Laparoscopic Sleeve Gastrectomy is Safe and Effective in Elderly Patients: A Comparative Analysis

Burchett, Michael A.; McKenna, Daniel T.; Selzer, Don J.; Choi, Jaewon; Mattar, Samer G.

doi:10.1007/s11695-014-1421-9

Cited by 34 publications

(21 citation statements)

References 28 publications

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“…Age groups under and over 62 years maintained a >20 % total body weight loss and a change in BMI>10 during the 3-year follow-up period [36]. Another recent study comparing the patients over 60 years with those under 50 years for up to 22 months after LSG showed better results in the younger age group for %EBMIL.…”

Section: Discussionmentioning

confidence: 91%

Sleeve Gastrectomy in Different Age Groups: a Comparative Study of 5-Year Outcomes

2015

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Section: Discussionmentioning

confidence: 91%

Sleeve Gastrectomy in Different Age Groups: a Comparative Study of 5-Year Outcomes

2015

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“…Of the 28 studies in which weight outcomes for older and younger persons were compared, 16 found no significant difference in weight loss between groups, and seven studies reported less weight loss in older than younger participants . Greater total weight loss in younger participants but no difference in percent excess weight loss (%EWL) between groups was reported in two studies .…”

Section: Resultsmentioning

confidence: 99%

“…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%

“…No studies found significantly greater weight loss in the older compared with younger group. Studies in which percentage total weight loss (%TWL) was reported in older people found loss of 17% to 38% after 1 to 6 years following gastric bypass and sleeve gastrectomy, and loss of 14% to 20% after adjustable gastric banding . For studies in which weight outcome was reported as percentage excess weight loss (%EWL), older persons undergoing RYGB or LSG lost 46% to 77% excess weight at 12 to 21 months, and 43% to 72% 2 to 6 years post‐operatively .…”

Section: Resultsmentioning

confidence: 99%

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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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“…The prevalence of surgical operations was 478 patients receiving laparoscopic adjustable gastric banding (LAGB) [14][15][16][17][18][19]24], 52 laparoscopic sleeve gastrectomies (LSGs) [20,21], 36 Roux-en-Y gastric bypasses [15,23] and a mixed series of open and laparoscopic gastric bypass (LGBP) operations in 80 patients [22]. No consistent definition of improvement nor resolution of T2DM, hypertension or OSA was used in these studies.…”

Section: Outcomes Of Bariatric Surgerymentioning

confidence: 99%

Bariatric surgery in obese older people

Reijntjes¹,

Viljoen

Wierzbicki

et al. 2015

Cardiovascular Endocrinology

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Objective The aim of this study was to determine whether older (≥65 years) obese people would benefit from bariatric surgery, considering the prevalence of multiple comorbidities and frailty in this group.Methods A PubMed search was carried out for studies on the use of bariatric surgery in older obese people published in the database from 1980 to the present (August 2014).Results A total of 244 citations were obtained on searching; 182 of these publications were selected for manual checking and 10 studies were identified as containing useable data on this patient cohort. Published data were available for efficacy in 641 patients. Substantial improvement was observed in diabetes (76%), hypertension (68%) and sleep apnoea (67%) following bariatric surgery. Laparoscopic adjustable gastric banding (n = 456) was the most frequently reported procedure. Similar findings but with greater weight loss and fewer complications were found in the small numbers of patients undergoing other procedures. Data from four large registry studies (n = 6837) showed mortality and complications associated with bariatric surgery to be increased in older compared with younger people especially in those undergoing gastric bypass surgery. The elderly had longer hospital stays, and patients with cardiac, pulmonary or renal comorbidities generally had a worse prognosis.Conclusion Bariatric surgery in older people is effective in reducing complications of obesity, but is also associated with increased rates of complications compared with those seen in younger patients. The few reported studies in the elderly are retrospective, generally small, primarily describe findings of laparoscopic adjustable gastric banding as the surgical intervention option and lack long-term follow-up. More trials and registry data, especially for sleeve gastrectomy and gastric bypass, are required to better address the utility of bariatric surgery in the elderly and to define long-term clinical outcomes. Cardiovasc Endocrinol 4:60-66

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Laparoscopic Sleeve Gastrectomy is Safe and Effective in Elderly Patients: A Comparative Analysis

Abstract: SG is safe and effective in patients ≥62 years. Weight loss and the beneficial effects on comorbidities are equivalent among elderly and younger patients. SG should be offered to elderly patients who are deemed to be appropriate candidates.

Cited by 34 publications

References 28 publications

Sleeve Gastrectomy in Different Age Groups: a Comparative Study of 5-Year Outcomes

Sleeve Gastrectomy in Different Age Groups: a Comparative Study of 5-Year Outcomes

Treatment of obesity in older persons—A systematic review

Bariatric surgery in obese older people

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