Abstract | BACKGROUND: Laparoscopic adjustable gastric banding (LAGB) is an effective treatment for morbid obesity in younger patients, leading to improvements in related co-morbidities and quality of life. Currently, little is known how these improvements apply to older patients. METHODS: A prospective review was conducted of patients > or =60 years old undergoing LAGB. Weight loss, complications, changes in Short Form-36 (SF-36) scores, and a comprehensive post-operative co-morbidity, medication and quality of life questionnaire were used to assess performance. RESULTS: 40 patients with mean age 65.8 years (range 60-72) and preoperative mean BMI of 42.2 kg/m(2) (range 33-54) underwent LAGB from February 2000 to September 2005. Mean excess weight lost at 2 years was 54%. 3 complications (7.5%) occurred (1 slippage and 2 access-port infections). There were no perforations, erosions or deaths. After a mean postoperative interval of 27 months, SF-36 scores improved significantly in 4 of 8 components and exceeded age-matched population controls in 3 components. Co-morbidity improvement was reported in 80% of patients with diabetes, 79% with dyslipidemia, 75% with obstructive sleep apnea, 72% with heartburn, 69% with hypertension, 60% with musculoskeletal pain, and 56% with anxiety/depression. Medication requirements reduced or ceased in 66% who required musculoskeletal analgesics, 43% of diabetics, 33% using bronchodilators, and 29% with hypertension. Sleep improved in 48%, self-esteem increased in 70%, and 72% had a better outlook on life. 82% were happy that they had undergone LAGB, and 91% would recommend LAGB to other older people. CONCLUSION: LAGB offers safe and effective weight loss, and improvement in co-morbidities and in quality of life in morbidly obese patients aged > or =60 years.
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Authors | Craig John Taylor, Laurent Layani |
Journal | Obesity surgery
(Obes Surg)
Vol. 16
Issue 12
Pg. 1579-83
(Dec 2006)
ISSN: 0960-8923 [Print] United States |
PMID | 17217633
(Publication Type: Journal Article, Meta-Analysis)
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Topics |
- Age Factors
- Aged
- Cohort Studies
- Comorbidity
- Female
- Gastroplasty
(adverse effects, methods)
- Humans
- Male
- Middle Aged
- Obesity, Morbid
(complications, psychology, surgery)
- Postoperative Complications
(epidemiology)
- Quality of Life
- Risk Factors
- Safety
- Time Factors
- Treatment Outcome
- Weight Loss
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