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Gastric Surgery in Morbid Obesity: Outcome in Patients Aged 55 Years and Older

Gastric Surgery in Morbid Obesity: Outcome in Patients Aged 55 Years and Older Abstract Objective: To evaluate long-term outcome of gastric restrictive surgery in morbidly obese patients aged 55 years and older. Design: Retrospective review with 3- to 13-year postoperative follow-up. Average follow-up 6 years. Setting: Private surgical practice with bariatric surgery specialty. Study Participants: Eighty-eight morbidly obese patients, 73 women and 15 men, aged 55 years and older. Intervention: Between 1977 and 1989, 77 patients had Roux-en-Y gastric bypass, four had vertical banded gastroplasty, and seven had silicone ring vertical gastroplasty. Main Outcome Measures: Weight loss, change in incidence of comorbidity, and reduction in medication use. Results: Patients had an average of 57% excess body weight loss, lost 31 kg, and decreased their body mass index by 12 kg/m2. There was a 20% to 48% reduction in the number of patients requiring medication for obesityrelated disorders (eg, diabetes mellitus and hypertension). Body mass index of less than 30 kg/m2 was achieved and maintained by 42% of patients. Conclusion: This form of therapy is appropriate for selected patients in the older age groups.(Arch Surg. 1993;128:1153-1157) References 1. Gastrointestinal surgery for severe obesity: National Institutes of Health Consensus Development Conference Statement: March 25-27, 1991 . Am J Clin Nutr . 1992;55:615S-619S. 2. Yale CE. Gastric surgery for morbid obesity . Arch Surg . 1989;124:941-946.Crossref 3. Sugerman HJ, Kellum JM, Engle KM, et al. Gastric bypass for treating severe obesity . Am J Clin Nutr . 1992;55:560S-566S. 4. Eckhout GV, Willbanks OL, Moore JT. Vertical ring gastroplasty for morbid obesity: five year experience with 1463 patients . Am J Surg . 1986;152:713-716.Crossref 5. Printen KJ, Mason EE. Gastric bypass for morbid obesity in patients more than 50 years of age . Surg Gynecol Obstet . 1977;144:192-194. 6. Mason EE. Morbid obesity: use of vertical banded gastroplasty . Surg Clin North Am . 1987;67:521-553. 7. Miller DK, Goodman GN. Gastric bypass procedures . In: Deitel M, ed. Surgery for Morbid Obesity . Philadelphia, Pa: Lea & Febiger; 1989:113-133. 8. Macgregor AMC, Rand CSW. Revision of staple line failure following Roux-Y gastric bypass for morbid obesity . Obesity Surg . 1991;1:151-154.Crossref 9. Reinhold RB. Analysis of long-term weight loss following gastric bypass . Surg Gynecol Obstet . 1982;155:385-393. 10. Sugerman HJ, Londrey GL, Kellum JM, et al. Weight loss with vertical banded gastroplasty and Roux-Y gastric bypass for morbid obesity with selective versus random assignment . Am J Surg . 1989;157:93-102.Crossref 11. Rand CSW. Weight loss of obese men compared with women . Int J Eating Disord . 1989;8:219-223.Crossref 12. Brolin RE. Results of obesity surgery . Gastroenterol Clin North Am . 1987;16: 317-338. 13. Brolin RE. Critical analysis of results: weight loss and quality of data . Am J Clin Nutr . 1992;55:557S-581S. 14. Halverson JD, Scheff RJ, Gentry K, Alpers DH. Jejuno-ileal bypass: late metabolic sequelae and weight gain . Am J Surg . 1980;140:347-355.Crossref 15. Rand CSW, Macgregor AMC. Age, obesity surgery and weight loss . Obesity Surg . 1991;1:47-49.Crossref 16. Hall JC, Watts MJ, O'Brien PE, et al. Gastric surgery for morbid obesity: The Adelaide Study . Ann Surg . 1990;211:419-427.Crossref 17. Bray GA. Pathophysiology of obesity . Am J Clin Nutr . 1992;55:488S-494S. 18. Safer DJ. Diet, behavior modification, and exercise: a review of obesity treatments from a long-term perspective . South Med J . 1991;84:1470-1474.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Gastric Surgery in Morbid Obesity: Outcome in Patients Aged 55 Years and Older

