Skip to main content
Erschienen in: Obesity Surgery 12/2016

06.10.2016 | Review Article

The Effectiveness and Safety of Sleeve Gastrectomy in the Obese Elderly Patients: a Systematic Review and Meta-Analysis

verfasst von: Yao Wang, Xiaoyan Yi, Qifu Li, Jun Zhang, Zhihong Wang

Erschienen in: Obesity Surgery | Ausgabe 12/2016

Einloggen, um Zugang zu erhalten

Abstract

Background

This systematic review was performed to compare the effectiveness and safety of SG in the obese elderly patients with the young ones.

Methods

Cohort studies that compared outcomes among old and young patients who had undergone SG were included. Summary odds ratios were estimated using a random effect model.

Results

Eleven studies were included. Old patients had a worse outcome in percentage of excess weight loss than the young ones (SMD −0.39, 95 % CI −0.55 to −0.24). No significant differences were recorded in resolution of co-morbidities: type 2 diabetes mellitus (OR 1.60, 95 % CI 0.843.05), hypertension (OR 1.05, 95 % CI 0.651.68), dyslipidemia (OR 1.38, 95 % CI 0.682.80), OSAS (OR 0.64, 95 % CI 0.301.34), or postoperative complications (OR 0.89, 95 % CI 0.511.55) between the elderly and the young who had undergone SG.

