Surg.

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BackgroundRobotic bariatric surgery serves as an alternative to laparoscopy. The technology provides the surgeon with an accurate three-dimensional view, allowing complex maneuvers while maintaining full control of the operating room.HypothesisWe report our experience with this innovative surgery compared with laparoscopy during Roux-en-Y gastric bypass to demonstrate its safety and feasibility. The aim of this study is to evaluate potential differences between the robotic and laparoscopic techniques.Materials and methodsOur study retrospectively identified 153 consecutive obese patients who underwent either laparoscopic or robotic gastric bypass (RGB) procedures over a 2-year period at the Department of Medical and Surgical Sciences, University of Foggia. Data on demographics, operative time, conversion rate, length of hospital stay, and mortality were collected and compared between two groups of patients: 82 patients who underwent laparoscopic procedures and 71 who underwent robotic procedures.ResultsWe analyzed 153 patients who underwent gastric bypass with a mean age of 42.58 years, of whom 74 were female; 71 were treated with a robotic approach and 82 with a laparoscopic approach. The mean operative time was 224.75 ± 10.4 min for RGB (including docking time) and 101.22 min for laparoscopic gastric bypass (LGB) (p < 0.05), which is statistically significant. The median length of stay was 4.1 days for the RGB group and 3.9 days for the LGB group (p = 0.89). There is only one conversion to laparoscopy in the RGB group. We observed only one case of postoperative complications, specifically one episode of endoluminal bleeding in the laparoscopic group, which was successfully managed with medical treatment. No mortality was observed in either group.ConclusionThe statistical analysis shows to support the robotic approach that had a lower incidence of complications but a longer operative duration. Based on our experience, the laparoscopic approach remains a technique with more haptic feedback than the robotic approach, making surgeons feel more confident.This study has been registered on ClinicalTrial.gov Protocol Registration and Results System with this ID: NCT05746936 for the Organization UFoggia (https://clinicaltrials.gov/ct2/show/NCT05746936).

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Section: Discussionmentioning

confidence: 99%

Can robotic gastric bypass be considered a valid alternative to laparoscopy? Our early experience and literature review

Pavone,

Pacilli,

Gerundo

et al. 2024

Front. Surg.

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“…Additionally, MBS seems to be equally effective across all age groups, although younger patients seem to respond more rapidly when it comes to improvement of their metabolic pro le [8]. Most importantly, MBS has proven to be safe, even for patients of > 65 years of age [9], and even amidst health crises, as was the case with the Covid-19 pandemic [10].…”

Section: Discussionmentioning

confidence: 99%

Discrepancies in Obesity-Related Medical Problems Between Indian and Greek Bariatric Candidates – An Observational Study.

Pantelis,

Kosta,

Sinha

et al. 2023

Preprint

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Introduction Obesity has been characterized as a pandemic, nevertheless, it demonstrates phenotypical and epidemiological heterogeneity across different ethnic populations. Methods We compared Indian and Greek patients living with obesity who presented for metabolic bariatric surgery (MBS) from 1/1/2022–31/12/2022, based on their preoperative workup. The items examined were age, sex, smoking status, preoperative body mass index (BMI), and common obesity-related medical problems (ORMPs), including hypertension, type 2 diabetes mellitus (T2DM), dyslipidemia, and obstructive sleep apnea (OSA). Categorical data are presented as frequencies (%), and continuous data as means ± SD (range). The groups were compared with Fisher’s exact test (categorical) and unpaired t-test (continuous). Results The Indian cohort comprised 2,093 patients (44.3% females) and the Greek 143 patients (61.5% females). Indian candidates for MBS were older (44.1 vs. 39.5 years, 95%CI 2.77–6.83, p < 0.0001) and featured lower preoperative BMI [42.1 vs. 46.7 kg/m2, 95%CI (-6.16)–(-3.04), p = 0.0001]. Smoking was more prevalent in Greeks (37.1% vs. 5.9%, 95%CI 23.2–39.1, p < 0.0001]. No significant difference was observed regarding hypertension [39.7% vs. 35.0%, 95%CI (-3.4)–12.8, p = 0.2888]. The rest of ORMPs were more prevalent in the Indian cohort (T2DM: 33.2% vs. 13.3%, 95%CI 14.0–25.8, p < 0.0001; dyslipidemia 25.4% vs. 14.7%, 95%CI 4.6–16.8, p = 0.0035; OSA: 64.0% vs. 18.9%, 95%CI 38.4–51.9, p < 0.0001). Conclusions Indian candidates for MBS were more likely to suffer from ORMPs compared to Greek candidates. Conversely, it could be postulated that Indian bariatric candidates had a stronger metabolic component as the indication for surgery, whereas Greek presented primarily for weight loss.

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“…The reported incidence of gastro-jejunal leakages after LRYGB has been reported to range between 1 and 3% [ [16] , [17] , [18] , [19] ].…”

Section: Discussionmentioning

confidence: 99%

Anastomotic leak test using indocyanine green during laparoscopic Roux-en-Y gastric bypass: A cohort study

Pavone

Fersini

Pacilli

et al. 2022

Annals of Medicine &Amp; Surgery

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Safety of Bariatric Surgery in ≥ 65-Year-Old Patients During the COVID-19 Pandemic

Cited by 4 publications

References 22 publications

Can robotic gastric bypass be considered a valid alternative to laparoscopy? Our early experience and literature review

Can robotic gastric bypass be considered a valid alternative to laparoscopy? Our early experience and literature review

Discrepancies in Obesity-Related Medical Problems Between Indian and Greek Bariatric Candidates – An Observational Study.

Anastomotic leak test using indocyanine green during laparoscopic Roux-en-Y gastric bypass: A cohort study

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