Roux-en-Y Gastric Bypass in Patients >60 Years of Age: Morbidity and Short-Term Outcomes
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Roux-en-Y Gastric Bypass in Patients >60 Years of Age: Morbidity and Short-Term Outcomes Guillermo Ponce de León-Ballesteros 1 & Hugo A. Sánchez-Aguilar 1 & David Velázquez-Fernández 2 & Tania Nava-Ponce 1 & Miguel F. Herrera 1,2 Received: 2 June 2020 / Revised: 1 September 2020 / Accepted: 3 September 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Background Obesity is a common disease in the elderly population, and bariatric surgery is the most effective intervention to achieve significant and sustainable weight loss. Many bariatric programs have established an arbitrary cutoff at the age of 60 to 65 years. The aim of this study was to evaluate the safety and short-term outcomes of Roux-en-Y gastric bypass (RYGB) in patients older than 60 years. Patients and Methods We conducted a retrospective cohort study of patients who underwent RYGB from 2004 to 2019 in a single center. Logistic and linear multivariate regressions were made to compare complications and short-term outcomes between patients aged > 60 years and < 60 years. The statistical significance was set at p ≤ 0.05. Results From 849 patients who underwent a primary RYGB, 57 were > 60 years of age. Overall, early and late complications were similar in both groups, except for unexpected intensive care unit (ICU) admission which was more frequent in the > 60 years group. Excess body weight loss (%EWL) and percentage total weight loss (%TWL) at 1 year in patients > 60 years old were 76.6 ± 21.8% and 30.73 ± 6.8%, respectively. Figures for the same parameters in the control group were 81.7 ± 19.9% (p = 0.09) and 34.3 ± 7.2 (p = 0.001), respectively. Conclusions In our experience, an age > 60 is not related to higher rates of overall early and late complications after RYGB. Comorbidity remission rates are similar to those in younger patients. Elderly patients had lower total weight loss at 1 year, but the %EWL was similar in both groups. Keywords Elderly . Roux-Y gastric bypass . RYGB . Bariatric surgery . Short-term outcomes
Introduction Obesity is one of the leading causes of morbidity and mortality in the world. The prevalence of obesity in Mexico is high, affecting more than 30% of the adult population [1]. It has also been described that the Hispanic population has a higher risk for cardiovascular diseases, hypertension (HTN), and type 2 diabetes (T2D) [2]. Despite this, life expectancy has increased in Mexico, being 80.5 years for
* Miguel F. Herrera [email protected] 1
Clinic for Nutrition and Obesity, ABC Medical Center, 116, Sur 136, Las Américas, Álvaro Obregón, 01120 Mexico City, Mexico
2
Department of Surgery, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
women and 77.9 years for men who have any type of health insurance and 77.65 and 73.73 years for women and men without health insurance, respectively [3]. The incidence of obesity has increased in the elderly Mexican population in the last years. The role of bariatric surgery in the
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