Safety and efficacy of roux-en-y gastric bypass in older aged patients
ABSTRACT Introduction: laparoscopic Roux-en-Y Gastric Bypass (LRYGB) has been a revolutionary intervention for weight loss with reduction of up to 60-70% of excess body weight. However, these outcomes are not as well validated at the extremes of age, where the safety of the intervention still has...
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| Format: | Article |
| Language: | English |
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Colégio Brasileiro de Cirurgiões
2022-09-01
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| Series: | Revista do Colégio Brasileiro de Cirurgiões |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100242&tlng=en |
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| author | JORGE HUMBERTO RODRIGUEZ QUINTERO RACHEL GROSSER GUSTAVO ROMERO VELEZ VICENTE OMAR RAMOS-SANTILLAN XAVIER PEREIRA FERNANDO MUÑOZ FLORES JENNY CHOI ERIN MORAN-ATKIN DIEGO CAMACHO DIEGO LAURENTINO LIMA |
| author_facet | JORGE HUMBERTO RODRIGUEZ QUINTERO RACHEL GROSSER GUSTAVO ROMERO VELEZ VICENTE OMAR RAMOS-SANTILLAN XAVIER PEREIRA FERNANDO MUÑOZ FLORES JENNY CHOI ERIN MORAN-ATKIN DIEGO CAMACHO DIEGO LAURENTINO LIMA |
| author_sort | JORGE HUMBERTO RODRIGUEZ QUINTERO |
| collection | DOAJ |
| description | ABSTRACT Introduction: laparoscopic Roux-en-Y Gastric Bypass (LRYGB) has been a revolutionary intervention for weight loss with reduction of up to 60-70% of excess body weight. However, these outcomes are not as well validated at the extremes of age, where the safety of the intervention still has some caveats. The aim of this study is to assess the efficacy and safety of primary LRYGB among different age groups. Methods: the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database was queried for patients who underwent primary LRYGB from January 2014 to December 2017 at a single institution. Four groups were created and compared by dividing our sample by age quartiles. The primary outcome was percent excess weight loss (%EWL) at 1 year. Additional operative outcomes and complications were also compared across groups. Results: a total of 1013 patients underwent non-revisional LRYGB during the study period. Mean %EWL at one year was 55%. When compared between quartiles, there was a statistically significant difference in %EWL: 1st 62%, 2nd 57%, 3rd 54% and 4th 47% (p=0.010). The differences in the secondary outcomes between age groups did not demonstrate statistical significance. Conclusions: though patients in the fourth age quartile (range) did not demonstrate a statistically significant increase in adverse outcomes, they did lose less weight compared to other cohorts. The %EWL at one year after RYGB varied by age in our cohort. Goals after bariatric surgery should be individualized as weight loss is less robust with aging. |
| first_indexed | 2024-04-13T05:15:25Z |
| format | Article |
| id | doaj.art-2ac5a2d8f2c84a3990d20f1891a90b8f |
| institution | Directory Open Access Journal |
| issn | 1809-4546 |
| language | English |
| last_indexed | 2024-04-13T05:15:25Z |
| publishDate | 2022-09-01 |
| publisher | Colégio Brasileiro de Cirurgiões |
| record_format | Article |
| series | Revista do Colégio Brasileiro de Cirurgiões |
| spelling | doaj.art-2ac5a2d8f2c84a3990d20f1891a90b8f2022-12-22T03:00:55ZengColégio Brasileiro de CirurgiõesRevista do Colégio Brasileiro de Cirurgiões1809-45462022-09-014910.1590/0100-6991e-20223332-enSafety and efficacy of roux-en-y gastric bypass in older aged patientsJORGE HUMBERTO RODRIGUEZ QUINTEROhttps://orcid.org/0000-0002-6584-7945RACHEL GROSSERGUSTAVO ROMERO VELEZhttps://orcid.org/0000-0002-9762-3698VICENTE OMAR RAMOS-SANTILLANhttps://orcid.org/0000-0002-0286-5126XAVIER PEREIRAhttps://orcid.org/0000-0001-6247-7523FERNANDO MUÑOZ FLOREShttps://orcid.org/0000-0003-3873-4897JENNY CHOIERIN MORAN-ATKINDIEGO CAMACHODIEGO LAURENTINO LIMAhttps://orcid.org/0000-0001-7383-1284ABSTRACT Introduction: laparoscopic Roux-en-Y Gastric Bypass (LRYGB) has been a revolutionary intervention for weight loss with reduction of up to 60-70% of excess body weight. However, these outcomes are not as well validated at the extremes of age, where the safety of the intervention still has some caveats. The aim of this study is to assess the efficacy and safety of primary LRYGB among different age groups. Methods: the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database was queried for patients who underwent primary LRYGB from January 2014 to December 2017 at a single institution. Four groups were created and compared by dividing our sample by age quartiles. The primary outcome was percent excess weight loss (%EWL) at 1 year. Additional operative outcomes and complications were also compared across groups. Results: a total of 1013 patients underwent non-revisional LRYGB during the study period. Mean %EWL at one year was 55%. When compared between quartiles, there was a statistically significant difference in %EWL: 1st 62%, 2nd 57%, 3rd 54% and 4th 47% (p=0.010). The differences in the secondary outcomes between age groups did not demonstrate statistical significance. Conclusions: though patients in the fourth age quartile (range) did not demonstrate a statistically significant increase in adverse outcomes, they did lose less weight compared to other cohorts. The %EWL at one year after RYGB varied by age in our cohort. Goals after bariatric surgery should be individualized as weight loss is less robust with aging.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100242&tlng=enGastric BypassBariatric SurgeryAnastomosis, Roux-en-Y |
| spellingShingle | JORGE HUMBERTO RODRIGUEZ QUINTERO RACHEL GROSSER GUSTAVO ROMERO VELEZ VICENTE OMAR RAMOS-SANTILLAN XAVIER PEREIRA FERNANDO MUÑOZ FLORES JENNY CHOI ERIN MORAN-ATKIN DIEGO CAMACHO DIEGO LAURENTINO LIMA Safety and efficacy of roux-en-y gastric bypass in older aged patients Revista do Colégio Brasileiro de Cirurgiões Gastric Bypass Bariatric Surgery Anastomosis, Roux-en-Y |
| title | Safety and efficacy of roux-en-y gastric bypass in older aged patients |
| title_full | Safety and efficacy of roux-en-y gastric bypass in older aged patients |
| title_fullStr | Safety and efficacy of roux-en-y gastric bypass in older aged patients |
| title_full_unstemmed | Safety and efficacy of roux-en-y gastric bypass in older aged patients |
| title_short | Safety and efficacy of roux-en-y gastric bypass in older aged patients |
| title_sort | safety and efficacy of roux en y gastric bypass in older aged patients |
| topic | Gastric Bypass Bariatric Surgery Anastomosis, Roux-en-Y |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912022000100242&tlng=en |
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