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Obesity Surgery

, Volume 26, Issue 12, pp 3023–3030 | Cite as

The Effectiveness and Safety of Sleeve Gastrectomy in the Obese Elderly Patients: a Systematic Review and Meta-Analysis

  • Yao Wang
  • Xiaoyan Yi
  • Qifu Li
  • Jun Zhang
  • Zhihong WangEmail author
Review Article

Abstract

Background

This systematic review was performed to compare the effectiveness and safety of SG in the obese elderly patients with the young ones.

Methods

Cohort studies that compared outcomes among old and young patients who had undergone SG were included. Summary odds ratios were estimated using a random effect model.

Results

Eleven studies were included. Old patients had a worse outcome in percentage of excess weight loss than the young ones (SMD −0.39, 95 % CI −0.55 to −0.24). No significant differences were recorded in resolution of co-morbidities: type 2 diabetes mellitus (OR 1.60, 95 % CI 0.843.05), hypertension (OR 1.05, 95 % CI 0.651.68), dyslipidemia (OR 1.38, 95 % CI 0.682.80), OSAS (OR 0.64, 95 % CI 0.301.34), or postoperative complications (OR 0.89, 95 % CI 0.511.55) between the elderly and the young who had undergone SG.

Conclusions

SG was effective for weight loss and resolution of co-morbidities with low complication rate in the obese elderly patients.

Keywords

Sleeve gastrectomy Old patients Effectiveness Safety Systematic review 

Notes

Acknowledgments

We sincerely thank all authors who provided published data for our systematic review.

Compliance with Ethical Standards

Funding

This work was supported by research grants from the Natural Science Foundation of Chongqing (CSTC2012jjA10040), the General Program of Chongqing Municipal Health Bureau (2011–2-062), and the Tackling Project of Science and Technology of Chongqing Committee of Science and Technology (CSTC2012ggyyjs10038).

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethics Approval and Consent to Participate

All analyses were based on previous published studies; thus, no ethical approval and patient consent are required.

Supplementary material

11695_2016_2396_MOESM1_ESM.doc (32 kb)
ESM 1 (DOC 31 kb)
11695_2016_2396_MOESM2_ESM.doc (36 kb)
ESM 2 (DOC 35 kb)
11695_2016_2396_MOESM3_ESM.doc (106 kb)
ESM 3 (DOC 105 kb)

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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Yao Wang
    • 1
  • Xiaoyan Yi
    • 1
  • Qifu Li
    • 1
  • Jun Zhang
    • 2
  • Zhihong Wang
    • 1
    Email author
  1. 1.Department of EndocrinologyThe First Affiliated Hospital of Chongqing Medical UniversityChongqingChina
  2. 2.Department of General SurgeryThe First Affiliated Hospital of Chongqing Medical UniversityChongqingChina

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