Sleeve Gastrectomy in the Elderly: A case-control study with Long Term Follow-up of 3 years

Simple item page
dc.contributor.authorNavarrete, Andres
dc.contributor.authorCorcelles, Ricard
dc.contributor.authorDiaz del Gobbo, Gabriel
dc.contributor.authorPerez, Sofia
dc.contributor.authorVidal, Josep
dc.contributor.authorLacy, Antonio
dc.date.accessioned2017-08-16T13:18:15Z
dc.date.available2017-08-16T13:18:15Z
dc.date.issued2016
dc.description.abstractBACKGROUND: Advanced age is considered to be a relative contraindication to bariatric surgery because of increased perioperative risk and suboptimal excess weight loss. OBJECTIVES: The aim of this study was to analyze the safety and effectiveness of the sleeve gastrectomy (SG) procedure in a cohort of elderly patients (aged≥60 yr) compared with younger patients (aged<60 yr). SETTING: Hospital clinic, Barcelona, Spain. METHODS: A retrospective analysis of all cases of SG in patients≥60 years old between January 2006 and December 2012 was performed. RESULTS: The study included 206 patients, 103 in each group. The mean age was 63.3±2.8 years, and the body mass index was 45.8±22.8 kg/m2. The overall complication rate within the elderly group was 9.7% versus 15.5% in the younger group (P = .2). After SG, there was no statistical difference in body mass index between the groups until 24 (33.4 versus 31.5 kg/m2, P = .01) and 36 (34.6 versus 32.8 kg/m2, P = .01) months of follow-up, favoring the younger cohort. Mean percent excess weight loss was similar between the groups during all periods of follow-up. The mean percent total weight loss change was statistically higher in the younger group at 3 (15.1% versus 17.1%, P = .03); 6 (25.2% versus 27.5%, P = .04); 12 (32.4% versus 35.2%, P = .03); 24 (26.7% versus 32.4%, P<.01); and 36 months (24.9% versus 29.1%, P<.01). Neither groups revealed a statistical difference in resolution of all co-morbidities, except for obstructive sleep apnea (P = .02) in the younger group. CONCLUSIONS: SG is a safe and feasible procedure in the elderly with results comparable to those in the standard bariatric population.
dc.format.extent6
dc.identifier.citationSurg Obes Relat Dis. 2017 Apr;13(4):575-580
dc.identifier.urihttp://hdl.handle.net/11447/1577
dc.identifier.urihttp://dx.doi.org/10.1016/j.soard.2016.11.030
dc.language.isoen_US
dc.publisherElsevier
dc.subjectCo-morbidities
dc.subjectElderly
dc.subjectSleeve gastrectomy
dc.subjectWeight loss
dc.titleSleeve Gastrectomy in the Elderly: A case-control study with Long Term Follow-up of 3 years
dc.typeArtículo

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Sleeve gastrectomy in the elderly A case-control study with long-term follow-up of 3 years.pdf
Size:
185.17 KB
Format:
Adobe Portable Document Format
Description:
Resumen
Download

Collections

Artículos Medicina y Ciencias de la Salud

Implementado por OpenGeek Services