Outcomes of bariatric surgery in patients > or =65 years

Surg Obes Relat Dis. May-Jun 2006;2(3):384-8. doi: 10.1016/j.soard.2006.02.012.

Abstract

Background: Although the Medicare Coverage Advisory Committee found that significant evidence supports the safety and effectiveness of bariatric surgery, few data are available on the outcomes of bariatric procedures in patients > or =65 years. The aim of this study was to report on contemporary outcomes of Roux-en-Y gastric bypass (RYGB) in patients > or =65 years.

Methods: We reviewed prospectively collected data from all patients > or =65 years who underwent RYGB at two Florida university-based programs from 1999 to 2005. Similarly, the Florida Discharge Database was queried for patients> or =65 years who had undergone RYGB from 1999 to 2005. The data are presented as the mean +/- SEM.

Results: A total of 25 patients > or =65 years had undergone RYGB at our institutions (age 68 +/- 1 years, body mass index 50 +/- 3 kg/m(2)). The overall complication rate was 20%, and the length of stay was 7 +/- 3 days. One patient (4%) died 5 weeks postoperatively of septic complications. For the 13 patients with a median follow-up of 21 months (range 9-61), the percentage of excess body weight loss was 51% +/- 7%; medication use for co-morbidities decreased from 9 +/- 1 to 4 +/- 1 medications/day (P <.01). The Florida Discharge Database reported 231 patients > or =65 years who had undergone RYGB. In that group of patients, the mean age was 67 +/- 0.2 years, the length of stay was 6 +/- 1 days, in-hospital mortality rate was 1.3%, and the overall complication rate was 15%.

Conclusion: In a small cohort of patients > or =65 years, RYGB resulted in significant weight loss and resolution of obesity-related co-morbidities. The findings from the mandatory reported Florida Discharge Database strongly confirmed the safety of RYGB in patients > or =65 years.

Publication types

  • Multicenter Study

MeSH terms

  • Aged
  • Comorbidity
  • Databases as Topic
  • Diabetes Mellitus / epidemiology
  • Female
  • Florida / epidemiology
  • Follow-Up Studies
  • Gastric Bypass*
  • Gastroesophageal Reflux / epidemiology
  • Hospital Mortality
  • Humans
  • Hypertension / epidemiology
  • Joint Diseases / epidemiology
  • Length of Stay / statistics & numerical data
  • Male
  • Obesity / epidemiology
  • Obesity / surgery*
  • Prospective Studies
  • Sleep Apnea, Obstructive / epidemiology
  • Treatment Outcome