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Laparoscopic Sleeve Gastrectomy in Patients over 59 Years: Early Recovery and 12-Month Follow-Up

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Abstract

Background

Bariatric surgery has shown to be safe for patients over 60 years with good results especially considering resolving of comorbidities. Sleeve gastrectomy is considered to be safer than gastric bypass (GBP) and more effective than gastric banding with less adverse symptoms. Weight loss may be more modest than after GBP, but the effect on vitamins may also be milder.

Methods

Since 2007, we collected prospectively 12-month follow-up data from 55 sleeve gastrectomy patients of whom 12 were over 59 years of age. Vitamin and calcium supplements were used postoperatively. The recovery from the operation was recorded during hospital stay, at 1- and 12-month follow-up visits using a standard protocol including laboratory tests. The results between patients over and under 59 years were compared.

Results

The preoperative weight and weight loss were comparable between the groups. Operation time was shorter and hospital stay was longer for older patients, p = ns. There was no operative mortality. Early major complications were seen more often in the older age group, 42% vs 9% (p = 0.02), but late complications were more common in younger patients, 17% vs 44%, p = ns. Early complications were mostly bleedings, which did not lengthen the hospital stay, neither were re-operations nor endoscopic procedures needed. Excess weight loss and resolving of comorbidities after 12 months was comparable between the groups. However, vitamin deficiencies and hypoalbuminemia were more common in the older age group, 42% and 23% for vitamins and 44% and 29% for proteins, p = ns. The older patients had more adverse effects related to surgery, 25% vs 9%, and younger had more adverse psychiatric effects, p = ns.

Conclusions

Sleeve gastrectomy is effective and safe for older bariatric patients. Weight loss is comparable to younger patients and enough to resolve the comorbidities in most of the patients. With standardized nutritional supplementation, the older patients had more often vitamin deficiencies and hypoalbuminemia. Although operative treatment of older bariatric patients is safe, their postoperative care is demanding considering vitamins and protein.

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Conflict of Interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Surgery, Helsinki University Central Hospital, Helsinki, Finland

    Marja Kaarina Leivonen, Anne Juuti, Nabil Jaser & Harri Mustonen

  2. HUCH, Peijas Hospital, Sairaalakatu 1, 01400, Vantaa, Finland

    Marja Kaarina Leivonen, Anne Juuti & Nabil Jaser

  3. HUCH, Meilahti Hospital, Haartmaninkatu 8, Helsinki, Finland

    Harri Mustonen

Authors
  1. Marja Kaarina Leivonen
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  2. Anne Juuti
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Correspondence to Marja Kaarina Leivonen.

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Leivonen, M.K., Juuti, A., Jaser, N. et al. Laparoscopic Sleeve Gastrectomy in Patients over 59 Years: Early Recovery and 12-Month Follow-Up. OBES SURG 21, 1180–1187 (2011). https://doi.org/10.1007/s11695-011-0454-6

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  • DOI: https://doi.org/10.1007/s11695-011-0454-6

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