Outcomes among elderly bariatric patients at a high-volume center

Dunkle-Blatter, Stephanie E.; Jean, Michael R. St.; Whitehead, Carly; Strodel, William E.; Bennotti, Peter N.; Still, Christopher D.; Reed, Mary Jane; Wood, Craig; Petrick, Anthony

doi:10.1016/j.soard.2006.12.004

Cited by 85 publications

(69 citation statements)

References 16 publications

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“…Linear mixed models were used to test and estimate associations between any mood disorder, any anxiety disorder, any substance use disorder and any eating disorder, and post-surgery weight change, controlling for site and factors previously related to surgical weight loss (10,(28)(29)(30), including sex, age, race, pre-surgery BMI and surgical procedure. In the first model pre-surgery psychiatric status was examined.…”

Section: Discussionmentioning

confidence: 99%

Psychiatric Disorders and weight Change in a Prospective Study of Bariatric Surgery Patients: A 3-Year Follow-Up

Kalarchian

King

Devlin

et al. 2015

Surgery for Obesity and Related Diseases

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Section: Discussionmentioning

confidence: 99%

Psychiatric Disorders and weight Change in a Prospective Study of Bariatric Surgery Patients: A 3-Year Follow-Up

Kalarchian

King

Devlin

et al. 2015

Surgery for Obesity and Related Diseases

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“…Acceptable risk-benefit outcomes with reduction in comorbidities have been published in patients Ͼ60 to 65 years of age. [191][192][193][194][195][196] Conversely, the severely obese adolescent population continues to grow with no effective sustainable treatment available. Since the 1991 National Institutes of Health consensus statement, more data have become available on the safety and effectiveness of bariatric surgery in adolescents for long-term sustained weight loss and comorbidity resolution, particularly when approached on an interdisciplinary level at experienced centers.…”

Section: General Considerationsmentioning

confidence: 99%

Bariatric Surgery and Cardiovascular Risk Factors

Poirier¹,

Cornier²,

Mazzone³

et al. 2011

Circulation

299

134

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T he rate of obesity is rising logarithmically, especially in those with severe obesity (body mass index [BMI] Ͼ40 kg/m 2 ). Cardiologists, endocrinologists, internists, family practitioners, and most healthcare professionals are increasingly confronted with the severely obese patient and with postoperative bariatric patients because obesity is associated with significant morbidity and increased mortality. In addition, more adolescents these days are severely obese. Substantial long-term successes of lifestyle modifications and drug therapy have been disappointing in this population. The National Institutes of Health has suggested that surgical therapy be proposed to those patients with BMI Ͼ40 kg/m 2 or Ͼ35 kg/m 2 with serious obesity-related comorbidities such as systemic hypertension, type 2 diabetes mellitus, and obstructive sleep apnea. When indicated, surgical intervention leads to significant improvements in decreasing excess weight and comorbidities that can be maintained over time. These include diabetes mellitus, dyslipidemia, liver disease, systemic hypertension, obstructive sleep apnea, and cardiovascular dysfunction. Recent prospective, nonrandomized, observational, or case-control population studies have also shown bariatric surgery to prolong survival in the severely obese. Different types of bariatric procedures are being performed. Historically, operative mortality was between 0.1% and 2.0% with more recent data not exceeding 1%. Early complications include pulmonary embolus (0.5%), anastomotic leaks (1.0% to 2.5%), and bleeding (1.0%). Late complications include anastomotic stricture, anastomotic ulcers, hernias, band slippage, and behavioral maladaptation. The number of bariatric operations being performed is increasing tremendously as a result of increasing medical need and the evolution of safer surgical techniques and guidelines. Currently, bariatric surgery should be reserved for patients who have severe obesity in whom efforts at medical therapy have failed and an acceptable operative risk is present.

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“…Laparoscopic bariatric surgery has been performed for patients older than 55-60 years [73][74][75], but with comparatively less weight loss, longer length of stay, higher morbidity and mortality, and less complete resolution of comorbidities than with younger patients. Still, the reduction in comorbidities supports the use of laparoscopic RGB or laparoscopic AGB for wellselected older patients [76][77][78][79][80][81][82][83].…”

Section: Evolution Of Contemporary Surgical Optionsmentioning

confidence: 99%