Yıl: 2019 Cilt: 26 Sayı: 3 Sayfa Aralığı: 485 - 488 Metin Dili: İngilizce DOI: 10.5455/annalsmedres.2018.11.240 İndeks Tarihi: 24-12-2019

Benefits and reliability of laparoscopic sleeve gastrectomy in patients aged 60 years and older

Öz:
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.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Solomon CG, Manson JE. Obesity and mortality: a review of the epidemiologic data. Am J Clin Nutr. 1997;66:1044-50.
  • 2. Cetin DC, Nasr G, Obesity in the elderly: more complicated than you think, Clevel. Clin. J. Med 2014;81:51-61.
  • 3. Rocco N, Amato B, Developing guidelines in geriatric surgery: role of the grade system, BMC Geriatr 2009;9:A99.
  • 4. Colquitt JL, Pickett K, Loveman E, et al. Surgery for weight loss in adults. Cochrane Database Syst Rev 2014;8:CD003641.
  • 5. Brethauer SA, Hammell JP, Schauer PR. Systematic review of sleeve gastrectomy as staging and primary bariatric procedure. Surg Obes Relat Dis 2009;5:469-75.
  • 6. NIH conference. Gastrointestinal surgery for severe obesity. Consensus development conference panel, Ann. Intern Med 1991;115:956-61.
  • 7. Fried M, Hainer V, Basdevant A, et al. Interdisciplinary European guidelines for surgery for severe (morbid) obesity. Obes Surg 2007;17:260-70.
  • 8. Han TS, Tajar A, Lean ME. Obesity and weight management in the elderly. Br Med Bull. 2011;97:169-96.
  • 9. Gastrointestinal surgery for severe obesity. Consens Statement 1991 Mar 25-27;9:1-20.
  • 10. Varela JE, Wilson SE, Nguyen NT. Outcomes of bariatric surgery in the elderly. Am. Surg 2006;72:865-9.
  • 11. Turrentine FE, Wang H, Simpson VB, et al. Surgical risk factors, morbidity and mortality in elderly patients. J Am Coll Surg 2006;203:865-77.
  • 12. Goodpaster BH, Krishnaswami S, Harris TB, et al. Obesity, regional body fat distribution, and the metabolic syndrome in older men and women. Arch Intern Med 2005;165:777-83.
  • 13. Flum DR, Salem L, Elrod JA, et al. Early mortality among Medicare beneficiaries undergoing bariatric surgical procedures. JAMA. 2005;294:1903-8.
  • 14. Sugerman HJ, DeMaria EJ, Kellum JM, et al. Effects of bariatric surgery in older patients. Annals of Surgery 2004;240:243-7.
  • 15. Burchett MA, McKenna DT, Selzer DJ, et al. Laparoscopic Sleeve Gastrectomy is Safe and Effective in Elderly Patients: A Comparative Analysis. Obes Surg 2015;25:222-8.
  • 16. Quebbemann B, Engstrom D, Siegfried T, et al. Bariatric surgery in patients older than 65 years is safe and effective. Surg Obes Relat Dis 2005;1:389-93.
  • 17. Willkomm CM, Fisher TL, Barnes GS, et al. Surgical weight loss >65 years old: is it worth the risk? Surg Obes Relat Dis 2010;6:491-6.
