Abstract
Background
Laparoscopic Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) are the two most common bariatric surgeries for treating morbid obesity. The purpose of this study is to determine differences in outcomes from RYGB or SG between patients ages ≥ 60 years and < 60 years.
Methods
A retrospective review of patients who underwent RYGB and SG at our institution from 01/2008 to 05/2012 was conducted. Forty patients from each group (≥60 years and < 60 years) were matched based on gender, body mass index (BMI), co-morbidities, and type of bariatric surgery performed, and their charts were reviewed up to 1 year post-operatively. Primary end points measured were mean length of stay, operative time, incidence of complications, and readmissions in the first post-operative year. A secondary end point measured was percent total weight loss (%TWL) and excess weight loss (%EWL).
Results
There were no significant differences between group < 60 and group ≥ 60 in operative time (210 vs. 229 min; p = 0.177), in-hospital post-operative complication rates (2.5 vs. 5 %; p = 1.0), long-term complication rates (2.5 vs. 10 %; p = 0.359), and 30-day readmission rates (2.5 vs. 12.5 %; p = 0.2). Patients in group < 60 had shorter lengths of stay (2.2 vs. 2.7 days; p = 0.031), but this difference is not clinically significant. Both groups achieved similar %TWL (21.4 vs. 20.5 %; p = 0.711) and %EWL (50.6 vs. 50.7 %; p = 0.986).
Conclusions
Advanced age (≥60 years) is not a significant predictor of a worse outcome for SG and RYGB.
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Informed consent was obtained from all individual participants included in the study.
Ethical Statement of Human and Animal Rights
For this type of retrospective study, formal consent is not required.
Source of Financial Support
This study was funded by the Medical Student Research Office, Icahn School of Medicine at Mount Sinai.
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The authors declare that they have no conflict of interest.
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Yoon, J., Sherman, J., Argiroff, A. et al. Laparoscopic Sleeve Gastrectomy and Gastric Bypass for The Aging Population. OBES SURG 26, 2611–2615 (2016). https://doi.org/10.1007/s11695-016-2139-7
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DOI: https://doi.org/10.1007/s11695-016-2139-7