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Sleeve Gastrectomy in Septuagenarians: a Case-Control Study.
Alberto Goldenberg1, José Francisco de Mattos Farah2, Maurício Rodrigues Lacerda3,4,5
1Discipline of Surgical Gastroenterology, Department of Surgery, Federal University of São Paulo (UNIFESP), 1500 Sena Madureira Street, São Paulo, SP, 04021-001, Brazil.
Obesity Surgery
|July 5, 2022
Summary
Sleeve gastrectomy is safe for patients over 70 years old, showing comparable weight loss to younger individuals. However, older patients experienced lower remission rates for diabetes and hypertension.
Area of Science:
- Bariatric surgery outcomes
- Geriatric surgery evaluation
- Metabolic and bariatric procedures
Background:
- Limited research exists on bariatric surgery for individuals over 70.
- Sleeve gastrectomy (SG) is a common bariatric procedure.
- Evaluating SG in older adults is crucial for expanding treatment options.
Purpose of the Study:
- To assess the benefits of sleeve gastrectomy (SG) in patients aged 70 and above.
- To compare SG outcomes in septuagenarians versus a younger control group.
- To evaluate safety, weight loss, and comorbidity improvement post-SG.
Main Methods:
- Retrospective study of SG patients (June 2017-September 2020).
- Septuagenarian group (SpG, >70 years) compared to a control group (CG, <60 years).
- Primary endpoints: 30-day morbidity/mortality, % total weight loss (%TWL), and comorbidity improvement at 1 year.
Main Results:
- Fifty patients included; groups matched for gender, weight, BMI, and diabetes (DM).
- Similar 30-day morbidity and mortality between SpG and CG.
- %TWL was comparable: 26.9% in SpG vs. 28% in CG.
- Lower DM (50% vs. 85%) and SAH (30% vs. 64%) remission rates in SpG.
Conclusions:
- Sleeve gastrectomy is a safe procedure for patients over 70 years.
- Early results indicate similar weight loss benefits compared to younger patients.
- Septuagenarians showed reduced remission rates for diabetes and systemic arterial hypertension.
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