• Skip to primary navigation
  • Skip to main content
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • SAGES Store
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
    • “Unofficial” Logo Products
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2024 Scientific Session Call For Abstracts
      • 2024 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Fellows Career Development Course
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES Top 21 MIS Procedures
    • SAGES Pearls
    • SAGES Flexible Endoscopy 101
    • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • OWLS
  • Log In

Bariatric Surgery in Elderly, what is the cut off Age?

Rami R Mustafa, MD, Adel Alhaj Saleh, MD, Seyed Mohammad Kalantar Motamedi, MDMPH, Gwen Bonner, MD, Mujjahid Abbas, MD, Tomasz Rogula, Leena Khaitan. Cleveland Medical Center

Background: Surgical treatment of obesity in the elderly remains controversial. As life expectancy increases, more elderly patients fit into the criteria for bariatric surgery. The aim of our study is to evaluate the safety and efficacy of bariatric surgery in elderly patients and determine whether a cut off age for bariatric surgery in the elderly is warranted.  

Methods: This is a Retrospective study using the MBSAQIP 2015. Data were collected for demographics, Readmissions, and comorbidities. Postoperative outcomes evaluated include Myocardial infarctions, cardiac arrest, postoperative pneumonia, sepsis, unplanned intubations, Urinary tract infections and other complications. Findings were compared between groups and results were calculated using ASPSS 24, Chi Sq. and T-test.

Results: The data base includes 168,009 patients, of which 22,339 were > 60 years old. Those patients > 60 were classified into 3 groups: 60-70 (G60; 20,468 pts) 71-80 (G70; 1871 pts) and > 80 (G80;32 pts).  Females comprised the majority of each group (75% G60; 66.6% G70; and 71.9% G80). BMI differed between groups: 42 kg/m2+10 in G60; 39.35 kg/m2 + 11.8 in G70; 34.7 kg/m2 + 10 in G80. G80 averaged one comorbidity/patient whereas the other groups had 5 comorbidities/patients. Preoperative incidence of DM, Renal insufficiency, Hypertension, Obstructive sleep apnea and Hyperlipidemia were the least in the G80 group.  G80 had the highest incidence of post-operative complications: Acute renal failure (3.1%, p=0.009), Myocardial infarction (3.1% , p=0.000), postoperative pneumonia (6.3%, p=0.001), Sepsis (3.1%, p=0.007), reoperation in the first 30 days (9.4%, p=0,01), Post-Operative UTI (6.3%, p=0.000), unplanned intubation (3.1%, p= 0.005), and cases requiring ventilation postoperatively (3.1 % p=0.000 ).  G80 had the least incidence of renal insufficiency preoperatively (1.6% in G60, 2.2% in G70 and 0% in G80 , p=0.05) but developed the highest rate of postoperative acute renal failure (3.1%). Pre-Operative Pulmonary comorbidities were greatest in G60 and G70. Post-operative ventilation was higher in G70 than G60 (0.5% versus 0.2%, p= 0.001).

Conclusions: Although the oldest patients in this study had the fewest preoperative comorbidities, they had the highest incidence of complications.  Patients over 80 should be approached with caution when considering bariatric surgery.  Patients between 60 and 80 should be monitored closely for pulmonary complications.  More aggressive pulmonary toilet may be necessary to avoid complications in this group.

Key Words: Bariatric surgery, Elderly, Co-morbidities, post-Operative Complications.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 88059

Program Number: P666

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

95

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064
1-310-437-0544
[email protected]
Monday - Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2024 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons