Metabolic Bariatric surgery in People with Obesity aged ≥65 Years

•Metabolic bariatric surgery, especially gastric bypass and sleeve gastrectomy, been increasingly performed in ≥65 year- old population with obesity.•The 30-day mortality reported in the literature, of patients who underwent MBS, either SG or RYGB, is 0–0.34 %.•Higher overall and major early and lat...

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Bibliographic Details
Published in:European journal of internal medicine 2024-03
Main Authors: Çalık Başaran, Nursel, Marcoviciu, Dana, Dicker, Dror
Format: Article
Language:English
Subjects:
Bariatric surgery
Obesity
Obesity management
Older patients
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Summary:•Metabolic bariatric surgery, especially gastric bypass and sleeve gastrectomy, been increasingly performed in ≥65 year- old population with obesity.•The 30-day mortality reported in the literature, of patients who underwent MBS, either SG or RYGB, is 0–0.34 %.•Higher overall and major early and late complication rates have been reported for RYGB than for SG among older adults compared to younger patients.One anastomosis gastric bypass may become the method of choice with better adverse event rates and efficacy in ≥65 year- old population with obesity.•Surgical treatment in selected older patients, even those aged ≥70 years, is the most effective treatment for obesity.•Biological age and health status, not only the chronological age, should be taken into acount when considering BMS in older adults with obesity. Obesity management guidelines recommend metabolic bariatric surgery for individuals with body mass index (BMI) ≥35 kg/m2, regardless of the presence of any obesity-related comorbidity; and for individuals with BMI 30–34.9 kg/m2 with metabolic diseases. Older age is not in itself a contraindication for bariatric surgeries, which can be performed after careful selection and assessment, to decrease the risks of postoperative complications. An essential amount of data has accumulated about bariatric surgery results for persons aged ≥60 years; but data are limited though increasingly accumulating for the ≥65-year-old population. Laparoscopic Roux-en-Y-gastric bypass and sleeve gastrectomy have been the preferred bariatric procedures for older adults with obesity, as for younger patients. This review summarizes the safety and efficacy of bariatric surgery for individuals aged ≥65 years with obesity, and the efforts that have been invested to improve the perioperative and long-term consequences.
ISSN:0953-6205
1879-0828
DOI:10.1016/j.ejim.2024.03.029