Long-Term Weight Loss, Metabolic Outcomes, and Quality of Life at 10 Years After Roux-en-Y Gastric Bypass Are Independent of Patients' Age at Baseline.

Details

Serval ID
serval:BIB_53A96398922B
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Long-Term Weight Loss, Metabolic Outcomes, and Quality of Life at 10 Years After Roux-en-Y Gastric Bypass Are Independent of Patients' Age at Baseline.
Journal
Obesity surgery
Author(s)
Mantziari S., Dayer A., Duvoisin C., Demartines N., Allemann P., Calmes J.M., Favre L., Fournier P., Suter M.
ISSN
1708-0428 (Electronic)
ISSN-L
0960-8923
Publication state
Published
Issued date
04/2020
Peer-reviewed
Oui
Volume
30
Number
4
Pages
1181-1188
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Conflicting data have been published for bariatric surgery in older patients, with no long-term large-scale studies available. Our aim was to provide long-term (> 10 years) results on weight loss, metabolic outcomes, and quality of life in a large homogenous series of Roux-en-Y gastric bypass (RYGB) patients, according to age at baseline.
All consecutive patients who underwent primary RYGB between 1999 and 2007, and therefore eligible for 10-year follow-up, were retrospectively analyzed. According to their age at baseline, they were divided into three groups: A (< 40 years), B (40-54 years), and C (≥ 55 years). Categorical variables were compared with the χ <sup>2</sup> test and continuous variables with ANOVA.
Our series consisted of 820 patients, with a 10-year follow-up of 80.6%. Although group C (11% of all patients) had significantly more comorbidities at baseline, there was no difference in postoperative morbidity and mortality between groups. Weight loss was significantly less for group C patients up to the 7th postoperative year, but no difference remained thereafter. 10-year %total weight loss was 32.2, 32.9, and 32.3 respectively in groups A, B, and C. After 10 years, glycemic control and lipid profile improved similarly, rates of partial or complete remission of diabetes and hypertension were identical, and quality of life presented a significant improvement for all patients with no inter-group difference.
Our results suggest similar short- and long-term outcomes after RYGB for patients ≥ 55 years compared to younger ones; the relative benefit might even be higher for older patients, given their increased comorbidity at baseline.
Keywords
Age, Bariatric surgery, Diabetes, Elderly, Hypertension, Lipids, Long-term, Roux-en-Y gastric bypass, Weight loss
Pubmed
Web of science
Create date
04/02/2020 10:34
Last modification date
07/04/2020 6:20
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