Laparoscopic Roux-en-Y gastric bypass in morbidly obese patients > or =55 years old.

Obesity Surgery
Rafael FazylovStephen Merola

Abstract

Advanced age is considered a relative contraindication to bariatric surgery at some institutions because of concerns about higher morbidity and less than optimal weight loss. The aim of our study was to evaluate the operative outcomes, length of stay, weight loss, and improvement of comorbidities in patients > or =55 years old who underwent laparoscopic Roux-en-Y gastric bypass (LRYGB) surgery in our institution. Retrospective data on 33 patients (26 women and 7 men) > or =55 years of age who underwent LRYGB from January 2003 to December 2006 were reviewed. Average patient age was 59 years (range 55-68 years), and the mean preoperative body mass index was 47 kg/m2 (range 41.1-55.8 kg/m2). The median length of hospital stay was 3 days. There were no intraoperative or postoperative deaths. Early complications were one anastomotic leak, two upper gastrointestinal bleedings, and two readmissions for intractable vomiting. Late complications included four anastomotic strictures and one small bowel obstruction. Patients were followed for a mean 13 months (range 3-24 months). The mean excess body weight (EBW) loss was 13.5 kg (23%), 23.3 kg (39.8%), 33.3 kg (58.1%), 39.8 kg (66.8%), 40.1 kg (69.5%), and 40.8 kg (75.3%) at 1, 3, 6, 9, 1...Continue Reading

References

Dec 31, 2002·JAMA : the Journal of the American Medical Association·Ali H MokdadJames S Marks
Dec 17, 2003·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Ninh T NguyenBruce M Wolfe
Dec 18, 2004·Obesity Surgery·J L SosaMarie Ruiz-Rodriguez
Apr 13, 2006·Obesity Surgery·Maria Dolores FrutosPascual Parrilla
Dec 2, 2006·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·David HazzanDaniel Herron

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Citations

Sep 2, 2008·Obesity Surgery·Ahmed R AhmedWilliam O'Malley
Sep 10, 2014·Obesity Surgery·Thomas W PikeJ Peter A Lodge
Jul 15, 2015·Bariatric Surgical Practice and Patient Care·Raquel Gonzalez-HerediaEnrique Elli
Jun 10, 2016·Journal of Minimal Access Surgery·Palanivelu PraveenrajChinnusamy Palanivelu
Dec 3, 2014·International nursing review·I NurjannahK Usher
Dec 10, 2015·Annals of Surgery·Noah J SwitzerShahzeer Karmali

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