Piotr Major1,2, Michał Wysocki1,2, Michał Janik3, Tomasz Stefura4, Maciej Walędziak3, Michał Pędziwiatr1,2, Piotr Kowalewski3, Krzysztof Paśnik3, Andrzej Budzyński1,2. 1. a 2nd Department of General Surgery , Jagiellonian University Medical College , Kraków , Poland. 2. b Centre for Research , Training and Innovation in Surgery (CERTAIN Surgery) , Krakow , Poland. 3. c Department of General, Oncological, Metabolic and Thoracic Surgery , Military Institute of Medicine , Warsaw , Poland. 4. d Students' Scientific Group at 2nd Department of Surgery , JUMC , Krakow , Poland.
Abstract
BACKGROUND: Age is often related to the increase of perioperative complications and reoperation rates. The authors aimed to determine the influence of age on outcomes of most commonly performed bariatric procedures. METHODS: The retrospective study included patients qualified for primary Laparoscopic Sleeve Gastrectomy (LSG) or Laparoscopic Roux-en-Y Gastric Bypass (LRYGB) in two academic hospitals. Patients were divided into two groups: ≥50 (21.2-26.9%) and <50 (57.6-73.1%) years old. Endpoints assessed the influence of patients' age on the perioperative and the one-year postoperative period. RESULTS: Operative time was longer in the ≥50-year-old group, but only for LRYGB. There were no differences in the intraoperative adverse events, postoperative morbidity, reoperation and readmission rates between the groups. The risk of port site hernia was increased (OR: 4.23, CI: 1.49-12.06) in the ≥50-year-old group. The mean % of total weight loss 12 months after the bariatric procedure was comparable, but % of excess weight loss and % of excess body mass index loss were lower in the ≥50-year-old group (p = .033 and .032). CONCLUSIONS: Bariatric surgery is safe and feasible in patients over 50 years old. The weight loss effect can be worse among patients over 50 years old; nevertheless, the treatment should be considered as effective.
BACKGROUND: Age is often related to the increase of perioperative complications and reoperation rates. The authors aimed to determine the influence of age on outcomes of most commonly performed bariatric procedures. METHODS: The retrospective study included patients qualified for primary Laparoscopic Sleeve Gastrectomy (LSG) or Laparoscopic Roux-en-Y Gastric Bypass (LRYGB) in two academic hospitals. Patients were divided into two groups: ≥50 (21.2-26.9%) and <50 (57.6-73.1%) years old. Endpoints assessed the influence of patients' age on the perioperative and the one-year postoperative period. RESULTS: Operative time was longer in the ≥50-year-old group, but only for LRYGB. There were no differences in the intraoperative adverse events, postoperative morbidity, reoperation and readmission rates between the groups. The risk of port site hernia was increased (OR: 4.23, CI: 1.49-12.06) in the ≥50-year-old group. The mean % of total weight loss 12 months after the bariatric procedure was comparable, but % of excess weight loss and % of excess body mass index loss were lower in the ≥50-year-old group (p = .033 and .032). CONCLUSIONS: Bariatric surgery is safe and feasible in patients over 50 years old. The weight loss effect can be worse among patients over 50 years old; nevertheless, the treatment should be considered as effective.
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Authors: Natalia Dowgiałło-Wnukiewicz; Michal R Janik; Pawel Lech; Piotr Major; Michał Pędziwiatr; Piotr K Kowalewski; Maciej Walędziak; Michał Wysocki; Maciej Michalik Journal: Wideochir Inne Tech Maloinwazyjne Date: 2019-01-22 Impact factor: 1.195