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Metabolic surgery in patients over 60 years old : short- and long-term results

Yves Van Nieuwenhove (UGent) , EVELYNE SPRIET (UGent) , THIBAULT SABLON (UGent) , ELKE VAN DAELE (UGent) , Wouter Willaert (UGent) , Wim Ceelen (UGent) and Piet Pattyn (UGent)
(2016) ACTA CHIRURGICA BELGICA. 116(6). p.362-366
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Abstract
Purpose: Laparoscopic Roux-en-Y gastric bypass can treat obesity related comorbidities and can prolong life expectancy. It remains unclear whether this type of surgery is also indicated in obese patients with advanced age. Materials and methods: In this retrospective monocentric study, we investigated the morbidity and outcomes of weight and metabolic control of bariatric surgery in patients older than 60 years and compared these findings with those of younger patients. Results: At 18 months after RY gastric bypass, weight losses of respectively 30 +/- 11% and 34 +/- 9% of total initial body weight were measured in the older and younger patients (p<0.05). After 12 months, HbA1c dropped below 6.5% in 89% of patients younger and in 81% of patients older than 60 (p = 0.11). There was no mortality in either group, but there were significantly more complications and there was a longer hospital stay in the older patients. Conclusion: RY gastric bypass comes with a significantly higher morbidity and hospital stay in older patients, but weight loss and improvement of DM are similar as in the younger patients.
Keywords
Bariatric, diabetes, elderly patients, gastric bypass, metabolic, morbidity, GASTRIC BYPASS-SURGERY, BARIATRIC SURGERY, HEALTH-BENEFITS, OUTCOMES, SAFETY, INDEX, AGE

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MLA
Van Nieuwenhove, Yves, et al. “Metabolic Surgery in Patients over 60 Years Old : Short- and Long-Term Results.” ACTA CHIRURGICA BELGICA, vol. 116, no. 6, 2016, pp. 362–66, doi:10.1080/00015458.2016.1181323.
APA
Van Nieuwenhove, Y., SPRIET, E., SABLON, T., VAN DAELE, E., Willaert, W., Ceelen, W., & Pattyn, P. (2016). Metabolic surgery in patients over 60 years old : short- and long-term results. ACTA CHIRURGICA BELGICA, 116(6), 362–366. https://doi.org/10.1080/00015458.2016.1181323
Chicago author-date
Van Nieuwenhove, Yves, EVELYNE SPRIET, THIBAULT SABLON, ELKE VAN DAELE, Wouter Willaert, Wim Ceelen, and Piet Pattyn. 2016. “Metabolic Surgery in Patients over 60 Years Old : Short- and Long-Term Results.” ACTA CHIRURGICA BELGICA 116 (6): 362–66. https://doi.org/10.1080/00015458.2016.1181323.
Chicago author-date (all authors)
Van Nieuwenhove, Yves, EVELYNE SPRIET, THIBAULT SABLON, ELKE VAN DAELE, Wouter Willaert, Wim Ceelen, and Piet Pattyn. 2016. “Metabolic Surgery in Patients over 60 Years Old : Short- and Long-Term Results.” ACTA CHIRURGICA BELGICA 116 (6): 362–366. doi:10.1080/00015458.2016.1181323.
Vancouver
1.
Van Nieuwenhove Y, SPRIET E, SABLON T, VAN DAELE E, Willaert W, Ceelen W, et al. Metabolic surgery in patients over 60 years old : short- and long-term results. ACTA CHIRURGICA BELGICA. 2016;116(6):362–6.
IEEE
[1]
Y. Van Nieuwenhove et al., “Metabolic surgery in patients over 60 years old : short- and long-term results,” ACTA CHIRURGICA BELGICA, vol. 116, no. 6, pp. 362–366, 2016.
@article{8503465,
  abstract     = {{Purpose: Laparoscopic Roux-en-Y gastric bypass can treat obesity related comorbidities and can prolong life expectancy. It remains unclear whether this type of surgery is also indicated in obese patients with advanced age. 
Materials and methods: In this retrospective monocentric study, we investigated the morbidity and outcomes of weight and metabolic control of bariatric surgery in patients older than 60 years and compared these findings with those of younger patients. 
Results: At 18 months after RY gastric bypass, weight losses of respectively 30 +/- 11% and 34 +/- 9% of total initial body weight were measured in the older and younger patients (p<0.05). After 12 months, HbA1c dropped below 6.5% in 89% of patients younger and in 81% of patients older than 60 (p = 0.11). There was no mortality in either group, but there were significantly more complications and there was a longer hospital stay in the older patients. 
Conclusion: RY gastric bypass comes with a significantly higher morbidity and hospital stay in older patients, but weight loss and improvement of DM are similar as in the younger patients.}},
  author       = {{Van Nieuwenhove, Yves and SPRIET, EVELYNE and SABLON, THIBAULT and VAN DAELE, ELKE and Willaert, Wouter and Ceelen, Wim and Pattyn, Piet}},
  issn         = {{0001-5458}},
  journal      = {{ACTA CHIRURGICA BELGICA}},
  keywords     = {{Bariatric,diabetes,elderly patients,gastric bypass,metabolic,morbidity,GASTRIC BYPASS-SURGERY,BARIATRIC SURGERY,HEALTH-BENEFITS,OUTCOMES,SAFETY,INDEX,AGE}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{362--366}},
  title        = {{Metabolic surgery in patients over 60 years old : short- and long-term results}},
  url          = {{http://dx.doi.org/10.1080/00015458.2016.1181323}},
  volume       = {{116}},
  year         = {{2016}},
}
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