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Safety and effectiveness of metabolic surgery in older Japanese patients
AIM: According to the current guidelines in Japan, the upper age limit for bariatric and metabolic surgery is 65 y. This study aimed to examine the appropriateness of this upper age limit. METHODS: Using the database maintained by the Japanese Society for Treatment of Obesity, we conducted an analys...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10472352/ https://www.ncbi.nlm.nih.gov/pubmed/37663973 http://dx.doi.org/10.1002/ags3.12680 |
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author | Takemoto, Minoru Hayashi, Aiko Inaba, Yosuke Tanaka, Tomohiro Chun, Tae‐Hwa Hayashi, Hideki Kasama, Kazunori Saiki, Atsuhito Sasaki, Akira Okazumi, Shinichi Matsubara, Hisahiro Tatsuno, Ichiro |
author_facet | Takemoto, Minoru Hayashi, Aiko Inaba, Yosuke Tanaka, Tomohiro Chun, Tae‐Hwa Hayashi, Hideki Kasama, Kazunori Saiki, Atsuhito Sasaki, Akira Okazumi, Shinichi Matsubara, Hisahiro Tatsuno, Ichiro |
author_sort | Takemoto, Minoru |
collection | PubMed |
description | AIM: According to the current guidelines in Japan, the upper age limit for bariatric and metabolic surgery is 65 y. This study aimed to examine the appropriateness of this upper age limit. METHODS: Using the database maintained by the Japanese Society for Treatment of Obesity, we conducted an analysis of patients in two age groups: those aged <65 y and those aged ≥65 y. Our analysis focused on postoperative weight loss, improvement in comorbidities, and frequency of perioperative complications. RESULTS: A total of 2885 patients aged <65 y (mean, 43.9 ± 9.5 y) with a preoperative body mass index of 42.4 ± 8.1 kg/m(2), while 56 aged ≥65 y (mean, 67.3 ± 3.2 y; maximum, 78 y) with a preoperative body mass index of 40.5 ± 6.6 kg/m(2). Patients aged ≥65 y had a higher rate of dyslipidemia and hypertension. The rates of reoperation, surgical complications, and postoperative complications did not differ between the age groups. Both groups achieved significant weight loss postoperatively, and no differences in the improvement of comorbidities were noted. After adjusting the covariate balance via propensity score matching, no age‐related differences in perioperative and postoperative complications were observed. CONCLUSION: Metabolic surgery is safe and effective for older patients with clinically severe obesity. Weight loss was less in patients aged ≥65 y, but the percentage of total weight loss did not differ between the groups. |
format | Online Article Text |
id | pubmed-10472352 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-104723522023-09-02 Safety and effectiveness of metabolic surgery in older Japanese patients Takemoto, Minoru Hayashi, Aiko Inaba, Yosuke Tanaka, Tomohiro Chun, Tae‐Hwa Hayashi, Hideki Kasama, Kazunori Saiki, Atsuhito Sasaki, Akira Okazumi, Shinichi Matsubara, Hisahiro Tatsuno, Ichiro Ann Gastroenterol Surg Original Articles AIM: According to the current guidelines in Japan, the upper age limit for bariatric and metabolic surgery is 65 y. This study aimed to examine the appropriateness of this upper age limit. METHODS: Using the database maintained by the Japanese Society for Treatment of Obesity, we conducted an analysis of patients in two age groups: those aged <65 y and those aged ≥65 y. Our analysis focused on postoperative weight loss, improvement in comorbidities, and frequency of perioperative complications. RESULTS: A total of 2885 patients aged <65 y (mean, 43.9 ± 9.5 y) with a preoperative body mass index of 42.4 ± 8.1 kg/m(2), while 56 aged ≥65 y (mean, 67.3 ± 3.2 y; maximum, 78 y) with a preoperative body mass index of 40.5 ± 6.6 kg/m(2). Patients aged ≥65 y had a higher rate of dyslipidemia and hypertension. The rates of reoperation, surgical complications, and postoperative complications did not differ between the age groups. Both groups achieved significant weight loss postoperatively, and no differences in the improvement of comorbidities were noted. After adjusting the covariate balance via propensity score matching, no age‐related differences in perioperative and postoperative complications were observed. CONCLUSION: Metabolic surgery is safe and effective for older patients with clinically severe obesity. Weight loss was less in patients aged ≥65 y, but the percentage of total weight loss did not differ between the groups. John Wiley and Sons Inc. 2023-05-22 /pmc/articles/PMC10472352/ /pubmed/37663973 http://dx.doi.org/10.1002/ags3.12680 Text en © 2023 The Authors. Annals of Gastroenterological Surgery published by John Wiley & Sons Australia, Ltd on behalf of The Japanese Society of Gastroenterological Surgery. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Original Articles Takemoto, Minoru Hayashi, Aiko Inaba, Yosuke Tanaka, Tomohiro Chun, Tae‐Hwa Hayashi, Hideki Kasama, Kazunori Saiki, Atsuhito Sasaki, Akira Okazumi, Shinichi Matsubara, Hisahiro Tatsuno, Ichiro Safety and effectiveness of metabolic surgery in older Japanese patients |
title | Safety and effectiveness of metabolic surgery in older Japanese patients |
title_full | Safety and effectiveness of metabolic surgery in older Japanese patients |
title_fullStr | Safety and effectiveness of metabolic surgery in older Japanese patients |
title_full_unstemmed | Safety and effectiveness of metabolic surgery in older Japanese patients |
title_short | Safety and effectiveness of metabolic surgery in older Japanese patients |
title_sort | safety and effectiveness of metabolic surgery in older japanese patients |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10472352/ https://www.ncbi.nlm.nih.gov/pubmed/37663973 http://dx.doi.org/10.1002/ags3.12680 |
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