• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / RETROSPECTIVE COHORT STUDY USING THE MBSAQIP DATABASE TO ASSESS THE SAFETY OF BARIATRIC SURGERY IN THE ELDERLY

RETROSPECTIVE COHORT STUDY USING THE MBSAQIP DATABASE TO ASSESS THE SAFETY OF BARIATRIC SURGERY IN THE ELDERLY

Subir Sutradhar, MD, FRCSC, Simon Laplante, MD, Azusa Maeda, PhD, Allan Okrainec, MD, FRCSC, MHPE, Timothy Jackson, MD, FRCSC, MPH. Division of General Surgery, University Health Network, University of Toronto

Introduction: The safety of bariatric surgery in the elderly has been studied with conflicting results and is a topic of debate, given the increasing prevalence of obesity within this population. Many surgical centers use age 65 as their cutoff for offering bariatric surgery. The objective of this study was to determine if the outcome of bariatric surgery (laparoscopic sleeve gastrectomy [LSG] or laparoscopic roux-en-y gastric bypass [LRYGB]) in patients age 65 or over was comparable to that in younger patients, with respect to the odds of readmission and the rates of an adverse event within 30days of surgery.

Methods and Procedures: A retrospective cohort study was performed using the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Participant Use Data File. Patients were selected if they underwent a LSG or LRYGB between January 1 and December 31, 2015. The primary outcome was the odds of readmission within 30days of surgery. For each type of surgery (i.e. LSG or LRYGB), a multivariable logistic regression was performed to obtain an adjusted odds ratio (OR) of 30-day readmission for patients age 65 or over. Rates of readmission, complications, reoperation, and death within 30days of surgery were also calculated.

Results: Within the LSG group, there were 92699 (94%) patients under age 65 and 5575 (6%) patients age 65 or over. Both groups had similar rates of 30-day readmission (3-4%), reoperation (1%), and death (0.1-0.3%), but the rate of complications was higher in the older group (5% vs. 2%). The adjusted OR for 30-day readmission for patients age 65 or over was 1.13 (p= 0.08, 95% CI [0.99-1.30]).

Within the LRYGB group, there were 40606 (94%) patients under age 65 and 2743 (6%) patients age 65 or over. Both groups had similar rates of 30-day readmission (6-7%), reoperation (3%), and death (0.1-0.5%), but the rate of complications was higher in the older group (11% vs. 6%). The adjusted OR for a 30-day readmission for patients age 65 or over was 1.08 (p= 0.3, 95% CI [0.93-1.26]).

Conclusions: Based on MBSAQIP registry data, patients age 65 or over did not have higher odds of a 30-day readmission compared to younger patients after LSG or LRYGB. Rates of 30-day readmission, reoperation, and death were similar, but rates of complications (e.g. pneumonias, unplanned intubations) were higher in the older group. Bariatric surgery in the elderly should therefore be performed only after careful and patient-centered selection processes.


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

Abstract ID: 88476

Program Number: P617

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

40

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

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!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals