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01-07-2018 | Original Contributions

Trends in Early Morbidity and Mortality after Sleeve Gastrectomy in Patients over 60 Years

Retrospective Review and Data Analysis of the German Bariatric Surgery Registry

Authors: Adib Abu Hajer, Stefanie Wolff, Frank Benedix, Martin Hukauf, Th. Manger, Christine Stroh, Obesity Surgery Working Group, Competence Network Obesity

Published in: Obesity Surgery | Issue 7/2018

Abstract

Background

The population are getting older and obesity is growing. Laparoscopic sleeve gastrectomy (LSG) is increasingly used worldwide but is still used with skepticism in the elderly. The purpose of our analysis is to judge the security of LSG in patients older than 60 years compared to patients younger than 60 years.

Methods

This retrospective review included data of all patients in Germany who underwent LSG between January 2005 and December 2016.The data were published online in the German Bariatric Surgery Registry. A total of 21,571 operations were gathered and divided into two groups: group I, patients < 60 years old; and group II, patients ≥ 60 years old.

Results

The total number of patients and the mean body mass index of group I and group II was 19,786, 51.7 ± 9.5 kg/m² and 1771, 49.2 ± 8.1 kg/m², respectively. Regarding comorbidities, group II suffered statistically significantly more comorbidities than group I (p < 0.001). The general postoperative complications were 4.9% in group I and 7.8% in group II (p < 0.001). There was no significant difference in special postoperative complications (p = 0.048) and a slightly higher intraoperative complication rate in group II (2.2% vs. 1.6%, p = 0.048). Thirty-day mortality rate for group I versus II was 0.22% and 0.23% (p = 0.977), respectively.

Conclusions

LSG is a low-risk operation and safe surgical method with acceptable, not elevated perioperative morbidity and mortality rates in patients ≥ 60 years of age.

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Title: Trends in Early Morbidity and Mortality after Sleeve Gastrectomy in Patients over 60 Years
Retrospective Review and Data Analysis of the German Bariatric Surgery Registry
Authors: Adib Abu Hajer
Stefanie Wolff
Frank Benedix
Martin Hukauf
Th. Manger
Christine Stroh
Obesity Surgery Working Group
Competence Network Obesity
Publication date: 01-07-2018
Publisher: Springer US
Published in: Obesity Surgery / Issue 7/2018
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-018-3110-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Trends in Early Morbidity and Mortality after Sleeve Gastrectomy in Patients over 60 Years

Retrospective Review and Data Analysis of the German Bariatric Surgery Registry

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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