Surgical Endoscopy

, Volume 27, Issue 6, pp 2014–2019

Sleeve gastrectomy in older obese patients

  • P. W. J. van Rutte
  • J. F. Smulders
  • J. P. de Zoete
  • S. W. Nienhuijs
Article

DOI: 10.1007/s00464-012-2703-8

Cite this article as:
van Rutte, P.W.J., Smulders, J.F., de Zoete, J.P. et al. Surg Endosc (2013) 27: 2014. doi:10.1007/s00464-012-2703-8

Abstract

Background

With global aging, obesity will increasingly affect the older population with higher risks of morbidity and mortality, yet full consensus has been obtained for the role of sleeve gastrectomy (SG) in the older obese.

Objective

The aim of this study is to report the outcomes of SG in the older obese.

Setting

Bariatric department, large teaching hospital, The Netherlands.

Methods

Between August 2006 and December 2011, 135 patients aged 55 years or older underwent SG. Outcomes in terms of perioperative complications, weight loss, remission of comorbidities, and revision were extracted from our prospectively held database. A subanalysis was done comparing three age groups: 55–59 years, 60–64 years, and 65 years and older.

Results

During mean follow-up of 14.6 months, short-term mortality was 0 %. The 30-day complication rate was 11.1 %, without significant differences between age groups. Late complications occurred in 4.4 %. In 14 patients, revisions were performed because of development of reflux disease or dysphagia. Significant reduction of comorbidities was found in all age groups, except for sleep apnea. Among the total cohort, excellent weight loss was achieved during follow-up.

Conclusions

Laparoscopic sleeve gastrectomy (LSG) as a primary treatment modality for the older morbidly obese is an effective and relatively safe procedure in terms of weight loss and remission of comorbidities with an acceptable low complication rate.

Keywords

ObesityBariatric surgerySleeve gastrectomyElderly

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • P. W. J. van Rutte
    • 1
  • J. F. Smulders
    • 1
  • J. P. de Zoete
    • 1
  • S. W. Nienhuijs
    • 1
  1. 1.Department of SurgeryCatharina Hospital EindhovenEindhovenThe Netherlands