Midterm outcomes of gastric bypass for elderly (aged ≥ 60 yr) patients: a comparative study

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery
Jérémie ThereauxJean-Luc Bouillot

Abstract

Laparoscopic Roux-en-Y gastric bypass (LRYGB) is feasible for patients aged 60 years and older and is associated with a favorable early weight loss. However, data with longer follow-up in this age group are scarce. The present study compared weight loss and changes in co-morbidities 3 years after LRYGB between older patients (OP; ≥ 60 yr) and younger patients (YP; <60 yr). Data were collected prospectively in a single surgery university center (Paris, France). Between January 2004 and May 2011, 48 OP and 610 YP underwent LRYGB. Three-year outcomes were available for 42 (87.5%) OP and 480 (78.7%) YP; 42 OP undergoing LRYGB were matched with 84 YP for sex, preoperative body mass index (BMI), and presence of type 2 diabetes. The sample was 81% female; preoperative BMI was 45.6 ± 6.4 kg/m² in OP versus 47.3 ± 5.2 kg/m² in YP patients (P = .12), and age was 62.6 ± 2.3 years in OP versus 42.9 ± 8.7 years in YP (P < .0001). The prevalence of coexisting conditions was comparable in both groups except for dyslipidemia (66.7% in OP versus 42.9% in YP; P = .01). At 3 years, percentage of weight loss and BMI change (kg/m²) was significantly lower in the OP group compared with YP (27.5 ± 8.6 versus 31.8 ± 12.1, P = .04; and -12.7 ± 4.9 vers...Continue Reading

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Citations

Jun 18, 2016·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Tigran PoghosyanJean-Luc Bouillot
Jul 28, 2016·International Journal of Surgery·Gaby KansouJérémie Thereaux
Nov 6, 2015·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Denis PajeckiIvan Cecconello
Jan 16, 2019·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·Cilla Haywood, Priya Sumithran
Jul 9, 2020·Acta Cirúrgica Brasileira·Marcelo Protásio Dos SantosLuciana Kase Tanno
May 26, 2017·Obesity Surgery·Chetan ParmarPeter K Small
Sep 26, 2017·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·S Giordano, M Victorzon
Apr 18, 2019·Obesity Surgery·Andrés San MartínYudith Preiss
May 22, 2021·The Journal of Clinical Endocrinology and Metabolism·Assaf BuchNaftali Stern
Aug 19, 2021·The Journal of Clinical Endocrinology and Metabolism·Assaf BuchNaftali Stern

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