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Is Laparoscopic Bariatric Surgery Safe and Effective in Patients over 60 Years of Age?” an Updated Systematic Review and Meta-Analysis

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Abstract

To evaluate, mid-term outcomes between elderly patients (EP, i.e., age > 60 years old) and young patients (YP, i.e., age < = 60 years old) who underwent laparoscopic bariatric surgery. Studies comparing EP versus YP for bariatric surgery published until April 2020 were selected and submitted to a systematic review and meta-analysis. After LSG, overall morbidity and specific post-operative complication rates (i.e., leak, abscess, hemorrhage, and reoperation) were significantly more frequent in EP compared with those in YP. Surgical outcomes were similar between EP and YP after LRYGB. Both procedures achieved weight loss, but it was statistically greater in YP compared with that in EP. In summary, this meta-analysis suggests that laparoscopic bariatric surgery is a safe and effective treatment in EP compared with that in YP.

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Correspondence to Benjamin Menahem.

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Vallois, A., Menahem, B. & Alves, A. Is Laparoscopic Bariatric Surgery Safe and Effective in Patients over 60 Years of Age?” an Updated Systematic Review and Meta-Analysis. OBES SURG 30, 5059–5070 (2020). https://doi.org/10.1007/s11695-020-04994-3

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