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Gastric bypass sleeve elderly

Uri Kaplan, Scott Penner, Forough Farrokhyar, Nicole Andruszkiewicz, Ruth Breau, Scott Gmora, Dennis Hong, Mehran Anvari
PURPOSE: Older age (> 60) has been considered a relative contraindication for bariatric surgery due to increased complication risk. This study examined the risks and benefits of bariatric surgery for patients older than 60 years in Canadian population. METHODS: This was a retrospective cohort study of the Ontario Bariatric Registry: a database recording peri-operative and post-operative outcomes of publicly funded bariatric surgeries across the province. Patients who completed 1 year follow-up, who underwent laparoscopic gastric bypass (LRYGB) or laparoscopic sleeve gastrectomy (LSG) between January 2010 and May 2013, were divided into older (> 60) and younger (> 60) cohorts, and outcomes were compared...
March 10, 2018: Obesity Surgery
Katherine D Gray, Maureen D Moore, Omar Bellorin, Jonathan S Abelson, Gregory Dakin, Rasa Zarnegar, Alfons Pomp, Cheguevara Afaneh
PURPOSE: We sought to assess outcomes of laparoscopic sleeve gastrectomy (LSG) vs laparoscopic Roux-en-Y gastric bypass (LRYGB) in a cohort of morbidly obese, elderly patients. MATERIALS AND METHODS: Retrospective review was conducted of all patients age 60 years or greater undergoing LSG or LRYGB at our institution between 2007 and 2014. RESULTS: A total of 134 patients who underwent LSG (n = 65) or LRYGB (n = 69) were identified. Groups were similar with respect to age (64 years, range 60-75 years), BMI (44...
August 29, 2017: Obesity Surgery
Robert A Casillas, Benjamin Kim, Heidi Fischer, Jorge L Zelada Getty, Scott S Um, Karen J Coleman
BACKGROUND: Most bariatric studies in older adult patients have focused on older operations with limited follow-up and equivocal results. OBJECTIVES: To compare weight loss and safety in patients ages≥65 years undergoing laparoscopic sleeve gastrectomy (SG) and laparoscopic Roux-en-Y gastric bypass (LRYGB). SETTING: Nine different bariatric surgery centers with 23 surgeons serving over 30,000 bariatric patients. METHODS: Participants were≥65 years who had a SG or LRYGB between January 1, 2010, and March 15, 2015...
March 23, 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Rena C Moon, Flavio Kreimer, Andre F Teixeira, Josemberg M Campos, Alvaro Ferraz, Muhammad A Jawad
BACKGROUND: As life expectancy increases, more elderly patients fit into the criteria for bariatric procedures. The aim of our study is to evaluate and compare the safety and efficacy of Roux-en-Y gastric bypass (RYGB), laparoscopic sleeve gastrectomy (LSG), and laparoscopic adjustable gastric banding (LAGB) in patients older than 60. MATERIAL AND METHODS: Between January 2005 and December 2013, 68 LAGB, 73 LSG, and 212 RYGB patients were 60 years or older at the time of primary procedure...
April 2016: Obesity Surgery
Christopher R Daigle, Amin Andalib, Ricard Corcelles, Derrick Cetin, Philip R Schauer, Stacy A Brethauer
BACKGROUND: Numerous reports address bariatric outcomes in super-obese or elderly patients, but data addressing this high-risk combination is lacking. OBJECTIVE: The objective of this study was to assess outcomes of bariatric surgery in the super-obese elderly. SETTING: Academic institution, United States. METHODS: All primary bariatric cases performed on patients aged 65 years or older with a body mass index (BMI) ≥ 50 kg/m(2) were retrospectively analyzed...
January 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Chih-Kun Huang, Amit Garg, Hsin-Chih Kuao, Po-Chih Chang, Ming-Che Hsin
Bariatric surgery has been proved to be the safest and efficient procedure in treating morbid obese patients, but data is still lacking in the elderly population. The aim of our study was to compare the safety and efficacy of laparoscopic Roux-en-Y gastric bypass (LRYGB) and sleeve gastrectomy (LSG) in patients aged more than 55 years. We performed a retrospective review of a prospectively collected database. All patients with body mass index (BMI) ≧32 kg/m(2) and aged more than 55 years undergoing LRYGB or LSG in BMI Surgery Centre, E-Da Hospital between January 2008 and December 2011 with at least one year of follow up were included for the analysis...
