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Surg Endosc. 2016 Jan;30(1):38-43. doi: 10.1007/s00464-015-4157-2. Epub 2015 Mar 27.

Laparoscopic mini-gastric bypass in patients age 60 and older.

Author information

1
Heart of Florida Regional Medical Center, 40124 Highway 27, Suite 203, Davenport, FL, 33837, USA. drperaglie@gmail.com.

Abstract

BACKGROUND:

Bariatric surgery in patients over age 60 was previously not considered, due to higher risk. The author presents a study of patients ≥60 years who underwent laparoscopic mini-gastric bypass (LMGB), to evaluate outcomes with follow-up to 6 years.

METHODS:

From 2007-2013, a prospectively maintained database was reviewed and patients ≥60 years were identified. Demographics evaluated included age, sex, weight, BMI, comorbidities, operative time, complications, length of stay (LOS) and %EWL up to 72 months.

RESULTS:

From 2007-2013, a total of 758 LMGBs were performed by one surgeon (CP). Eighty-eight (12%) were ≥60 years old, with 62% female. Mean age of this cohort at operation was 64 (60-74), and mean weight and BMI were 118 kg (78-171) and 43 kg/m(2) (33-61), respectively. Comorbidities were present in all patients, and one-third had previous abdominal operations. All patients underwent LMGB, without conversion to open. Mean operative time was 70 min (43-173). Only one patient required overnight ICU admission. Average LOS was 1.2 days (1-3). Overall complication rate was 4.5% (all minor); there were no major complications. Readmission rate was 1.2% (one patient). There was no surgical-related mortality. Follow-up to 90 days was 89%, but steadily declined to 42% at 6 years (72 months). The %EWL was 72% at 72 months.

CONCLUSION:

LMGB can be safely performed with good weight loss in patients ≥60 years old, despite numerous comorbidities and previous abdominal operations.

KEYWORDS:

Bariatric surgery; Laparoscopic; Medicare; Mini-gastric bypass

PMID:
25814071
DOI:
10.1007/s00464-015-4157-2
[Indexed for MEDLINE]

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