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Sleeve Gastrectomy in Different Age Groups: a Comparative Study of 5-Year Outcomes

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Abstract

Background

Laparoscopic sleeve gastrectomy (LSG) has been used more frequently over the past 10 years. As the population ages, a larger number of older people will suffer from weight-related comorbidities, resulting in bariatric surgery becoming a dominant solution for improving health and quality of life. We assessed the long-term outcomes of LSG in elderly patients.

Methods

We conducted a retrospective chart review of patients who underwent LSG between January 2007 and August 2009. We subdivided 123 patients into <35 (n = 43), 35–55 (n = 59), and >55 (n = 21) age groups.

Results

The respective mean excess body mass index loss and excess weight loss were 42.5 % ± 3.1 % and 41.3 % ± 12.3 % for the <35 age group, 48.7 % ± 4.1 % and 45.6 % ± 10.6 % for the 35–55 age group, and 53.6 % ± 4.6 % and 52.1 % ± 11.1 % for the >55 age group. The follow-up compliance rates at the 5-year visit were 23.85, 31.11, and 47.61 % for the <35, 35–55, and >55 age groups, respectively. The corresponding Bariatric Analysis and Reporting Outcome System scores were 3.7 ± 1.1, 4.0 ± 0.7, and 5.3 ± 1.3. The comorbidities of all the patients improved significantly, with a non-significant distribution between the three groups for each comorbidity.

Conclusions

LSG is a useful tool for people who want to modify their eating habits and lose weight healthily. This study suggests that long-term weight loss, improvements in comorbidity, and compliance to follow-up are significant for patients >55 years old.

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Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study, formal consent is not required.

Conflict of Interest

The authors have no commercial associations that might be a conflict of interest in relation to this article.

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Authors and Affiliations

  1. Departments of Gastroenterology, Bnai-Zion Medical Center, affiliated with Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel

    D. Keren & T. Rainis

  2. General Surgery, Bnai-Zion Medical Center, affiliated with Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel

    I. Matter

  3. Bariatric Gastroenterology Clinic: Gastroenterology Unit, Bnai-Zion Medical Center, 47 Golomb Ave, POB 4840, Haifa, 31048, Israel

    D. Keren

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  1. D. Keren
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Correspondence to D. Keren.

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Keren, D., Matter, I. & Rainis, T. Sleeve Gastrectomy in Different Age Groups: a Comparative Study of 5-Year Outcomes. OBES SURG 26, 289–295 (2016). https://doi.org/10.1007/s11695-015-1735-2

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