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Bariatric Surgical Outcomes in the Elderly: A Comparison Study Between Primary and Revisional Procedures in the United Arab Emirates.

Authors :
Barajas-Gamboa, Juan S.
Serra, Facundo Emilio
Romero-Velez, Gustavo
Dang, Jerry T.
Del Gobbo, Gabriel Diaz
Abdallah, Mohammed
Abril, Carlos
Raza, Javed
Guerron, Alfredo D.
Corcelles, Ricard
Kroh, Matthew
Rodriguez, John
Pantoja, Juan Pablo
Source :
Obesity Surgery; Jul2024, Vol. 34 Issue 7, p2515-2522, 8p
Publication Year :
2024

Abstract

Purpose: Data reported on comparing primary and revisional procedures in the elderly is still limited. The aim of this study was to compare the efficacy and safety between primary and revisional bariatric surgery in a cohort of older patients. Materials and Methods: All patients ≥ 60 years old were divided into two cohorts, primary surgery cohort (PSC) and revisional surgery cohort (RSC). Baseline and perioperative outcomes were analyzed. Results: Fifty-eight patients were included (34 PSC and 24 RSC) in the study. Forty-two (25 PSC and 17 RSC) 72.4% were female. The mean age was 64 (± 3.3 years) in the PSC and 65 (± 4.2 years) in the RSC, the median initial BMI was 46.7 and 47.4 kg/m<superscript>2</superscript> (p < 0.848), respectively. The mean hospital stay was (3 PSC vs. 5 RSC, p < 0.022) days. Readmissions occurred in (1 PSC vs. 3 RSC, p = 0.158) patients within 30 days of discharge. Postoperative major complications included (1 PSC vs. 5 RSC, p < 0.0278) patients. Reoperations were reported in (0 PSC vs. 3 RSC, p < 0.034) patients. Patients who underwent surgery for weight management, the initial mean BMI was (46.7 PSC vs. 47.4 RSC kg/m2, p = 0.848). At 12-months post-procedure, the mean BMI was (34.3 PSC vs. 37.7 RSC kg/m2, p = 0.372) and (23.7 PSC vs. 19.1 RSC, p = 0.231) %TBWL. The mean overall follow-up was (12.4 PSC vs. 27.5 RSC, p < 0.004) months, and one unrelated death (cancer) was reported in the RSC. Conclusion: PSC and RSC are effective in the elderly, however postoperative complications occurred more often in the RSC group. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
09608923
Volume :
34
Issue :
7
Database :
Complementary Index
Journal :
Obesity Surgery
Publication Type :
Academic Journal
Accession number :
178209279
Full Text :
https://doi.org/10.1007/s11695-024-07304-3