Gastric Bypass pp 151-157 | Cite as

Roux-en-Y Gastric Bypass in the Elderly Patient

  • Denis PajeckiEmail author
  • Andre Morrell
  • Marco Aurelio Santo


Bariatric surgery in the elderly has always been a paradigm and currently, the surgical treatment of obesity in patients over 65 years remains controversial, with a lack of specific criteria or outcomes that characterize the potential benefits. In general, older people lose less weight than younger adults lose, but have similar levels of comorbidity resolution. Particular endpoints in the elderly, such as improved functionality, reduced frailty, and improved quality of life, are most important. The presence of sarcopenia can be one of the factors that compromise the effectiveness of weight loss in this population. Roux-en-Y gastric bypass (RYGBP) has been the most common bariatric procedure performed in the elderly population. Surgical morbidity in patients over 60 years undergoing laparoscopic or conventional RYGBP is no different from that observed in younger patients. For those over 65 though, surgical morbidity and mortality is higher after open RYGBP. On the other hand, laparoscopic RYGBP is considered safe and effective for the elderly over 65, with similar morbidity and slight higher but acceptable rates of mortality.


Obesity Treatment Elderly Surgery Bariatric Gastric bypass Weight loss Sarcopenia Geriatric Functionality Morbidity Mortality 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Denis Pajecki
    • 1
    Email author
  • Andre Morrell
    • 1
  • Marco Aurelio Santo
    • 1
  1. 1.Bariatric and Metabolic Surgery Unit – Gastroenterology Department – Surgical DivisionHospital das Clínicas – University of São PauloSão PauloBrazil

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