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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
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.
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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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