Laparoscopic Weight Loss Surgery in the Elderly: An ACS NSQIP Study on the Effect of Age on Outcomes.

Authors:
Javier Otero
Javier Otero
12 de Octubre University Hospital
Tanu Prasad
Tanu Prasad
Carolinas Hernia Center
Charlotte | United States
Amy E Lincourt
Amy E Lincourt
Carolinas Medical Center
Charlotte | United States
Keith S Gersin
Keith S Gersin
Carolinas Medical Center
Charlotte | United States
Paul D Colavita
Paul D Colavita
Carolinas Medical Center
United States

Am Surg 2019 Mar;85(3):273-279

In an era of rising obesity and an aging population, there are conflicting data regarding outcomes of laparoscopic weight loss surgery in older Americans. The aim of this study was to characterize the short-term outcomes of laparoscopic weight loss surgery in the elderly. The ACS NSQIP database was queried for obese patients aged ≥40 years undergoing laparoscopic Roux-en-Y gastric bypass or sleeve gastrectomy. Patients were subdivided into age groups: 40 to 49, 50 to 59, 60 to 64, 65 to 69, and ≥70 years, and compared with univariate and multivariate analyses. Fifty-three thousand five hundred thirty-three patients were identified. Roux-en-Y gastric bypass was performed in 57.5 per cent of cases and was more common than sleeve gastrectomy in all age groups ( < 0.05). Comorbidities increased significantly with increasing age. There was an increase in minor (4.6% 9.1%; < 0.0001) and major complications (2.2% 6.3%; < 0.0001), and 30-day mortality (0.1% 0.5%; = 0.0001) between the 40 to 49 and ≥70 years age groups. Increased age was independently associated with major complications. Mortality also increased with age. Older patients undergoing laparoscopic weight loss surgery have increased morbidity and mortality. When controlling for comorbidities, increases in age continued to impact major and minor complications and mortality.

Download full-text PDF

Source
March 2019
1 Read

Publication Analysis

Top Keywords

loss surgery
16
laparoscopic weight
16
weight loss
16
age groups
12
≥70 years
8
age
8
gastric bypass
8
sleeve gastrectomy
8
complications mortality
8
roux-en-y gastric
8
acs nsqip
8
outcomes laparoscopic
8
surgery elderly
8
elderly acs
8
increased age
8
major complications
8
undergoing laparoscopic
8
laparoscopic
5
patients undergoing
4
005 comorbidities
4

Similar Publications