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

Yves Van Nieuwenhove UGent, EVELYNE SPRIET, THIBAULT SABLON, ELKE VAN DAELE, WOUTER WILLAERT, Wim Ceelen UGent and Piet Pattyn UGent (2016) ACTA CHIRURGICA BELGICA. 116(6). p.362-366
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.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
Bariatric, diabetes, elderly patients, gastric bypass, metabolic, morbidity, GASTRIC BYPASS-SURGERY, BARIATRIC SURGERY, HEALTH-BENEFITS, OUTCOMES, SAFETY, INDEX, AGE
journal title
ACTA CHIRURGICA BELGICA
Acta Chir. Belg.
volume
116
issue
6
pages
362 - 366
Web of Science type
Article
Web of Science id
000392215400005
JCR category
SURGERY
JCR impact factor
0.494 (2016)
JCR rank
182/196 (2016)
JCR quartile
4 (2016)
ISSN
0001-5458
DOI
10.1080/00015458.2016.1181323
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
8503465
handle
http://hdl.handle.net/1854/LU-8503465
date created
2017-01-23 12:31:03
date last changed
2017-03-08 15:47:09
@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{\textlangle}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},
  keyword      = {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},
}

Chicago
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.
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.
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.
MLA
Van Nieuwenhove, Yves, EVELYNE SPRIET, THIBAULT SABLON, et al. “Metabolic Surgery in Patients over 60 Years Old : Short- and Long-term Results.” ACTA CHIRURGICA BELGICA 116.6 (2016): 362–366. Print.