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Bariatric surgery in elderly patients: a systematic review

Controversy exists regarding the effectiveness and safety of bariatric/metabolic surgery in elderly patients. We performed a systematic review on this issue in patients aged 60 years or older. MEDLINE, Cochrane Library, Embase, Scopus, and Google Scholar were searched until August 2015 for studies o...

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Autores principales: Giordano, Salvatore, Victorzon, Mikael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4610711/
https://www.ncbi.nlm.nih.gov/pubmed/26508845
http://dx.doi.org/10.2147/CIA.S70313
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author Giordano, Salvatore
Victorzon, Mikael
author_facet Giordano, Salvatore
Victorzon, Mikael
author_sort Giordano, Salvatore
collection PubMed
description Controversy exists regarding the effectiveness and safety of bariatric/metabolic surgery in elderly patients. We performed a systematic review on this issue in patients aged 60 years or older. MEDLINE, Cochrane Library, Embase, Scopus, and Google Scholar were searched until August 2015 for studies on outcomes of bariatric surgery in elderly patients. The results were expressed as pooled proportions (%) with 95% confidence intervals. Heterogeneity across the studies was evaluated by the I(2) test, and a random-effects model was used. Twenty-six articles encompassing 8,149 patients were pertinent with this issue and included data on bariatric surgery outcomes in elderly population. Fourteen patients died during the 30-day postoperative period, with a pooled mortality of 0.01%. Pooled overall complication rate was 14.7%. At 1-year follow-up, pooled mean excess weight loss was 53.77%, pooled diabetes resolution was 54.5%, and pooled hypertension resolution was 42.5%, while pooled lipid disorder resolution was 41.2%. Outcomes and complication rates of bariatric surgery in patients older than 60 years are comparable to those in a younger population, independent of the type of procedure performed. Patients should not be denied bariatric surgery because of their age alone.
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spelling pubmed-46107112015-10-27 Bariatric surgery in elderly patients: a systematic review Giordano, Salvatore Victorzon, Mikael Clin Interv Aging Review Controversy exists regarding the effectiveness and safety of bariatric/metabolic surgery in elderly patients. We performed a systematic review on this issue in patients aged 60 years or older. MEDLINE, Cochrane Library, Embase, Scopus, and Google Scholar were searched until August 2015 for studies on outcomes of bariatric surgery in elderly patients. The results were expressed as pooled proportions (%) with 95% confidence intervals. Heterogeneity across the studies was evaluated by the I(2) test, and a random-effects model was used. Twenty-six articles encompassing 8,149 patients were pertinent with this issue and included data on bariatric surgery outcomes in elderly population. Fourteen patients died during the 30-day postoperative period, with a pooled mortality of 0.01%. Pooled overall complication rate was 14.7%. At 1-year follow-up, pooled mean excess weight loss was 53.77%, pooled diabetes resolution was 54.5%, and pooled hypertension resolution was 42.5%, while pooled lipid disorder resolution was 41.2%. Outcomes and complication rates of bariatric surgery in patients older than 60 years are comparable to those in a younger population, independent of the type of procedure performed. Patients should not be denied bariatric surgery because of their age alone. Dove Medical Press 2015-10-13 /pmc/articles/PMC4610711/ /pubmed/26508845 http://dx.doi.org/10.2147/CIA.S70313 Text en © 2015 Giordano and Victorzon. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Review
Giordano, Salvatore
Victorzon, Mikael
Bariatric surgery in elderly patients: a systematic review
title Bariatric surgery in elderly patients: a systematic review
title_full Bariatric surgery in elderly patients: a systematic review
title_fullStr Bariatric surgery in elderly patients: a systematic review
title_full_unstemmed Bariatric surgery in elderly patients: a systematic review
title_short Bariatric surgery in elderly patients: a systematic review
title_sort bariatric surgery in elderly patients: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4610711/
https://www.ncbi.nlm.nih.gov/pubmed/26508845
http://dx.doi.org/10.2147/CIA.S70313
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