Obesity Surgery

, Volume 24, Issue 10, pp 1662–1669 | Cite as

Gastric Bypass for Obesity in the Elderly: Is It as Appropriate as for Young and Middle-Aged Populations?

  • Maud Robert
  • Arnaud Pasquer
  • Philippe Espalieu
  • Martine Laville
  • Christian Gouillat
  • Emmanuel Disse
Original Contributions

Abstract

Background

Obesity prevalence increases in elderly population. Bariatric surgery has been underused in patients over 60 because of fears of complications and lower weight loss. We postulated worse outcomes in the elderly in comparison to young and middle-aged population 1 year after gastric bypass.

Methods

We retrospectively analyzed gastric bypass outcomes in young (<40 years), middle-aged (40 to 55 years), and elderly (>60 years) patients between 2007 and 2013. Each subject over 60 (n = 24) was matched with one subject of both the other groups according to gender, preoperative body mass index (BMI), surgical procedure, and history of previous bariatric surgery (n = 72).

Results

Older subjects demonstrated higher prevalence of preoperative metabolic comorbidities (70 vs 30 % in the <40-year-old group, p < 0.0001). Mean duration of the surgical procedure, mean length of stay, and early and late complication rates were similar between age groups. A trend towards fewer early complications and less-severe complications in the younger groups was noted. One-year weight loss results were similar between young, middle-aged, and elderly patients (percentage of excess BMI loss (EBL%), 74.4 ± 3.5; 78.9 ± 4.5, and 73.7 ± 4.5 respectively, p = 0.69). Age was not predictive of weight loss failure 1 year after surgery. Remission and improvement rates of comorbidities were similar between age groups 6 months after surgery.

Conclusions

Our study confirms weight loss efficacy of gastric bypass in the elderly with acceptable risks. Further studies evaluating the benefit-risk balance of bariatric surgery in the elderly population will be required so as to confirm the relevance of increasing age limit.

Keywords

Bariatric surgery Gastric bypass Morbid obesity Age stratification Elderly 

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Maud Robert
    • 1
    • 2
  • Arnaud Pasquer
    • 1
  • Philippe Espalieu
    • 1
    • 3
  • Martine Laville
    • 2
    • 4
  • Christian Gouillat
    • 1
    • 5
  • Emmanuel Disse
    • 2
    • 4
  1. 1.Department of Digestive Surgery, Specialized and Integrated Center for Obesity Management, Hospices Civils de LyonHôpital Edouard HerriotLyonFrance
  2. 2.CENS-Centre Européen pour la Nutrition et la Santé, Centre de Recherche en Nutrition Humaine Rhône-Alpes, Unité INSERM 1060, laboratoire CARMENUniversité Claude Bernard LyonPierre BéniteFrance
  3. 3.CHPL-Centre Hospitalier Privé de la LoireSaint EtienneFrance
  4. 4.Department of Endocrinology, Diabetes and Nutrition, Specialized and Integrated Center for Obesity Management, Hospices Civils de LyonCentre Hospitalier Lyon SudPierre BéniteFrance
  5. 5.Université Claude BernardLyonFrance

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