Safety and efficacy of laparoscopic adjustable gastric banding in patients aged seventy and older.

Life expectancy is increasing, with more elderly people categorized as obese. The objective of this study was to assess the effects of laparoscopic adjustable gastric banding (LAGB) on patients aged ≥ 70 years.
This was a retrospective analysis of patients aged ≥ 70 years who underwent LAGB at our university hospital between 2003 and 2011. The data included age, weight, body mass index (BMI), and percentage excess weight loss (%EWL) obtained before and after gastric banding. Operative data, length of stay, postoperative complications, and resolution of co-morbid conditions were also analyzed.
Fifty-five patients aged ≥ 70 years (mean 73 years) underwent gastric banding between 2003 and 2012. Mean preoperative weight and BMI were 123 kilograms and 45 kg/m(2), respectively. On average, each patient had 4 co-morbidities preoperatively, with hypertension (n = 49; 86%), dyslipidemia (n = 40; 70%), and sleep apnea (n = 31; 54%) being the most common. Mean operating room (OR) time was 49 minutes, with all patients discharged within 24 hours. There was 1 death at 4 years from myocardial infarction, no intensive care unit admissions, and no 30-day readmissions. Mean %EWL at 1, 2, 3, 4, and 5 years was 36 (± 12.7), 40 (± 16.4), 42 (± 19.2), 41 (± 17.1), 50 (± 14.9), and 48 (± 22.6), respectively. Follow-up rates ranged from 55/55 (100%) at 6 months to 7/9 (78%) of eligible patients at 5 years and 2/2 (100%) at 8 years. Complications included 1 band slip at year 5, 1 band removed for intolerance, and 1 port site hernia. The resolution of hypertension, dyslipidemia, sleep apnea, lower back pain, and non-insulin-dependent diabetes was 27%, 28%, 35%, 31%, and 35%, respectively.
LAGB as a primary treatment for obesity in carefully selected patients aged ≥ 70 can be well tolerated and effective with moderate resolution of co-morbid conditions and few complications.
AuthorsJohn J Loy, Heekoung A Youn, Bradley Schwack, Marina S Kurian, George A Fielding, Christine J Ren-Fielding
JournalSurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery (Surg Obes Relat Dis) 2014 Mar-Apr Vol. 10 Issue 2 Pg. 284-9 ISSN: 1878-7533 [Electronic] United States
PMID24582414 (Publication Type: Journal Article)
CopyrightCopyright © 2014 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.
  • Aged
  • Aged, 80 and over
  • Body Mass Index
  • Female
  • Follow-Up Studies
  • Gastroplasty (methods)
  • Humans
  • Laparoscopy
  • Life Expectancy
  • Male
  • Obesity, Morbid (surgery)
  • Retrospective Studies
  • Treatment Outcome
  • Weight Loss

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