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. 2024 Dec;76(8):2825-2831.
doi: 10.1007/s13304-024-01888-2. Epub 2024 May 26.

Revision of restrictive bariatric procedures in elderly patients: results at a 5-year follow-up

Adam Abu-Abeid  1   2 , Noa Gosher  3 , Mati Shnell  4 , Sigal Fishman  4 , Andrei Keidar  3   5 , Guy Lahat  3   5 , Shai Meron Eldar  3   5
Affiliations

Revision of restrictive bariatric procedures in elderly patients: results at a 5-year follow-up

Adam Abu-Abeid et al. Updates Surg. 2024 Dec.

Abstract

Revisional Bariatric Surgery (RBS) is increasing in popularity. Elderly patients (> 65 years old) are sometimes referred for RBS evaluation. The aim of this study is to evaluate outcomes of elderly patients undergoing RBS. A retrospective analysis of a cohort from a single-tertiary bariatric center. All elderly patients undergoing RBS after restrictive procedures between 2012 and 2022 were included. Thirty Nine patients undergoing RBS were included in the comparative analysis - 23 patients (57.5%) after adjustable gastric banding (s/p LAGB) and 16 patients (40%) after Sleeve Gastrectomy (s/p SG). The mean age and body mass index (BMI) of patients were comparable (67.2 ± 2.8 years and 38.3 ± 7.4, respectively). There was no difference in associated medical problems except reflux which was higher in s/p SG (68% vs. 13%; p < 0.001). The mean time interval between surgeries was 8.7 ± 5.1 years. The surgeries included One anastomosis gastric bypass (n = 22), SG (n = 8) and Roux-en-y gastric bypass (n = 9). Early major complication rates were comparable (4.3% and 12.5%; p = 0.36), and readmission rate was higher in patients s/p SG (p = 0.03). Ninety percent of patients were available to a follow-up of 59.8 months. The mean BMI and total weight loss was 29.2 and 20.3%, respectively with no difference between groups. The rate of patients with associated medical problems at last follow-up was significantly reduced. Five patients (12.5%) underwent revisional surgery due to complications during follow-up. In conclusion, RBS in the elderly is associated with a reasonable complication rate and is effective in terms of weight loss and improvement of associated medical problems in a 5-year follow-up.

Keywords: Elderly; Long-term weight loss; Metabolic and bariatric surgery; Revisional bariatric surgery; Safety.

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Conflict of interest statement

Declarations. Conflict of interest: All authors declare they have no potential conflicts of interest or financial ties to disclose. No funding was received for this publication. Ethical approval: All procedures performed in this study were in accordance with ethical standards of the institutional and/or national health research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent: Informed consent does not apply.

Figures

Fig. 1
Fig. 1
BMI trends during the follow-up in elderly patients undergoing RBS
See this image and copyright information in PMC

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