Benefits and reliability of laparoscopic sleeve gastrectomy in patients aged 60 years and older
Varlik Erol1, Baha Arslan2, Bahattin Tuncali3, Yonca Ozvardar Pekcan3, Cihan Altin4, Tugba Han Yilmaz2,Huseyin Gulay2
1Yeni Yuzyil University Gaziosmanpasa Hospital, Department of General Surgery, Istanbul, Turkey
2Baskent University Zubeyde Hanim Practice and Research Center, Department of General Surgery, Izmir, Turkey
3Baskent University Zubeyde Hanim Practice and Research Center, Department of Anesthesiology, Izmir, Turkey
4Baskent University Zubeyde Hanim Practice and Research Center, Department of Cardiology, Izmir, Turkey
Aim: Obesity is a disease that reduces the quality and duration of life and its prevalence is also increasing in the elderly population.In this study, we aimed to investigate the results of early and midterm weight loss and treatment of concomitant diseases and evaluate the safety and efficacy of bariatric surgery in patients aged 60 years and older who underwent Laparoscopic Sleeve Gastrectomy (LSG) in our clinic.
Material and Methods: We retrospectively evaluated 28 morbid obese patients ≥60 years oldwho underwent LSG between September 2014 and January 2018.Data reviewed included age, sex, preoperative weight and body mass index (BMI), comorbid conditions, early or delayed complications, mortality, length of follow-up, weight lost, BMI points lost, and effects on obesity-related comorbid conditions.
Results: Of 28 patients included in the study there were 22 (78.6%) females and 6 (21.4%) males. The average age of patients was 63.4±3.39.Preoperative mean BMI was 48.4±7.0kg/m2.Average follow-up period 20.67 month. Postoperative median BMI was,36.24kg/m2 in the 6th month, 33.47kg/m2 in the 1st year and 31.17kg/m2 in the 2nd year.Present comorbid conditions included 23 (82.1%) hypertension, 16 (57.1%) diabetes mellitus and 3 (10.7%) obstructive sleep apnea. All of patients reported resolution or improvement in comorbid conditions.No mortality was observed in patients.
Conclusion: Outcomes and complication rates of bariatric surgery in patients aged 60 years and older are low and acceptable. The results of our study support bariatric surgery in elderly patients. However, detailed information should be provided about the slightly increased risks and the possibility of less satisfactory outcome.