Laparoscopic Gastric Banding in Over 60s

Abstract

Laparoscopic gastric banding can markedly improve quality of life for morbidly obese over 60s. Health gains are significant, but medication use is not substantially altered. Gastric banding is an ideal weight loss operation for this age group due to its safety and efficacy, and the primary goal should be quality-of-life improvement.

Morbidity Rates and Weight Loss After Roux-en-Y Gastric Bypass, Sleeve Gastrectomy, and Adjustable Gastric Banding in Patients Older Than 60 Years old: Which Procedure to Choose?

“…Clough et al [14] also concluded that medication use was not substantially altered after LAGB. In the current study, we focused on hypertension, diabetes, reflux, sleep apnea, and hypercholesterolemia and calculated the mean number of comorbidities each patient had.…”

“…With more possible years to live, more patients are turning to bariatric procedures to improve their quality of life. Contrary to the reports in the open era of bariatric procedures [5,11], many recently reported the safety of laparoscopic bariatric procedures in the elderly [12][13][14][15][16][17][18][19][20]. Most of these Fig.…”

“…They reported no difference in bandrelated complications between the two groups, and the band removal rate in patients older than 60 was 0.9 %. Clough et al [14] concluded LAGB to be safe and the most appropriate bariatric procedure for patients older than 60. However, 9.7 % of their 113 patients spent at least 1 day in intensive care or a high dependency unit following the procedure, and 6.2 % had their bands removed.…”

The Relationship of Eating Behaviors, Hunger Control, and Physical Activity to Weight Loss and Quality of Life in Laparoscopic Adjustable Gastric Banding Patients

“…A study by Freys et al [9] reported a significant improvement in QOL in 73 banding patients but reported a high number of complications (38%) that resulted in reoperation. A more recent study by Clough et al [10] reported marked improvement in physical, mental, emotional and social QOL in gastric banding patients over the age of 60 although they experienced less excess weight loss than their younger cohorts.…”

Laparoscopic adjustable gastric banding: efficacy and consequences over a 13-year period

“…[7][8][9] For instance, a meta-analysis which was conducted by Buchwald et al 10 indicated that LAGB results in 45.5% weight excess loss and comorbidity resolution of the patients: type 2 diabetes in 80.2%, hyperlipidemia in 71%, hypertension in 71.5%, and sleep apnea in 55.6% of patients. However, safety and efficiency of LAGB in long term (R5 years) is inconsistent.…”