Myungwon Chang, MD, MPH, Teresa Bell, PhD, Annabelle Butler, MD, Jennifer Choi, MD, Dimitrios Stefanidis, MD, PhD, Don Selzer, MD, Ambar Banerjee, MD. Indiana University
INTRODUCTION: Bariatric surgery is a proven safe and durable treatment for obesity. Limited published literature assessing the effect of bariatric procedures across age groups is available. The aim of this study was to compare the outcomes of bariatric surgery based on age at the time of operation.
METHODS: After obtaining IRB approval, a retrospective review of patients who underwent surgery between August 2013 and May 2015 was performed from a prospectively maintained database. Patients were classified into 5 groups based on age. Data obtained included gender, body mass index (BMI), length of stay (LOS), readmissions, percent excess weight loss (%EWL), and resolution of obesity related comorbidities [(diabetes (DM), hypertension (HTN), reflux, obstructive sleep apnea (OSA), and hyperlipidemia (HL)] at 6 months and 12 months post-operatively. Demographics and patient characteristics were analyzed with descriptive statistics. Chi-square assessed the significance of the relationships of variables. A value of p < 0.05 was considered significant.
RESULTS: The review included 214 patients. Procedures included Roux-en-Y gastric bypass (69%) and sleeve gastrectomy (31%). 78.3% of patients were female. Average LOS was 2.4±2.2 days. There was no statistically significant difference in resolution of comorbidities when comparing Roux-en-Y to sleeve.
> 65 years
CONCLUSIONS: The positive impact of bariatric surgery on resolution of obesity related comorbidities is universal. However, increased rates of resolution of DM and HTN can be achieved in the younger population. Our study demonstrates the importance of undergoing bariatric procedures earlier in life to achieve optimal outcomes prior to progression of comorbid conditions.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80330
Program Number: P535
Presentation Session: Poster (Non CME)
Presentation Type: Poster