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Bariatric surgery in the elderly: A narrative review
Everton Cazzo1, Martinho Antonio Gestic2, Murillo Pimentel Utrini2
1Department of Surgery, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brazil.
Revista Da Associacao Medica Brasileira (1992)
|December 15, 2017
Summary
Bariatric surgery is a safe and effective option for elderly patients with obesity. Careful patient selection and preoperative assessment are crucial for successful outcomes in this growing population.
Area of Science:
- Geriatric Medicine
- Surgical Obesity Treatment
Background:
- Increasing prevalence of obesity in the aging population.
- Bariatric surgery is a standard treatment for morbid obesity, but its use in the elderly is debated.
Purpose of the Study:
- To review current evidence on bariatric surgery outcomes in elderly patients.
Main Methods:
- Comprehensive literature search of Medline and Lilacs databases.
- Analysis of significant studies published over the last 16 years.
Main Results:
- Early studies indicated poorer outcomes in the elderly; however, recent research shows comparable morbidity and mortality to younger patients.
- Improvements attributed to refined patient selection, surgical techniques, and multidisciplinary team involvement (including geriatricians).
Conclusions:
- Bariatric surgery is a safe and effective treatment for elderly individuals with obesity.
- Mandatory careful patient selection and thorough preoperative assessment are essential for optimal results.
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