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Postoperative 4-Year Outcomes in Septuagenarians Following Bariatric Surgery.
Athanasiadis, Dimitrios I; Hernandez, Edward; Dirks, Rebecca C; Stefanidis, Dimitrios; Banerjee, Ambar.
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  • Athanasiadis DI; Department of Surgery, Indiana University School of Medicine Indiana, Indianapolis, IN, USA.
  • Hernandez E; Department of Surgery, Indiana University School of Medicine Indiana, Indianapolis, IN, USA.
  • Dirks RC; Department of Surgery, Indiana University School of Medicine Indiana, Indianapolis, IN, USA.
  • Stefanidis D; Department of Surgery, Indiana University School of Medicine Indiana, Indianapolis, IN, USA.
  • Banerjee A; Section of Minimally Invasive and Bariatric Surgery, Indiana University Health North Hospital, 11725 N Illinois St, Suite 350, Carmel, Indianapolis, IN, 46032, USA.
Obes Surg ; 31(12): 5127-5131, 2021 12.
Article en En | MEDLINE | ID: mdl-34476727
BACKGROUND: Bariatric surgery is the most effective treatment for obesity; however, its utilization in older patients remains low. There is a dearth of literature on long-term effectiveness and safety of bariatric surgery in septuagenarian patients. The aim of this study was to compare the short- and long-term outcomes of bariatric surgery in this population. METHODS: Patients who underwent primary laparoscopic Roux-en-Y gastric bypass (LRYGB) or laparoscopic sleeve gastrectomy (LSG) at our institution between 2011 and 2015 were included. Patients were divided into two age groups: < 70 and ≥ 70 years. Outcomes included postoperative hospital length of stay (LOS), 30-day complications, up to 4-year complications, 90-day mortality, comorbidity resolution, and 4-year weight loss (BMI change-ΔΒΜΙ). The groups were also compared using multivariable analyses adjusting for potential confounders (gender, preoperative BMI, and type of procedure). RESULTS: Twenty-nine septuagenarians who underwent 21 LRYGB (72.4%) and 8 LSG (27.6%) were compared to 1016 patients aged < 70 years operated on during the same time period. Additionally, following the multivariable analyses, the septuagenarians had higher LOS (3 vs 2.3 days, p = 0.01), 4-year complications (38% vs 23%, p = 0.012), and less comorbidities' resolution but similar 4-year ΔBMI (- 8.6 vs - 10, p = 0.421), and 30-day complications (10% vs 6%, p = 0.316). CONCLUSION: Bariatric surgery in carefully selected septuagenarians can be accomplished with acceptable safety and comparable postoperative weight loss at 4 years. Surgeons may consider broadening their selection criteria to include this patient subgroup but may allow the patients to reap its benefits if offered earlier in life.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Obesidad Mórbida / Cirugía Bariátrica Tipo de estudio: Etiology_studies / Observational_studies Límite: Aged / Humans Idioma: En Revista: Obes Surg Asunto de la revista: METABOLISMO Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Obesidad Mórbida / Cirugía Bariátrica Tipo de estudio: Etiology_studies / Observational_studies Límite: Aged / Humans Idioma: En Revista: Obes Surg Asunto de la revista: METABOLISMO Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos