Is sleeve gastrectomy still contraindicated for patients aged≥60 years? A case-matched study with 24 months of follow-up

Péquignot, A.; Prevot, F.; Dhahri, Abdennaceur; Rebibo, Lionel; Badaoui, R.; Régimbeau, Jean Marc

doi:10.1016/j.soard.2014.11.015

Cited by 29 publications

(16 citation statements)

References 30 publications

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“…The only statistical difference between the two groups was percent of excess weight loss (56.2% vs. 71.4%; P < 0.01). (20) In summary, this small comparative study did not see any obvious differences between younger patients and geriatric patients when looking at self-described factors contributing to their increased weight, and potential desired treatment options. When physicians are discussing weight loss options with the geriatric patient, they should keep in mind that elderly patients may wish to explore the same options as their younger cohorts.…”

Section: Discussionmentioning

confidence: 64%

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What weight loss treatment options do geriatric patients with overweight and obesity want to consider?

MacMillan

Cummins

Fujioka

2016

Obesity Science & Practice

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SummaryIntroductionSince the 1990s, a number of weight loss medications have been removed from the USA and or European market because of adverse events associated with these medications. These medications include fenfluramine (heart valve thickening), sibutramine (cardiovascular risk) and rimonabant (depression). This history may affect a patient's desire to consider weight loss medications as an option for weight management.ObjectiveThis descriptive study was designed to observe what treatment options the geriatric patient (age 65 or higher) seeking weight loss would like to consider, as well as the reasons they felt they struggled with overweight or obesity.MethodsA questionnaire was given to 102 geriatric patients with overweight or obesity before starting a weight loss programme at a weight management centre. The questionnaire asked the patient why they felt they were overweight or obese and what treatment options they wished to consider. The geriatric patients were matched with younger patients in body mass index and sex.ResultsThe three most common perceptions that geriatric patients felt were causes of their increased weight were ‘lack of exercise’ (76.2%), ‘poor food choices’ (59.4%) and ‘cravings’ (47.5%). When geriatric patients were asked what treatment options they would like to discuss, the four most common options requested were ‘diet and healthy eating’ (67.3%), weight loss medications (57.4%), a request for a ‘metabolic work up’ (55.4%) and ‘exercise’ (53.5%). These responses were no different from their younger cohorts. When geriatric patients with a body mass index of 35 or higher were given bariatric surgery as a treatment option, 21.9% marked it as a treatment option they would like to consider.ConclusionsOver half of geriatric patients desired to discuss weight loss medications as a treatment option. Diet and exercise were also of strong interest, which is in line with current weight management guidelines.

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Section: Discussionmentioning

confidence: 64%

“…When comparing improvements in metabolic and co‐morbid problems, the elderly did just as well as the younger patients at 24 months. The only statistical difference between the two groups was percent of excess weight loss (56.2% vs. 71.4%; P < 0.01) …”

Section: Discussionmentioning

confidence: 99%

What weight loss treatment options do geriatric patients with overweight and obesity want to consider?

MacMillan

Cummins

Fujioka

2016

Obesity Science & Practice

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“…Ten studies evaluated only the safety of bariatric surgery, and the remainder evaluated weight loss efficacy as well as safety, although the reported measures of efficacy and safety varied between studies. Thirty‐nine of the 66 included studies compared outcomes between older adults and a younger group, and in 12 of these studies, groups were matched for characteristics such as sex, BMI, and surgery type. The remaining studies reported results for older persons without a comparison group.…”

Section: Resultsmentioning

confidence: 99%

Treatment of obesity in older persons—A systematic review

Haywood

Sumithran

2019

Obesity Reviews

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The study aims to systematically review the available evidence regarding weight loss interventions (lifestyle, surgical, and pharmacological) for obesity in adults aged over 60 years. A search of prospective, randomized studies took place in January 2018, on Medline (Web of Science) and PubMed databases. Search terms included the following: elderly, obese, hypocaloric, pharmacotherapy, and bariatric surgery. Abstracts were screened for eligibility. A total of 256 publications regarding lifestyle interventions were identified; of these, 69 studies were eligible. As no eligible studies were identified for pharmacotherapy or bariatric surgery, the search was broadened to include non-randomized studies. Four pharmacotherapy and 66 surgery studies were included. Lifestyle intervention had similar weight loss efficacy in older compared with younger people, with positive effects on a number of relevant outcomes, including physical function and cardiovascular parameters. There was little data regarding obesity pharmacotherapy in older persons. The available data for bariatric surgery indicate comparable weight loss and resolution of type 2 diabetes, with similar or slightly higher complication rates in older compared with younger people. Older age alone should not be considered a contraindication to intensive lifestyle or surgical intervention for obesity. There are insufficient data to guide clinical decisions regarding obesity pharmacotherapy in older people. Abstract] OR RCT [Title/Abstract] OR randomly [Title/Abstract] OR random [Title/Abstract]) #1 Search ((obesity [Title/Abstract] OR obese [Title/Abstract] OR "weight loss"[Title/Abstract] OR "weight reduction"[Title/ Abstract])) AND (elderly [Title/Abstract] OR older [Title/ Abstract] OR geriatric [Title/Abstract]) HAYWOOD AND SUMITHRAN 589

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“…13,14 Pequignot et al reported that there were no differences in operation time, length of stay, morbidity rate or mortality rate when they compared 42 patients aged >60 years and 84 patients aged <60 years who had undergone LSG. 15 Abbas et al also recently reported that both LSG and laparoscopic RYGBP could be safely and effectively carried out for patients aged >60 years. 16 In accordance with these reports, the present results show that LSG for patients aged >60 years is safe and of considerable benefit.…”

Section: Discussionmentioning

confidence: 97%

“…Sleep apnea syndrome (SAS) was evaluated in a simple sleep study that evaluated the number of sleep disruptions and the degree of oxygen desaturation. Apnea hypopnea index (AHI) was used to evaluate the severity of SAS (severe, >30; moderate, 15-30; and mild, [5][6][7][8][9][10][11][12][13][14][15]. ADL, activity of daily living; BMD, bone mineral density; BW, bodyweight; DL, dyslipidemia; DM, diabetes mellitus; EBW, excess body weight; HT, hypertension; NTX, type I collagen cross-linked Ntelopeptide; SMI, skeletal muscle index; TRACP-5b, tartrate-resistant acid phosphatase 5b.…”

Section: Figure S1mentioning

confidence: 99%