Conclusions

SG was effective for weight loss and resolution of co-morbidities with low complication rate in the obese elderly patients.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Solomon CG, Manson JE. Obesity and mortality: a review of the epidemiologic data. Am J Clin Nutr. 1997;66(4):1044–50. Solomon CG, Manson JE. Obesity and mortality: a review of the epidemiologic data. Am J Clin Nutr. 1997;66(4):1044–50.
2.
Zurück zum Zitat Douketis JD, Macie C, Thabane L, et al. Systematic review of long-term weight loss studies in obese adults: clinical significance and applicability to clinical practice. Int J Obes. 2005;29(10):1153–67.CrossRef Douketis JD, Macie C, Thabane L, et al. Systematic review of long-term weight loss studies in obese adults: clinical significance and applicability to clinical practice. Int J Obes. 2005;29(10):1153–67.CrossRef
3.
Zurück zum Zitat Sjostrom L, Narbro K, Sjostrom CD, et al. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med. 2007;357(8):741–52.CrossRefPubMed Sjostrom L, Narbro K, Sjostrom CD, et al. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med. 2007;357(8):741–52.CrossRefPubMed
4.
Zurück zum Zitat Gloy VL, Briel M, Bhatt DL, et al. Bariatric surgery versus non-surgical treatment for obesity: a systematic review and meta-analysis of randomised controlled trials. BMJ. 2013;347:f5934.CrossRefPubMedPubMedCentral Gloy VL, Briel M, Bhatt DL, et al. Bariatric surgery versus non-surgical treatment for obesity: a systematic review and meta-analysis of randomised controlled trials. BMJ. 2013;347:f5934.CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Buchwald H, Oien DM. Metabolic/bariatric surgery worldwide 2008. Obes Surg. 2009;19(12):1605–11.CrossRefPubMed Buchwald H, Oien DM. Metabolic/bariatric surgery worldwide 2008. Obes Surg. 2009;19(12):1605–11.CrossRefPubMed
6.
Zurück zum Zitat Regan JP, Inabnet WB, Gagner M, et al. Early experience with two-stage laparoscopic roux-en-Y gastric bypass as an alternative in the super-super obese patient. Obes Surg. 2003;13(6):861–4.CrossRefPubMed Regan JP, Inabnet WB, Gagner M, et al. Early experience with two-stage laparoscopic roux-en-Y gastric bypass as an alternative in the super-super obese patient. Obes Surg. 2003;13(6):861–4.CrossRefPubMed
7.
Zurück zum Zitat D'Hondt M, Vanneste S, Pottel H, et al. Laparoscopic sleeve gastrectomy as a single-stage procedure for the treatment of morbid obesity and the resulting quality of life, resolution of comorbidities, food tolerance, and 6-year weight loss. Surg Endosc. 2011;25(8):2498–504.CrossRefPubMed D'Hondt M, Vanneste S, Pottel H, et al. Laparoscopic sleeve gastrectomy as a single-stage procedure for the treatment of morbid obesity and the resulting quality of life, resolution of comorbidities, food tolerance, and 6-year weight loss. Surg Endosc. 2011;25(8):2498–504.CrossRefPubMed
8.
Zurück zum Zitat Rosenthal RJ, Diaz AA, Arvidsson D, et al. International sleeve gastrectomy expert panel consensus statement: best practice guidelines based on experience of >12,000 cases. Surg Obes Relat Dis. 2012;8(1):8–19.CrossRefPubMed Rosenthal RJ, Diaz AA, Arvidsson D, et al. International sleeve gastrectomy expert panel consensus statement: best practice guidelines based on experience of >12,000 cases. Surg Obes Relat Dis. 2012;8(1):8–19.CrossRefPubMed
9.
Zurück zum Zitat NIH conference. Gastrointestinal surgery for severe obesity. Consensus development conference panel. Ann Intern Med. 1991;115(12):956–61.CrossRef NIH conference. Gastrointestinal surgery for severe obesity. Consensus development conference panel. Ann Intern Med. 1991;115(12):956–61.CrossRef
10.
Zurück zum Zitat Fried M, Hainer V, Basdevant A, et al. Interdisciplinary European guidelines for surgery for severe (morbid) obesity. Obes Surg. 2007;17(2):260–70.CrossRefPubMed Fried M, Hainer V, Basdevant A, et al. Interdisciplinary European guidelines for surgery for severe (morbid) obesity. Obes Surg. 2007;17(2):260–70.CrossRefPubMed
11.
Zurück zum Zitat Giordano S, Victorzon M. Bariatric surgery in elderly patients: a systematic review. Clin Interv Aging. 2015;10:1627–35.PubMedPubMedCentral Giordano S, Victorzon M. Bariatric surgery in elderly patients: a systematic review. Clin Interv Aging. 2015;10:1627–35.PubMedPubMedCentral
12.
Zurück zum Zitat Wool D, Bellatorre N, Wren S, et al. Male patients above age 60 have as good outcomes as male patients 50-59 years old at 1-year follow-up after bariatric surgery. Obes Surg. 2009;19(10):18–21.CrossRefPubMed Wool D, Bellatorre N, Wren S, et al. Male patients above age 60 have as good outcomes as male patients 50-59 years old at 1-year follow-up after bariatric surgery. Obes Surg. 2009;19(10):18–21.CrossRefPubMed
13.
