Bariatric surgery in elderly patients. A comparison between gastric banding and sleeve gastrectomy with five years of follow up

Musella, Mario; Milone, Marco; Maietta, Paola; Bianco, Paolo; Coretti, Guido; Pisapia, Anna; Gaudioso, Dario; Milone, Francesco

doi:10.1016/j.ijsu.2014.08.377

Cited by 18 publications

(10 citation statements)

References 24 publications

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“…Percentage excess weight loss at a mean of 33 months post-surgery was 56.7 % for super-obese elderly patients in our study, which is very similar to the 59.3 % recorded at a similar time interval after laparoscopic gastric bypass in all elderly patients [9], and better than the 28.8 % recently recorded for morbidly obese elderly patients undergoing sleeve gastrectomy [10]. It has been reported that super-super-obese patients have significantly lesser %EWL than morbidly obese [3]; but in our comparison of super-obese with morbidly obese elderly patients, there was no difference in %EWL between the two groups.…”

Section: Resultssupporting

confidence: 87%

Super-Obesity in the Elderly: Is Bariatric Surgery Justified?

McGlone

Bond

Reddy³

et al. 2015

OBES SURG

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Although the prevalence of obese elderly patients is increasing, the outcomes of bariatric surgery in this potentially high-risk cohort remain poorly understood, especially those relating to quality of life. Furthermore, there is no data on the efficacy of bariatric surgery in the super-obese elderly. We identified 50 consecutive patients undergoing bariatric surgery aged 60 years or over, and compared the outcomes of the super-obese (BMI ≥ 50; n = 26) with those of BMI < 50. Mean follow-up was 33 months. There were no significant differences between the groups in terms of comorbidities, operation-type and peri-operative complications. Mean percentage excess weight loss was comparable between the groups (56.7 vs. 58.8 %; p = 0.81), as was resolution of comorbidities and post-operative quality of life (mean Bariatric Analysis and Reporting Outcome System (BAROS) 3.5 vs. 3.1; p = 0.64).

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Section: Resultssupporting

confidence: 87%

Super-Obesity in the Elderly: Is Bariatric Surgery Justified?

McGlone

Bond

Reddy³

et al. 2015

OBES SURG

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“…Furthermore, no revision surgery was performed for insufficient weight loss. Previous studies also reported clinically significant excess weight loss and improvement in quality of life after bariatric surgery in elderly patients, but most of these effects were not as significant as those observed in younger patients [16,26,28,37,39]. However, most of these studies have only examined short-term weight-loss (< 1 year of follow-up after surgery).…”

Section: Discussionmentioning

confidence: 99%

Biliopancreatic Diversion with Duodenal Switch in the Elderly: Long-Term Results of a Matched-Control Study

et al. 2015

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“…Because many studies consider patients aged 460 years as elderly, it is difficult to interpret the current literature regarding elderly patients undergoing bariatric surgery. These different definitions of the elderly patient introduces selection bias and limits the conclusions that can be drawn regarding the super-obese geriatric population [19][20][21].…”

Section: Discussionmentioning

confidence: 99%