PMID- 29963791
OWN - NLM
STAT- MEDLINE
DCOM- 20210506
LR  - 20210506
IS  - 1827-1626 (Electronic)
IS  - 0026-4733 (Linking)
VI  - 75
IP  - 2
DP  - 2020 Apr
TI  - Results following laparoscopic sleeve gastrectomy in elderly obese patients: a 
      single center experience with follow-up at three years.
PG  - 77-82
LID - 10.23736/S0026-4733.18.07757-X [doi]
AB  - BACKGROUND: Laparoscopic sleeve gastrectomy (LSG) represents the most performed 
      bariatric surgical procedure worldwide. Morbid Overweight in elderly patients is 
      becoming a significant health problem even in Italy. As well as in younger age 
      groups, bariatric surgery could be indicated even in this subset of patients. 
      However the advantages and results of LSG in patients over 60 years old have 
      received minimal attention. METHODS: The records of 375 patients underwent LSG 
      between 2008 and 2016 were reviewed. In the entire series 18 patients were aged 
      60 years or older at the time of surgery. Since a 3 years follow-up was available 
      for 12 patients out of the 18 aged over 60 we included in the study only these. 
      General epidemiologic data, clinical findings, BMI and comorbidities surgical 
      treatment and follow-up data were collected; postoperative measurements such as 
      operative time, intraoperative complications, mortality rate, length of stay, 
      incidence of early and late complications, Body mass Index (BMI), excess weight 
      loss rate (EWL%) and comorbidities resolution were also recorded. RESULTS: LSG 
      was successfully performed for all geriatric patients. Global complications rate 
      was 16.6% At 3 years mean BMI was 34.4+/-3.8 with a mean EWL% 66.1+/-31.9. 
      Postoperative resolution of obesity comorbidities was observed; Hypertension 
      (71.4%), type 2 Diabetes Mellitus (T2DM) (50.0%), obstructive sleep apnea 
      syndrome (OSAS) (66.6%) respectively. No intraoperative complications or 
      mortality were recorded. CONCLUSIONS: LSG offered cure in geriatric patients 
      affected by morbid obesity for weight loss and comorbidities resolution. Larger 
      studies are necessary to analyze and minimize the incidence of postoperative 
      complications associated to this surgical procedure in elderly patients.
FAU - Bianco, Paolo
AU  - Bianco P
AD  - Department of Advanced Biomedical Sciences, Federico II University, Naples, 
      Italy.
FAU - Rizzuto, Antonia
AU  - Rizzuto A
AD  - Department of Medical and Surgical Sciences, Magna Graecia University, Catanzaro, 
      Italy.
FAU - Velotti, Nunzio
AU  - Velotti N
AD  - Department of Advanced Biomedical Sciences, Federico II University, Naples, 
      Italy.
FAU - Bocchetti, Alessio
AU  - Bocchetti A
AD  - Department of Advanced Biomedical Sciences, Federico II University, Naples, 
      Italy.
FAU - Manzolillo, Domenico
AU  - Manzolillo D
AD  - Department of Advanced Biomedical Sciences, Federico II University, Naples, 
      Italy.
FAU - Maietta, Paola
AU  - Maietta P
AD  - Department of Advanced Biomedical Sciences, Federico II University, Naples, 
      Italy.
FAU - Milone, Marco
AU  - Milone M
AD  - Department of Advanced Biomedical Sciences, Federico II University, Naples, 
      Italy.
FAU - Amato, Maurizio
AU  - Amato M
AD  - Department of Advanced Biomedical Sciences, Federico II University, Naples, 
      Italy.
FAU - Conzo, Giovanni
AU  - Conzo G
AD  - Department of Cardiothoracic and Respiratory Sciences, Luigi Vanvitelli 
      University, Naples, Italy.
FAU - Buonomo, Oreste
AU  - Buonomo O
AD  - Department of Surgery, Tor Vergata University, Rome, Italy.
FAU - Petrella, Giuseppe
AU  - Petrella G
AD  - Department of Surgery, Tor Vergata University, Rome, Italy.
FAU - Musella, Mario
AU  - Musella M
AD  - Department of Advanced Biomedical Sciences, Federico II University, Naples, Italy 
      - mario.musella@unina.it.
LA  - eng
PT  - Journal Article
DEP - 20180629
PL  - Italy
TA  - Minerva Chir
JT  - Minerva chirurgica
JID - 0400726
SB  - IM
MH  - Age Factors
MH  - Aged
MH  - Bariatric Surgery/*methods
MH  - Female
MH  - Follow-Up Studies
MH  - Gastrectomy/*methods
MH  - Humans
MH  - Intraoperative Complications/epidemiology
MH  - *Laparoscopy
MH  - Male
MH  - Middle Aged
MH  - Obesity, Morbid/complications/*surgery
MH  - Postoperative Complications/epidemiology
MH  - Retrospective Studies
MH  - Time Factors
MH  - Treatment Outcome
EDAT- 2018/07/03 06:00
MHDA- 2021/05/07 06:00
CRDT- 2018/07/03 06:00
PHST- 2018/07/03 06:00 [pubmed]
PHST- 2021/05/07 06:00 [medline]
PHST- 2018/07/03 06:00 [entrez]
AID - S0026-4733.18.07757-X [pii]
AID - 10.23736/S0026-4733.18.07757-X [doi]
PST - ppublish
SO  - Minerva Chir. 2020 Apr;75(2):77-82. doi: 10.23736/S0026-4733.18.07757-X. Epub 
      2018 Jun 29.