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Outcomes among elderly bariatric patients at a high-volume center.
- Source :
-
Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery [Surg Obes Relat Dis] 2007 Mar-Apr; Vol. 3 (2), pp. 163-9; discussion 169-70. Date of Electronic Publication: 2007 Feb 27. - Publication Year :
- 2007
-
Abstract
- Background: Bariatric surgery in elderly patients remains controversial. With a growing morbidly obese elderly population, management strategies and treatment outcomes need to be evaluated.<br />Methods: We reviewed all bariatric cases from 2001 to 2005 at a single institution. The preoperative factors (body mass index, smoking status, co-morbid conditions, number of medications) and surgical information (operation and length of stay) were recorded. Patients >60 years old who had undergone Roux-en-Y gastric bypass (RYGB) were followed up, and their surgical outcomes were analyzed (reduction in medications, resolution of diabetes mellitus and hypertension, percentage of excess body weight loss, complications, and mortality).<br />Results: Of 1065 patients, 76 (7.1%) were aged > or =60 years. Of these 76 patients, 61 (5.7%) underwent RYGB. The other 989 patients (92.9%) were <60 years old, and 952 of these underwent RYGB. In the older group, the mean number of co-morbid conditions was 10 +/- 3.3, 70.5% had diabetes, and 83.6% had hypertension. In the younger group, the mean number of co-morbidities was 4.7 +/- 2.3. The mean number of preoperative medications was 10 +/- 4.5 in the older group compared with 6.0 +/- 4.3 in the younger group. The mean length of stay was 2.9 days in both groups. Postoperatively, medications were reduced by nearly 50% in both groups. Diabetes and hypertension resolved or improved significantly in both groups. The mean percentage of excess body weight loss was lower in the older patients (54.9% versus 60.1%; P = .09). The 90-day operative mortality rate was 1.64% in the older group versus 0.53% for the younger group (P = NS).<br />Conclusion: Our data support the use of RYGB in older patients in programs prepared to comprehensively manage the medical co-morbidities. Although the percentage of excess body weight loss was less, the mortality was acceptable despite the greater number of co-morbidities. Both diabetes and hypertension were more common in this population, with trends toward better improvement after RYGB than in younger patients.
- Subjects :
- Adult
Age Factors
Aged
Disease Progression
Female
Follow-Up Studies
Humans
Laparoscopy
Male
Middle Aged
Obesity, Morbid mortality
Retrospective Studies
Risk Factors
Survival Rate trends
Treatment Outcome
Academic Medical Centers statistics & numerical data
Gastric Bypass methods
Gastric Bypass mortality
Gastric Bypass statistics & numerical data
Obesity, Morbid surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1550-7289
- Volume :
- 3
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 17331804
- Full Text :
- https://doi.org/10.1016/j.soard.2006.12.004