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Surgical Endoscopy

, Volume 30, Issue 1, pp 38–43 | Cite as

Laparoscopic mini-gastric bypass in patients age 60 and older

  • Cesare Peraglie
Article

Abstract

Background

Bariatric surgery in patients over age 60 was previously not considered, due to higher risk. The author presents a study of patients ≥60 years who underwent laparoscopic mini-gastric bypass (LMGB), to evaluate outcomes with follow-up to 6 years.

Methods

From 2007–2013, a prospectively maintained database was reviewed and patients ≥60 years were identified. Demographics evaluated included age, sex, weight, BMI, comorbidities, operative time, complications, length of stay (LOS) and %EWL up to 72 months.

Results

From 2007–2013, a total of 758 LMGBs were performed by one surgeon (CP). Eighty-eight (12 %) were ≥60 years old, with 62 % female. Mean age of this cohort at operation was 64 (60–74), and mean weight and BMI were 118 kg (78–171) and 43 kg/m2 (33–61), respectively. Comorbidities were present in all patients, and one-third had previous abdominal operations. All patients underwent LMGB, without conversion to open. Mean operative time was 70 min (43–173). Only one patient required overnight ICU admission. Average LOS was 1.2 days (1–3). Overall complication rate was 4.5 % (all minor); there were no major complications. Readmission rate was 1.2 % (one patient). There was no surgical-related mortality. Follow-up to 90 days was 89 %, but steadily declined to 42 % at 6 years (72 months). The %EWL was 72 % at 72 months.

Conclusion

LMGB can be safely performed with good weight loss in patients ≥60 years old, despite numerous comorbidities and previous abdominal operations.

Keywords

Laparoscopic Bariatric surgery Mini-gastric bypass Medicare 

Notes

Acknowledgments

The author is grateful to Mervyn Deitel, MD, FASMBS, FACN, CRCSC for suggestions with the study and manuscript.

Disclosures

Cesare Peraglie has no conflicts of interest or financial ties to disclose.

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Heart of Florida Regional Medical CenterDavenportUSA

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