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References (20)

Publisher
American Medical Association
Copyright
Copyright © 1993 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1993.01420220073010
Publisher site
See Article on Publisher Site

Abstract

Abstract Objective: To evaluate long-term outcome of gastric restrictive surgery in morbidly obese patients aged 55 years and older. Design: Retrospective review with 3- to 13-year postoperative follow-up. Average follow-up 6 years. Setting: Private surgical practice with bariatric surgery specialty. Study Participants: Eighty-eight morbidly obese patients, 73 women and 15 men, aged 55 years and older. Intervention: Between 1977 and 1989, 77 patients had Roux-en-Y gastric bypass, four had vertical banded gastroplasty, and seven had silicone ring vertical gastroplasty. Main Outcome Measures: Weight loss, change in incidence of comorbidity, and reduction in medication use. Results: Patients had an average of 57% excess body weight loss, lost 31 kg, and decreased their body mass index by 12 kg/m2. There was a 20% to 48% reduction in the number of patients requiring medication for obesityrelated disorders (eg, diabetes mellitus and hypertension). Body mass index of less than 30 kg/m2 was achieved and maintained by 42% of patients. Conclusion: This form of therapy is appropriate for selected patients in the older age groups.(Arch Surg. 1993;128:1153-1157) References 1. Gastrointestinal surgery for severe obesity: National Institutes of Health Consensus Development Conference Statement: March 25-27, 1991 . Am J Clin Nutr . 1992;55:615S-619S. 2. Yale CE. Gastric surgery for morbid obesity . Arch Surg . 1989;124:941-946.Crossref 3. Sugerman HJ, Kellum JM, Engle KM, et al. Gastric bypass for treating severe obesity . Am J Clin Nutr . 1992;55:560S-566S. 4. Eckhout GV, Willbanks OL, Moore JT. Vertical ring gastroplasty for morbid obesity: five year experience with 1463 patients . Am J Surg . 1986;152:713-716.Crossref 5. Printen KJ, Mason EE. Gastric bypass for morbid obesity in patients more than 50 years of age . Surg Gynecol Obstet . 1977;144:192-194. 6. Mason EE. Morbid obesity: use of vertical banded gastroplasty . Surg Clin North Am . 1987;67:521-553. 7. Miller DK, Goodman GN. Gastric bypass procedures . In: Deitel M, ed. Surgery for Morbid Obesity . Philadelphia, Pa: Lea & Febiger; 1989:113-133. 8. Macgregor AMC, Rand CSW. Revision of staple line failure following Roux-Y gastric bypass for morbid obesity . Obesity Surg . 1991;1:151-154.Crossref 9. Reinhold RB. Analysis of long-term weight loss following gastric bypass . Surg Gynecol Obstet . 1982;155:385-393. 10. Sugerman HJ, Londrey GL, Kellum JM, et al. Weight loss with vertical banded gastroplasty and Roux-Y gastric bypass for morbid obesity with selective versus random assignment . Am J Surg . 1989;157:93-102.Crossref 11. Rand CSW. Weight loss of obese men compared with women . Int J Eating Disord . 1989;8:219-223.Crossref 12. Brolin RE. Results of obesity surgery . Gastroenterol Clin North Am . 1987;16: 317-338. 13. Brolin RE. Critical analysis of results: weight loss and quality of data . Am J Clin Nutr . 1992;55:557S-581S. 14. Halverson JD, Scheff RJ, Gentry K, Alpers DH. Jejuno-ileal bypass: late metabolic sequelae and weight gain . Am J Surg . 1980;140:347-355.Crossref 15. Rand CSW, Macgregor AMC. Age, obesity surgery and weight loss . Obesity Surg . 1991;1:47-49.Crossref 16. Hall JC, Watts MJ, O'Brien PE, et al. Gastric surgery for morbid obesity: The Adelaide Study . Ann Surg . 1990;211:419-427.Crossref 17. Bray GA. Pathophysiology of obesity . Am J Clin Nutr . 1992;55:488S-494S. 18. Safer DJ. Diet, behavior modification, and exercise: a review of obesity treatments from a long-term perspective . South Med J . 1991;84:1470-1474.Crossref

Journal

Archives of Surgery – American Medical Association

Published: Oct 1, 1993

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