Bariatric surgery in elderly patients: a systematic review

Salvatore Giordano,1 Mikael Victorzon2,3 1Department of Plastic and General Surgery, Turku University Hospital, Turku, 2Department of Gastrointestinal Surgery, Vaasa Central Hospital, Vaasa, 3University of Turku, Turku, Finland Abstract: Controversy exists regarding the effectiveness and...

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Autores principales:	Giordano S, Victorzon M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Morbid obesity bariatric surgery elderly gastric bypass weight loss laparoscopy. Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/21a8260b11d6459f912f07f172646fa7
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spelling	oai:doaj.org-article:21a8260b11d6459f912f07f172646fa72021-12-02T04:18:43ZBariatric surgery in elderly patients: a systematic review1178-1998https://doaj.org/article/21a8260b11d6459f912f07f172646fa72015-10-01T00:00:00Zhttps://www.dovepress.com/bariatric-surgery-in-elderly-patients-a-systematic-review-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Salvatore Giordano,1 Mikael Victorzon2,3 1Department of Plastic and General Surgery, Turku University Hospital, Turku, 2Department of Gastrointestinal Surgery, Vaasa Central Hospital, Vaasa, 3University of Turku, Turku, Finland Abstract: Controversy exists regarding the effectiveness and safety of bariatric/metabolic surgery in elderly patients. We performed a systematic review on this issue in patients aged 60 years or older. MEDLINE, Cochrane Library, Embase, Scopus, and Google Scholar were searched until August 2015 for studies on outcomes of bariatric surgery in elderly patients. The results were expressed as pooled proportions (%) with 95% confidence intervals. Heterogeneity across the studies was evaluated by the I2 test, and a random-effects model was used. Twenty-six articles encompassing 8,149 patients were pertinent with this issue and included data on bariatric surgery outcomes in elderly population. Fourteen patients died during the 30-day postoperative period, with a pooled mortality of 0.01%. Pooled overall complication rate was 14.7%. At 1-year follow-up, pooled mean excess weight loss was 53.77%, pooled diabetes resolution was 54.5%, and pooled hypertension resolution was 42.5%, while pooled lipid disorder resolution was 41.2%. Outcomes and complication rates of bariatric surgery in patients older than 60 years are comparable to those in a younger population, independent of the type of procedure performed. Patients should not be denied bariatric surgery because of their age alone. Keywords: morbid obesity, bariatric surgery, elderly, gastric bypass, weight loss, laparoscopyGiordano SVictorzon MDove Medical PressarticleMorbid obesitybariatric surgeryelderlygastric bypassweight losslaparoscopy.GeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 10, Pp 1627-1635 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Morbid obesity bariatric surgery elderly gastric bypass weight loss laparoscopy. Geriatrics RC952-954.6
spellingShingle	Morbid obesity bariatric surgery elderly gastric bypass weight loss laparoscopy. Geriatrics RC952-954.6 Giordano S Victorzon M Bariatric surgery in elderly patients: a systematic review
description	Salvatore Giordano,1 Mikael Victorzon2,3 1Department of Plastic and General Surgery, Turku University Hospital, Turku, 2Department of Gastrointestinal Surgery, Vaasa Central Hospital, Vaasa, 3University of Turku, Turku, Finland Abstract: Controversy exists regarding the effectiveness and safety of bariatric/metabolic surgery in elderly patients. We performed a systematic review on this issue in patients aged 60 years or older. MEDLINE, Cochrane Library, Embase, Scopus, and Google Scholar were searched until August 2015 for studies on outcomes of bariatric surgery in elderly patients. The results were expressed as pooled proportions (%) with 95% confidence intervals. Heterogeneity across the studies was evaluated by the I2 test, and a random-effects model was used. Twenty-six articles encompassing 8,149 patients were pertinent with this issue and included data on bariatric surgery outcomes in elderly population. Fourteen patients died during the 30-day postoperative period, with a pooled mortality of 0.01%. Pooled overall complication rate was 14.7%. At 1-year follow-up, pooled mean excess weight loss was 53.77%, pooled diabetes resolution was 54.5%, and pooled hypertension resolution was 42.5%, while pooled lipid disorder resolution was 41.2%. Outcomes and complication rates of bariatric surgery in patients older than 60 years are comparable to those in a younger population, independent of the type of procedure performed. Patients should not be denied bariatric surgery because of their age alone. Keywords: morbid obesity, bariatric surgery, elderly, gastric bypass, weight loss, laparoscopy
format	article
author	Giordano S Victorzon M
author_facet	Giordano S Victorzon M
author_sort	Giordano S
title	Bariatric surgery in elderly patients: a systematic review
title_short	Bariatric surgery in elderly patients: a systematic review
title_full	Bariatric surgery in elderly patients: a systematic review
title_fullStr	Bariatric surgery in elderly patients: a systematic review
title_full_unstemmed	Bariatric surgery in elderly patients: a systematic review
title_sort	bariatric surgery in elderly patients: a systematic review
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/21a8260b11d6459f912f07f172646fa7
work_keys_str_mv	AT giordanos bariatricsurgeryinelderlypatientsasystematicreview AT victorzonm bariatricsurgeryinelderlypatientsasystematicreview
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Bariatric surgery in elderly patients: a systematic review

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