Outcomes of Laparoscopic Sleeve Gastrectomy and Roux-en-Y Gastric Bypass in Patients Older than 60

Abstract

Bariatric surgery can be safe and effective for patients older than 60 years of age with a low morbidity and mortality; the weight loss and improvement in comorbidities in older patients were clinically significant. When compared to the general population, there was no statistically significant difference in the average %EWL at 12 months or the number of complications due to surgery. Long-term effects of such interventions will need further studies and investigations.

Outcomes of laparoscopic sleeve gastrectomy in elderly obese Japanese patients

“…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.…”

Treatment of obesity in older persons—A systematic review

“…Of 38 studies comparing the safety of bariatric procedures in older vs younger groups, 16 found no difference in early mortality or complication rates between groups . A further four studies found no difference between groups in overall complications, but higher rates of certain events in older participants, such as cardiac complications, intubation for longer than 48 hours, acute kidney injury, sepsis and pulmonary embolus, and bleeding .…”

“…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 .…”

“…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.…”

“…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 .…”