Mario Musella1, Marco Milone2, Paola Maietta3, Paolo Bianco4, Guido Coretti5, Anna Pisapia6, Dario Gaudioso7, Francesco Milone8. 1. Advanced Biomedical Sciences Department - General Surgery, "Federico II" University, Naples, Italy. Electronic address: mario.musella@unina.it. 2. Advanced Biomedical Sciences Department - General Surgery, "Federico II" University, Naples, Italy. Electronic address: milone.marco@alice.it. 3. Advanced Biomedical Sciences Department - General Surgery, "Federico II" University, Naples, Italy. Electronic address: paola_maietta@hotmail.com. 4. Advanced Biomedical Sciences Department - General Surgery, "Federico II" University, Naples, Italy. Electronic address: biancopaolo@virgilio.it. 5. Advanced Biomedical Sciences Department - General Surgery, "Federico II" University, Naples, Italy. Electronic address: guidocoretti@gmail.com. 6. Advanced Biomedical Sciences Department - General Surgery, "Federico II" University, Naples, Italy. Electronic address: anna.pisapia@tiscali.it. 7. Advanced Biomedical Sciences Department - General Surgery, "Federico II" University, Naples, Italy. Electronic address: mrchi6@hotmail.it. 8. Advanced Biomedical Sciences Department - General Surgery, "Federico II" University, Naples, Italy. Electronic address: francesco.milone@unina.it.
Abstract
INTRODUCTION: The prevalence of obesity is rising progressively, even among elderly patients. Many studies investigated about safety and efficacy of bariatric surgery among aged obese patients. The objective of this review is to assess the benefits relative to risks of weight loss that may be obtained by performing two common bariatric procedures in obese elderly patient. MATERIALS AND METHODS: We retrospectively evaluated 10 morbid obese patients older than 60 years reaching 5 years of follow up who respectively underwent Laparoscopic Sleeve Gastrectomy (LSG) or Laparoscopic Adjustable Gastric Banding (LAGB). Eventual changes in comorbidities, weight loss, EWL% were investigated. RESULTS: Although LSG patients required a longer postoperative hospital stay than LAGB patients (p < 0.001), both procedures have shown to be safe and equally effective for weight loss achievement in elderly patients. Whereas all patients showed comorbidities resolution, no significant difference in weight loss between LAGB group and LSG group was found at 1 year (EWL% p = 0.87; BMI p = 0.32), 3 years (EWL% p = 0.62; BMI p = 0.79) and 5 years (EWL% p = 0.52; BMI p = 0.46) of follow up. CONCLUSIONS: Bariatric surgery is safe and effective to reach obesity related comorbidities resolution among elderly obese patients. Both LAGB and LSG determine a weight loss lesser than observed in a standard bariatric population. In this study LSG is significantly less cost effective than LAGB. Larger studies with longer follow up are however needed to evaluate the real impact of bariatric surgery on weight loss, resolution of comorbidities and improvement of quality of life in elderly obese patients.
INTRODUCTION: The prevalence of obesity is rising progressively, even among elderly patients. Many studies investigated about safety and efficacy of bariatric surgery among aged obesepatients. The objective of this review is to assess the benefits relative to risks of weight loss that may be obtained by performing two common bariatric procedures in obese elderly patient. MATERIALS AND METHODS: We retrospectively evaluated 10 morbid obesepatients older than 60 years reaching 5 years of follow up who respectively underwent Laparoscopic Sleeve Gastrectomy (LSG) or Laparoscopic Adjustable Gastric Banding (LAGB). Eventual changes in comorbidities, weight loss, EWL% were investigated. RESULTS: Although LSG patients required a longer postoperative hospital stay than LAGB patients (p < 0.001), both procedures have shown to be safe and equally effective for weight loss achievement in elderly patients. Whereas all patients showed comorbidities resolution, no significant difference in weight loss between LAGB group and LSG group was found at 1 year (EWL% p = 0.87; BMI p = 0.32), 3 years (EWL% p = 0.62; BMI p = 0.79) and 5 years (EWL% p = 0.52; BMI p = 0.46) of follow up. CONCLUSIONS: Bariatric surgery is safe and effective to reach obesity related comorbidities resolution among elderly obesepatients. Both LAGB and LSG determine a weight loss lesser than observed in a standard bariatric population. In this study LSG is significantly less cost effective than LAGB. Larger studies with longer follow up are however needed to evaluate the real impact of bariatric surgery on weight loss, resolution of comorbidities and improvement of quality of life in elderly obesepatients.
Authors: Rena C Moon; Flavio Kreimer; Andre F Teixeira; Josemberg M Campos; Alvaro Ferraz; Muhammad A Jawad Journal: Obes Surg Date: 2016-04 Impact factor: 4.129
Authors: N Velotti; M Manigrasso; K Di Lauro; A Vitiello; G Berardi; D Manzolillo; P Anoldo; A Bocchetti; F Milone; M Milone; G D De Palma; M Musella Journal: J Obes Date: 2019-01-03
Authors: Roclides Castro de Lima; Thállisso Martins da Silva Rodrigues; Christian Lamar Scheibe; Giuliano Peixoto Campelo; Luís Eduardo Veras Pinto; Gustavo José Cavalcante Valadão; Gustavo Pereira Câmara de Carvalho; Marcos Roberto Dias Machado Junior; José Aparecido Valadão; Patrícia Cavalcante Ribeiro de Lima; Plinio da Cunha Leal; Caio Marcio Barros de Oliveira; Ed Carlos Rey Moura Journal: Acta Cir Bras Date: 2021-02-22 Impact factor: 1.388