Sleeve Gastrectomy in Different Age Groups: a Comparative Study of 5-Year Outcomes

• Published in: Obesity surgery Vol. 26; no. 2; pp. 289 - 295
• Main Authors: Keren, D., Matter, I., Rainis, T.
• Format: Journal Article
• Language: English
• Published: New York Springer US 01.02.2016; Springer Nature B.V
• Subjects: Adolescent; Adult; Age Factors; Aged; Bariatric Surgery; Comparative studies; Female; Follow-Up Studies; Gastrectomy - methods; Gastrointestinal surgery; Humans; Laparoscopy; Male; Medicine; Medicine & Public Health; Middle Aged; Obesity; Obesity - surgery; Original Contributions; Quality of Life; Retrospective Studies; Surgery; Surgical outcomes; Surgical techniques; Weight Loss; Young Adult; Long term results; Elderly; Bariatric surgery; Sleeve gastrectomy
• ISSN: 0960-8923; 1708-0428
• DOI: 10.1007/s11695-015-1735-2

Background Laparoscopic sleeve gastrectomy (LSG) has been used more frequently over the past 10 years. As the population ages, a larger number of older people will suffer from weight-related comorbidities, resulting in bariatric surgery becoming a dominant solution for improving health and quality of life. We assessed the long-term outcomes of LSG in elderly patients. Methods We conducted a retrospective chart review of patients who underwent LSG between January 2007 and August 2009. We subdivided 123 patients into <35 ( n  = 43), 35–55 ( n  = 59), and >55 ( n  = 21) age groups. Results The respective mean excess body mass index loss and excess weight loss were 42.5 % ± 3.1 % and 41.3 % ± 12.3 % for the <35 age group, 48.7 % ± 4.1 % and 45.6 % ± 10.6 % for the 35–55 age group, and 53.6 % ± 4.6 % and 52.1 % ± 11.1 % for the >55 age group. The follow-up compliance rates at the 5-year visit were 23.85, 31.11, and 47.61 % for the <35, 35–55, and >55 age groups, respectively. The corresponding Bariatric Analysis and Reporting Outcome System scores were 3.7 ± 1.1, 4.0 ± 0.7, and 5.3 ± 1.3. The comorbidities of all the patients improved significantly, with a non-significant distribution between the three groups for each comorbidity. Conclusions LSG is a useful tool for people who want to modify their eating habits and lose weight healthily. This study suggests that long-term weight loss, improvements in comorbidity, and compliance to follow-up are significant for patients >55 years old.