April 2015: Journal of Biomedical Research
Charles Qin, Bill Luo, Apas Aggarwal, Gildasio De Oliveira, John Y S Kim
BACKGROUND: While the safety of many bariatric procedures has been previously studied in older patients, we examine the effect of advancing age on medical/surgical complications in laparoscopic sleeve gastrectomy, a relatively unstudied procedure but that is trending upwards in use. METHODS: Patients undergoing laparoscopic sleeve gastrectomy (LSG) and laparoscopic gastric bypass (RYGB) were extracted from the National Surgical Quality Improvement Program 2005-2012 database...
March 2015: Obesity Surgery
Konstantinos Spaniolas, Thadeus L Trus, Gina L Adrales, Maureen T Quigley, Walter J Pories, William S Laycock
BACKGROUND: Even though the U.S. population is aging, outcomes of bariatric surgery in the elderly are not well defined. Current literature mostly evaluates the effects of gastric bypass (RYGB), with paucity of data on sleeve gastrectomy (SG). The objective of this study was to assess 30-day morbidity and mortality associated with laparoscopic SG in patients aged 65 years and over, in comparison to RYGB. METHODS: The National Surgical Quality Improvement Program (NSQIP) database was queried for all patients aged 65 and over who underwent laparoscopic RYGB and SG between 2010 and 2011...
July 2014: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Patrick Ritz, Philippe Topart, Salomon Benchetrit, Géraud Tuyeras, Benoit Lepage, Jean Mouiel, Guillaume Becouarn, François Pattou, Jean-Marc Chevallier
BACKGROUND: The benefits and risks of bariatric surgery are debated in older patients. The objective of this study was to compare the weight changes and adverse outcomes in patients>60 years and in younger ones. METHODS: The French SOFFCO registry was screened for gastric bypass (RYGB), gastric banding (LAGB), or sleeve gastrectomy (SG) performed between 2007 and 2010. Adverse outcomes and weight changes (%) over 12 months were compared between patients<40 years (N = 1379), between 40-59 years (N = 1065), and>60 years (N = 164)...
January 9, 2014: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
Flavia C Soto, Vicente Gari, Javier R de la Garza, Samuel Szomstein, Raul J Rosenthal
BACKGROUND: Previously, we demonstrated the safety and efficacy of laparoscopic gastric bypass surgery in patients over 65 years of age. The aim of this study is to demonstrate the safety and efficacy of this procedure as a final step for treatment of morbid obesity in the same population. METHODS: A retrospective review of a prospectively collected database was performed. Between 2004 and 2010, a total of 35 patients age 60 and greater were analyzed from a total of 512 sleeve gastrectomy patients...
September 2013: Obesity Surgery
P W J van Rutte, M D P Luyer, I H J T de Hingh, S W Nienhuijs
Morbid obesity has become a global epidemic during the 20th century. Until now bariatric surgery is the only effective treatment for this disease leading to sustained weight loss and improvement of comorbidities. The sleeve gastrectomy is becoming a promising alternative for the gold standard the gastric bypass and it is gaining popularity as a stand-alone procedure. The effect of the laparoscopic sleeve gastrectomy is based on a restrictive mechanism, but a hormonal effect also seems to play an important role...
2012: ISRN Surgery
Kathryn L O'Keefe, Paul R Kemmeter, Kimberly D Kemmeter
BACKGROUND: Although morbid obesity rates in patients >or=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 >or=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)...
September 2010: Obesity Surgery
David Hazzan, Edward H Chin, Emily Steinhagen, Subhash Kini, Michel Gagner, Alfons Pomp, Daniel Herron
BACKGROUND: Previous reports have questioned the safety of bariatric surgery in older patients. The aim of this study was to quantify the perioperative morbidity and mortality of older patients undergoing laparoscopic bariatric procedures at our institution. METHODS: A retrospective chart review of all laparoscopic bariatric procedures performed from February 1999 to September 2005 was performed to identify patients at Mount Sinai Medical Center who were older than 60 years at surgery...
November 2006: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
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