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- Title
Sleeve Gastrectomy Versus Roux-en-Y Gastric Bypass in the Elderly: 1-Year Preliminary Outcomes in a Randomized Trial (BASE Trial).
- Authors
Pajecki, Denis; Dantas, Anna Carolina Batista; Tustumi, Francisco; Kanaji, Ana Lumi; de Cleva, Roberto; Santo, Marco Aurelio
- Abstract
Purpose: Despite the increasing prevalence of elderly obese patients, bariatric surgery remains controversial in this population. Recent publications have focused on perioperative safety, but few studies have addressed clinical outcomes. Objectives: This study aimed to evaluate 1-year outcomes of laparoscopic sleeve gastrectomy (LSG) compared to laparoscopic Roux-en-Y gastric bypass (LRYGB) in patients 65 years or older. Methods: Thirty-six elderly obese patients were recruited for an open-label randomized trial from September 2017 to May 2019, comparing LSG to LRYGB. One-year outcomes were evaluated based on weight loss, functionality, and control of clinical conditions. Results: The median age (67 × 67 years; p=0.67) and initial body mass index (BMI) (46.3 × 51.3 kg/m2; p=0.28) were similar between groups. Preoperative BMI (after weight loss pre-operative treatment) was higher in LRYGB group (41.9 × 47.6 kg/m2; p= 0.03). After 12 months, EWL and TWL were higher in LRYGB group (60 × 68%; p=0.04; 24.9 × 31.4%; p<0.01). HbA1c reduction was higher after LRYGB (−1.1 × −0.5%; p<0.01) as well as LDL control (−27.5 × +11.5 mg/dL p= 0.02). No difference was noted between LRYGB and LSG concerning hypertension control, triglycerides, HDL, and functionality. Conclusion: Weight loss, diabetes, and LDL control were better achieved with LRYGB after 12 months.
- Subjects
GASTRIC bypass; SLEEVE gastrectomy; OLDER people; BARIATRIC surgery; OLDER patients; BODY mass index
- Publication
Obesity Surgery, 2021, Vol 31, Issue 6, p2359
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-021-05316-x