Omar Thaher1, Stefanie Wolf2, Martin Hukauf3, Christine Stroh4. 1. Department of Surgery, Marien Hospital Herne, University Hospitals of the Ruhr University of Bochum, Herne, Germany. 2. Department of General, Visceral, Vascular and Transplantation Surgery, Otto von Guericke University Magdeburg, Magdeburg, Germany. 3. Statconsult Magdeburg, Magdeburg, Germany. 4. Department of Obesity and Metabolic Surgery, SRH Hospital, Gera, Germany. christine.stroh@srh.de.
Abstract
BACKGROUND: Since 1 January 2005, the practice of bariatric surgery has been examined with the help of the German Bariatric Surgery Registry (GBSR) in Germany. The focus of the study was to evaluate if sleeve gastrectomy (SG) or Roux-en-Y gastric bypass (RYGB) has the best benefit in terms of perioperative risk in patients over 60 years of age. METHODS: Data collection includes patients over the age of 60 years who underwent SG or RYGB between 2005 and 2017. The bougie is limited to 33-40 French for SG. Furthermore, the RYGB is determined to be 120-180 cm alimentary and 40-60 cm biliopancreatic length. Outcome criteria are perioperative morbidity, postoperative complications, 30-day mortality, and postoperative length of stay. RESULTS: The study analyzes data from 3561 patients beyond the age of 60 years who underwent SG (1970 patients) and RYGB (1591 patients). Mean age of the patients was 63.4 ± 3.2 in the RYGB group and 63.8 ± 3.5 in the SG group. Mean BMI was 46.4 ± 6.8 in the RYGB group and 49.1 ± 8.0 in the SG group. The average number of comorbidities was 4.5 ± 2.4 for RYGB and 4.5 ± 2.3 for SG. For the 30-day mortality, identical results were found SG vs. RYGB (0.31 vs. 0.38, p = 1.000). CONCLUSION: Based on the results of this study, it can be concluded that both SG and RYGB in patients ≥ 60 years can be considered safe surgical procedures.
BACKGROUND: Since 1 January 2005, the practice of bariatric surgery has been examined with the help of the German Bariatric Surgery Registry (GBSR) in Germany. The focus of the study was to evaluate if sleeve gastrectomy (SG) or Roux-en-Y gastric bypass (RYGB) has the best benefit in terms of perioperative risk in patients over 60 years of age. METHODS: Data collection includes patients over the age of 60 years who underwent SG or RYGB between 2005 and 2017. The bougie is limited to 33-40 French for SG. Furthermore, the RYGB is determined to be 120-180 cm alimentary and 40-60 cm biliopancreatic length. Outcome criteria are perioperative morbidity, postoperative complications, 30-day mortality, and postoperative length of stay. RESULTS: The study analyzes data from 3561 patients beyond the age of 60 years who underwent SG (1970 patients) and RYGB (1591 patients). Mean age of the patients was 63.4 ± 3.2 in the RYGB group and 63.8 ± 3.5 in the SG group. Mean BMI was 46.4 ± 6.8 in the RYGB group and 49.1 ± 8.0 in the SG group. The average number of comorbidities was 4.5 ± 2.4 for RYGB and 4.5 ± 2.3 for SG. For the 30-day mortality, identical results were found SG vs. RYGB (0.31 vs. 0.38, p = 1.000). CONCLUSION: Based on the results of this study, it can be concluded that both SG and RYGB in patients ≥ 60 years can be considered safe surgical procedures.
Authors: Peter Benotti; G Craig Wood; Deborah A Winegar; Anthony T Petrick; Christopher D Still; George Argyropoulos; Glenn S Gerhard Journal: Ann Surg Date: 2014-01 Impact factor: 12.969
Authors: Tomasz Stefura; Artur Kacprzyk; Jakub Droś; Katarzyna Chłopaś; Michał Wysocki; Anna Rzepa; Magdalena Pisarska; Piotr Małczak; Michał Pędziwiatr; Michał Nowakowski; Andrzej Budzyński; Piotr Major Journal: Wideochir Inne Tech Maloinwazyjne Date: 2019-10-29 Impact factor: 1.195