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Obesity Surgery

, Volume 28, Issue 6, pp 1498–1503 | Cite as

The Outcome of Bariatric Surgery in Patients Aged 75 years and Older

  • Zubaidah Nor Hanipah
  • Suriya Punchai
  • Linden A. Karas
  • Samuel Szomstein
  • Rahul J. Rosenthal
  • Stacy A. Brethauer
  • Ali Aminian
  • Philip R. Schauer
Original Contributions

Abstract

Background

Bariatric surgery has been shown to be safe and effective in patients aged 60–75 years; however, outcomes in patients aged 75 or older are undocumented.

Methods

Patients aged 75 years and older who underwent bariatric procedures in two academic centers between 2006 and 2015 were studied.

Results

A total of 19 patients aged 75 years and above were identified. Eleven (58%) were male, the median age was 76 years old (range 75–81), and the median preoperative body mass index (BMI) was 41.4 kg/m2 (range 35.8–57.5). All of the bariatric procedures were primary procedures and performed laparoscopically: sleeve gastrectomy (SG) (n = 11, 58%), adjustable gastric band (AGB) (n = 4, 21%), Roux-en-Y gastric bypass (RYGB) (n = 2, 11%), banded gastric plication (n = 1, 5%), and gastric plication (n = 1, 5%). The median operative time was 120 min (range 75–240), and the median length of stay was 2 days (range 1–7). Three patients (16%) developed postoperative atrial fibrillation which completely resolved at discharge. At 1 year, the median percentage of total weight loss (%TWL) was 18.4% (range 7.4–22.0). The 1-year %TWL varied among the bariatric procedures performed: SG (21%), RYGB (22%), AGB (7%), and gastric plication (8%). There were no 30-day readmissions, reoperations, or mortalities.

Conclusion

Our experience suggests that bariatric surgery in selected patients aged 75 years and older would be safe and effective despite being higher risk. Age alone should not be the limiting factor for selecting patients for bariatric surgery.

Keywords

Bariatric surgery 75 years Mortality Morbidity Sleeve gastrectomy Risk factor Elderly Age Complication Gastric bypass 

Notes

Compliance with Ethical Standards

Conflict of Interest

Dr. Schauer has the following relationships:
  • Advisory Board: The Medicines Company, GI Dynamics, Neurotronic, Pacira

  • Consultant: Ethicon, The Medicines Company, Novo Nordisk

  • Research Support: Ethicon, National Institutes of Health, Medtronic, Pacira

Dr. Rosenthal has the following relationships:
  • Educational grants: Karl Storz, Medtronics and Ethicon

  • Advisory board: Ethicon

Otherwise, the rest of the authors have no conflict of interest and nothing to disclose.

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.

Informed Consent

For this retrospective study, formal consent is not required.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2017

Authors and Affiliations

  1. 1.Bariatric and Metabolic InstituteCleveland ClinicClevelandUSA
  2. 2.Department of Surgery, Faculty of Medicine and Health SciencesUniversity Putra MalaysiaSerdangMalaysia
  3. 3.Department of Surgery, Faculty of MedicineKhon Kaen UniversityKhon KaenThailand
  4. 4.Bariatric and Metabolic Institute, Department of General SurgeryCleveland ClinicWestonUSA

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