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Surgical Morbidity in the Elderly Bariatric Patient: Does Age Matter?

A Correction to this article was published on 07 June 2019

This article has been updated

Abstract

Background

Obesity is a global health problem that also affects older adults. In Chile, as in most of the developing countries, more than half of older adults are overweight or obese, and bariatric surgery may be riskier for this group. The aim of this study is to compare our experience in patients over 60 years of age with a control group to determine associated surgical morbidity and mortality.

Methods

Case-control study of bariatric surgeries performed between 2006 and 2017 in our institution. Patients aged ≥ 60 years for the case group versus control group for patients ≤ 50 years selected randomly, matched by body mass index, type 2 diabetes, hypertension, dyslipidemia, surgical technique, and gender (ratio 1:2). Primary endpoint was surgical morbidity, 30-day readmission, and mortality.

Results

Seventy-two patients in case group were matched with 144 patients in control group. Surgical complications rate was the same for both groups. No differences were observed in the conversion to open surgery rate or 30-day readmission rate. There was no mortality in this series.

Conclusion

In this case-control study, being elderly does not increase the risk of morbidity and mortality associated with bariatric surgery.

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Change history

  • 07 June 2019

    Due to a metadata tagging error the name of author Andrés Esteban San Martín was indexed incorrectly. The author’s given name is Andrés Esteban and his family name is San Martín.

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Acknowledgments

The authors thank statistics Professor Waldo Aranda, from the School of Medicine of Universidad Diego Portales for his valuable help in the statistical analysis and in writing the “Methods” section.

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Correspondence to Matías Sepúlveda.

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Martín, A.S., Sepúlveda, M., Guzman, F. et al. Surgical Morbidity in the Elderly Bariatric Patient: Does Age Matter?. OBES SURG 29, 2548–2552 (2019). https://doi.org/10.1007/s11695-019-03876-7

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  • DOI: https://doi.org/10.1007/s11695-019-03876-7

Keywords

  • Bariatric surgery
  • Elderly
  • Morbidity
  • Mortality
  • Risk factors