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Super-Obesity in the Elderly: Is Bariatric Surgery Justified?

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Abstract

Although the prevalence of obese elderly patients is increasing, the outcomes of bariatric surgery in this potentially high-risk cohort remain poorly understood, especially those relating to quality of life. Furthermore, there is no data on the efficacy of bariatric surgery in the super-obese elderly. We identified 50 consecutive patients undergoing bariatric surgery aged 60 years or over, and compared the outcomes of the super-obese (BMI ≥ 50; n = 26) with those of BMI < 50. Mean follow-up was 33 months. There were no significant differences between the groups in terms of comorbidities, operation-type and peri-operative complications. Mean percentage excess weight loss was comparable between the groups (56.7 vs. 58.8 %; p = 0.81), as was resolution of comorbidities and post-operative quality of life (mean Bariatric Analysis and Reporting Outcome System (BAROS) 3.5 vs. 3.1; p = 0.64).

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Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. For this type of study, formal consent is not required.

Informed Consent

Informed consent for the surgical procedures undertaken was obtained from all individual participants included in the study. Consent to the questionnaire study was assumed by participation.

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Correspondence to Emma Rose McGlone.

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McGlone, E.R., Bond, A., Reddy, M. et al. Super-Obesity in the Elderly: Is Bariatric Surgery Justified?. OBES SURG 25, 1750–1755 (2015). https://doi.org/10.1007/s11695-015-1776-6

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  • DOI: https://doi.org/10.1007/s11695-015-1776-6

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