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Bariatric surgery in the elderly: 2009-2013.
Alana Gebhart1, Monica T Young1, Ninh T Nguyen1
1Department of Surgery, University of California Irvine Medical Center, Orange, California.
Summary
Bariatric surgery in elderly patients (age >60) is increasing, now representing 10% of procedures. Outcomes have significantly improved, with lower in-hospital mortality rates compared to previous years and even younger adults.
Area of Science:
- Geriatric Surgery
- Obesity Management
- Surgical Outcomes Research
Background:
- Bariatric surgery is established for adults, but data for patients over 60 (elderly) is limited.
- Previous studies analyzed 1999-2005 outcomes in elderly bariatric patients.
- This study compares contemporary outcomes to historical data.
Purpose of the Study:
- To analyze current bariatric surgery outcomes in elderly patients.
- To compare these outcomes with historical data from 1999-2005.
- To assess trends in bariatric procedures among the elderly.
Main Methods:
- Utilized the University HealthSystem Consortium (UHC) database.
- Included patients aged >60 (elderly) and 19-60 (nonelderly) undergoing bariatric surgery (2009-2013).
- Compared patient characteristics, length of stay (LOS), morbidity, and mortality ratios.
Main Results:
- Elderly bariatric procedures increased from 2.7% (1999-2005) to 10.1% (2009-2013).
- In-hospital mortality decreased significantly: elderly .70% to .05%, nonelderly .30% to .11%.
- Contemporary elderly mortality (.05%) is lower than historical nonelderly mortality (.30%).
Conclusions:
- Bariatric surgery in the elderly is increasingly common at academic centers (10%).
- In-hospital mortality for elderly bariatric surgery has dramatically improved.
- Current elderly outcomes surpass historical nonelderly outcomes, indicating enhanced safety and effectiveness.
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