APA Erol V, ARSLAN B, Tuncali B, PEKCAN Y, ALTIN C, YILMAZ T, GÜLAY H (2019). Benefits and reliability of laparoscopic sleeve gastrectomy in patients aged 60 years and older. , 485 - 488. 10.5455/annalsmedres.2018.11.240
Chicago Erol Varlık,ARSLAN Baha,Tuncali Bahattin,PEKCAN Yonca ÖZVARDAR,ALTIN Cihan,YILMAZ TUĞBA HAN,GÜLAY Hüseyin Benefits and reliability of laparoscopic sleeve gastrectomy in patients aged 60 years and older. (2019): 485 - 488. 10.5455/annalsmedres.2018.11.240
MLA Erol Varlık,ARSLAN Baha,Tuncali Bahattin,PEKCAN Yonca ÖZVARDAR,ALTIN Cihan,YILMAZ TUĞBA HAN,GÜLAY Hüseyin Benefits and reliability of laparoscopic sleeve gastrectomy in patients aged 60 years and older. , 2019, ss.485 - 488. 10.5455/annalsmedres.2018.11.240
AMA Erol V,ARSLAN B,Tuncali B,PEKCAN Y,ALTIN C,YILMAZ T,GÜLAY H Benefits and reliability of laparoscopic sleeve gastrectomy in patients aged 60 years and older. . 2019; 485 - 488. 10.5455/annalsmedres.2018.11.240
Vancouver Erol V,ARSLAN B,Tuncali B,PEKCAN Y,ALTIN C,YILMAZ T,GÜLAY H Benefits and reliability of laparoscopic sleeve gastrectomy in patients aged 60 years and older. . 2019; 485 - 488. 10.5455/annalsmedres.2018.11.240
IEEE Erol V,ARSLAN B,Tuncali B,PEKCAN Y,ALTIN C,YILMAZ T,GÜLAY H "Benefits and reliability of laparoscopic sleeve gastrectomy in patients aged 60 years and older." , ss.485 - 488, 2019. 10.5455/annalsmedres.2018.11.240
ISNAD Erol, Varlık vd. "Benefits and reliability of laparoscopic sleeve gastrectomy in patients aged 60 years and older". (2019), 485-488. https://doi.org/10.5455/annalsmedres.2018.11.240
APA Erol V, ARSLAN B, Tuncali B, PEKCAN Y, ALTIN C, YILMAZ T, GÜLAY H (2019). Benefits and reliability of laparoscopic sleeve gastrectomy in patients aged 60 years and older. Annals of Medical Research, 26(3), 485 - 488. 10.5455/annalsmedres.2018.11.240
Chicago Erol Varlık,ARSLAN Baha,Tuncali Bahattin,PEKCAN Yonca ÖZVARDAR,ALTIN Cihan,YILMAZ TUĞBA HAN,GÜLAY Hüseyin Benefits and reliability of laparoscopic sleeve gastrectomy in patients aged 60 years and older. Annals of Medical Research 26, no.3 (2019): 485 - 488. 10.5455/annalsmedres.2018.11.240
MLA Erol Varlık,ARSLAN Baha,Tuncali Bahattin,PEKCAN Yonca ÖZVARDAR,ALTIN Cihan,YILMAZ TUĞBA HAN,GÜLAY Hüseyin Benefits and reliability of laparoscopic sleeve gastrectomy in patients aged 60 years and older. Annals of Medical Research, vol.26, no.3, 2019, ss.485 - 488. 10.5455/annalsmedres.2018.11.240
AMA Erol V,ARSLAN B,Tuncali B,PEKCAN Y,ALTIN C,YILMAZ T,GÜLAY H Benefits and reliability of laparoscopic sleeve gastrectomy in patients aged 60 years and older. Annals of Medical Research. 2019; 26(3): 485 - 488. 10.5455/annalsmedres.2018.11.240
Vancouver Erol V,ARSLAN B,Tuncali B,PEKCAN Y,ALTIN C,YILMAZ T,GÜLAY H Benefits and reliability of laparoscopic sleeve gastrectomy in patients aged 60 years and older. Annals of Medical Research. 2019; 26(3): 485 - 488. 10.5455/annalsmedres.2018.11.240
IEEE Erol V,ARSLAN B,Tuncali B,PEKCAN Y,ALTIN C,YILMAZ T,GÜLAY H "Benefits and reliability of laparoscopic sleeve gastrectomy in patients aged 60 years and older." Annals of Medical Research, 26, ss.485 - 488, 2019. 10.5455/annalsmedres.2018.11.240
ISNAD Erol, Varlık vd. "Benefits and reliability of laparoscopic sleeve gastrectomy in patients aged 60 years and older". Annals of Medical Research 26/3 (2019), 485-488. https://doi.org/10.5455/annalsmedres.2018.11.240