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- Title
Bariatric Surgery Outcomes in Patients Aged 65 Years and Older at an American Society for Metabolic and Bariatric Surgery Center of Excellence.
- Authors
O'Keefe, Kathryn L.; Kemmeter, Paul R.; Kemmeter, Kimberly D.
- Abstract
Background: Although morbid obesity rates in patients ≥65 years of age are increasing, few centers have reported weight loss surgery outcomes in elderly patients, resulting in a paucity of literature on perioperative mortality and morbidity. Methods: A retrospective analysis was performed on 197 consecutive patients ≥65 years old who underwent weight loss surgery from January 2000 to December 2007. Primary data points included 30-day and 1-year mortality rates, length of stay (LOS), percent excess weight loss (EWL), change in daily medication use, and quality of life (QOL). Results: The average patient's age was 67.3 years with 72.1% being female. Average preoperative weight and BMI were 131.9 kg and 48.1 kg/m, respectively. Average preoperative daily medication use was 8.04 ± 3.67. Procedure types included Roux-en-Y gastric bypass (79.3%), adjustable gastric banding (17.2%), and vertical sleeve gastrectomy (3%). Ninety-seven percent of procedures were performed laparoscopically. Average LOS was 2.0 ± 2.1 days. Average weight, BMI, and daily medication use were significantly reduced at 6 months and 1 year ( p < 0.001), with patients achieving an average EWL of 44.5% and 55.3% at 6 months and 1 year, respectively. QOL scores improved at 6 months ( p < 0.001) and 1 year ( p = 0.049). In all patients, the 30-day mortality rate was 0%. The 1-year mortality rate for RYGB patients was 1.3%. Complication rates were acceptable, with 7% of RYGB patients experiencing a major postoperative complication. Conclusions: Weight loss surgery is effective in patients ≥65 years of age, producing significant EWL, reduction in daily medication use, and improvement in QOL. Surgery is also associated with a low mortality rate and an acceptable morbidity profile.
- Subjects
BARIATRIC surgery; WEIGHT loss; OLDER people; DISEASES; QUALITY of life; GASTRIC bypass; GASTRIC banding
- Publication
Obesity Surgery, 2010, Vol 20, Issue 9, p1199
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-010-0201-4