Comparison of weight loss outcomes 1 year after sleeve gastrectomy and Roux-en-Y gastric bypass in patients aged above 50 years
Introduction: Safe, effective weight loss with resolution of comorbidities has been convincingly demonstrated with bariatric surgery in the aged obese. They, however, lose less weight than younger individuals. It is not known if degree of weight loss is influenced by the choice of bariatric procedur...
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doaj-6c1ae90efe0a4fb797f8a55e36ab7ba42020-11-24T22:35:13ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212016-01-0112322022510.4103/0972-9941.183481Comparison of weight loss outcomes 1 year after sleeve gastrectomy and Roux-en-Y gastric bypass in patients aged above 50 yearsPalanivelu PraveenrajRachel M GomesSaravana KumarSivalingam PerumalPalanisamy SenthilnathanRamakrishnan ParthasarathiSubbiah RajapandianChinnusamy PalaniveluIntroduction: Safe, effective weight loss with resolution of comorbidities has been convincingly demonstrated with bariatric surgery in the aged obese. They, however, lose less weight than younger individuals. It is not known if degree of weight loss is influenced by the choice of bariatric procedure. The aim of this study was to compare the degree of weight loss between laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) in patients above the age of 50 years at 1 year after surgery. Materials and Methods: A retrospective analysis was performed of all patients more than 50 years of age who underwent LSG or LRYGB between February 2012 and July 2013 with at least 1 year of follow-up. Data evaluated at 1 year included age, sex, weight, body mass index (BMI), mean operative time, percentage of weight loss and excess weight loss, resolution/remission of diabetes, morbidity and mortality. Results: Of a total of 86 patients, 54 underwent LSG and 32 underwent LRYGB. The mean percentage of excess weight loss at the end of 1 year was 60.19 ± 17.45 % after LSG and 82.76 ± 34.26 % after LRYGB (P = 0.021). One patient developed a sleeve leak after LSG, and 2 developed iron deficiency anaemia after LRYGB. The remission/improvement in diabetes mellitus and biochemistry was similar. Conclusion: LRYGB may offer better results than LSG in terms of weight loss in patients over 50 years of age.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2016;volume=12;issue=3;spage=220;epage=225;aulast=PraveenrajBariatric surgeryelderlyRoux-en-Y gastric bypasssleeve gastrectomyweight loss |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Palanivelu Praveenraj Rachel M Gomes Saravana Kumar Sivalingam Perumal Palanisamy Senthilnathan Ramakrishnan Parthasarathi Subbiah Rajapandian Chinnusamy Palanivelu |
spellingShingle |
Palanivelu Praveenraj Rachel M Gomes Saravana Kumar Sivalingam Perumal Palanisamy Senthilnathan Ramakrishnan Parthasarathi Subbiah Rajapandian Chinnusamy Palanivelu Comparison of weight loss outcomes 1 year after sleeve gastrectomy and Roux-en-Y gastric bypass in patients aged above 50 years Journal of Minimal Access Surgery Bariatric surgery elderly Roux-en-Y gastric bypass sleeve gastrectomy weight loss |
author_facet |
Palanivelu Praveenraj Rachel M Gomes Saravana Kumar Sivalingam Perumal Palanisamy Senthilnathan Ramakrishnan Parthasarathi Subbiah Rajapandian Chinnusamy Palanivelu |
author_sort |
Palanivelu Praveenraj |
title |
Comparison of weight loss outcomes 1 year after sleeve gastrectomy and Roux-en-Y gastric bypass in patients aged above 50 years |
title_short |
Comparison of weight loss outcomes 1 year after sleeve gastrectomy and Roux-en-Y gastric bypass in patients aged above 50 years |
title_full |
Comparison of weight loss outcomes 1 year after sleeve gastrectomy and Roux-en-Y gastric bypass in patients aged above 50 years |
title_fullStr |
Comparison of weight loss outcomes 1 year after sleeve gastrectomy and Roux-en-Y gastric bypass in patients aged above 50 years |
title_full_unstemmed |
Comparison of weight loss outcomes 1 year after sleeve gastrectomy and Roux-en-Y gastric bypass in patients aged above 50 years |
title_sort |
comparison of weight loss outcomes 1 year after sleeve gastrectomy and roux-en-y gastric bypass in patients aged above 50 years |
publisher |
Wolters Kluwer Medknow Publications |
series |
Journal of Minimal Access Surgery |
issn |
0972-9941 1998-3921 |
publishDate |
2016-01-01 |
description |
Introduction: Safe, effective weight loss with resolution of comorbidities has been convincingly demonstrated with bariatric surgery in the aged obese. They, however, lose less weight than younger individuals. It is not known if degree of weight loss is influenced by the choice of bariatric procedure. The aim of this study was to compare the degree of weight loss between laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) in patients above the age of 50 years at 1 year after surgery. Materials and Methods: A retrospective analysis was performed of all patients more than 50 years of age who underwent LSG or LRYGB between February 2012 and July 2013 with at least 1 year of follow-up. Data evaluated at 1 year included age, sex, weight, body mass index (BMI), mean operative time, percentage of weight loss and excess weight loss, resolution/remission of diabetes, morbidity and mortality. Results: Of a total of 86 patients, 54 underwent LSG and 32 underwent LRYGB. The mean percentage of excess weight loss at the end of 1 year was 60.19 ± 17.45 % after LSG and 82.76 ± 34.26 % after LRYGB (P = 0.021). One patient developed a sleeve leak after LSG, and 2 developed iron deficiency anaemia after LRYGB. The remission/improvement in diabetes mellitus and biochemistry was similar. Conclusion: LRYGB may offer better results than LSG in terms of weight loss in patients over 50 years of age. |
topic |
Bariatric surgery elderly Roux-en-Y gastric bypass sleeve gastrectomy weight loss |
url |
http://www.journalofmas.com/article.asp?issn=0972-9941;year=2016;volume=12;issue=3;spage=220;epage=225;aulast=Praveenraj |
work_keys_str_mv |
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