Zurück zum Zitat Musella M, Milone M, Maietta P, et al. Bariatric surgery in elderly patients. A comparison between gastric banding and sleeve gastrectomy with five years of follow up. Int J Surg. 2014;12(2):69–72.CrossRef Musella M, Milone M, Maietta P, et al. Bariatric surgery in elderly patients. A comparison between gastric banding and sleeve gastrectomy with five years of follow up. Int J Surg. 2014;12(2):69–72.CrossRef
14.
Zurück zum Zitat Sosa JL, Pombo H, Pallavicini H, et al. Laparoscopic gastric bypass beyond age 60. Obes Surg. 2004;14(10):1398–401.CrossRefPubMed Sosa JL, Pombo H, Pallavicini H, et al. Laparoscopic gastric bypass beyond age 60. Obes Surg. 2004;14(10):1398–401.CrossRefPubMed
15.
Zurück zum Zitat Moher D, Liberati A, Tetzlaff J, et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097.CrossRefPubMedPubMedCentral Moher D, Liberati A, Tetzlaff J, et al. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097.CrossRefPubMedPubMedCentral
16.
Zurück zum Zitat Abbas M, Cumella L, Zhang Y, et al. Outcomes of laparoscopic sleeve gastrectomy and roux-en-Y gastric bypass in patients older than 60. Obes Surg. 2015;25:2251–6.CrossRefPubMed Abbas M, Cumella L, Zhang Y, et al. Outcomes of laparoscopic sleeve gastrectomy and roux-en-Y gastric bypass in patients older than 60. Obes Surg. 2015;25:2251–6.CrossRefPubMed
17.
Zurück zum Zitat Burchett MA, McKenna DT, Selzer DJ, et al. Laparoscopic sleeve gastrectomy is safe and effective in elderly patients: a comparative analysis. Obes Surg. 2015;25(12):222–8.CrossRefPubMed Burchett MA, McKenna DT, Selzer DJ, et al. Laparoscopic sleeve gastrectomy is safe and effective in elderly patients: a comparative analysis. Obes Surg. 2015;25(12):222–8.CrossRefPubMed
18.
Zurück zum Zitat Gonzalez-Heredia R, Patel N, Sanchez-Johnsen L, et al. Does age influence bariatric surgery outcomes? Bariatr Surg Pract Patient Care. 2015;10(2):74–8.CrossRefPubMedPubMedCentral Gonzalez-Heredia R, Patel N, Sanchez-Johnsen L, et al. Does age influence bariatric surgery outcomes? Bariatr Surg Pract Patient Care. 2015;10(2):74–8.CrossRefPubMedPubMedCentral
19.
Zurück zum Zitat Keren D, Matter I, Rainis T. Sleeve gastrectomy in different age groups: a comparative study of 5-year outcomes. Obes Surg. 2016;26(2):289–95.CrossRefPubMed Keren D, Matter I, Rainis T. Sleeve gastrectomy in different age groups: a comparative study of 5-year outcomes. Obes Surg. 2016;26(2):289–95.CrossRefPubMed
20.
Zurück zum Zitat Leivonen M, Juuti K. A, Jaser N, et al. laparoscopic sleeve gastrectomy in patients over 59 years: early recovery and 12-month follow-up. Obes Surg. 2011;21(8):1180–7.CrossRefPubMed Leivonen M, Juuti K. A, Jaser N, et al. laparoscopic sleeve gastrectomy in patients over 59 years: early recovery and 12-month follow-up. Obes Surg. 2011;21(8):1180–7.CrossRefPubMed
21.
Zurück zum Zitat Luppi CR, Balague C, Targarona EM, et al. Laparoscopic sleeve gastrectomy in patients over 60 years: impact of age on weight loss and co-morbidity improvement. Surg Obes Relat Dis. 2015;11(2):296–301.CrossRefPubMed Luppi CR, Balague C, Targarona EM, et al. Laparoscopic sleeve gastrectomy in patients over 60 years: impact of age on weight loss and co-morbidity improvement. Surg Obes Relat Dis. 2015;11(2):296–301.CrossRefPubMed
22.
Zurück zum Zitat Mizrahi I, Alkurd A, Ghanem M, et al. Outcomes of laparoscopic sleeve gastrectomy in patients older than 60 years. Obes Surg. 2014;24(6):855–60.CrossRefPubMed Mizrahi I, Alkurd A, Ghanem M, et al. Outcomes of laparoscopic sleeve gastrectomy in patients older than 60 years. Obes Surg. 2014;24(6):855–60.CrossRefPubMed
23.
Zurück zum Zitat Nagao Y, Diana M, Vix M, et al. Age impact on weight loss and glycolipid profile after laparoscopic sleeve gastrectomy: experience with 308 consecutive patients. Surg Endosc. 2014;28(3):803–10.CrossRefPubMed Nagao Y, Diana M, Vix M, et al. Age impact on weight loss and glycolipid profile after laparoscopic sleeve gastrectomy: experience with 308 consecutive patients. Surg Endosc. 2014;28(3):803–10.CrossRefPubMed
24.
Zurück zum Zitat Pequignot A, Prevot F, Dhahri A, et al. Is sleeve gastrectomy still contraindicated for patients aged>/=60 years? A case-matched study with 24 months of follow-up. Surg Obes Relat Dis. 2015;11(5):1008–13.CrossRefPubMed Pequignot A, Prevot F, Dhahri A, et al. Is sleeve gastrectomy still contraindicated for patients aged>/=60 years? A case-matched study with 24 months of follow-up. Surg Obes Relat Dis. 2015;11(5):1008–13.CrossRefPubMed
25.
Zurück zum Zitat Ritz P, Topart P, Benchetrit S, et al. Benefits and risks of bariatric surgery in patients aged more than 60 years. Surg Obes Relat Dis. 2014;14:4–5. Ritz P, Topart P, Benchetrit S, et al. Benefits and risks of bariatric surgery in patients aged more than 60 years. Surg Obes Relat Dis. 2014;14:4–5.
26.
Zurück zum Zitat van Rutte PW, Smulders JF, de Zoete JP, et al. Sleeve gastrectomy in older obese patients. Surg Endosc. 2013;27(6):2014–9.CrossRefPubMed van Rutte PW, Smulders JF, de Zoete JP, et al. Sleeve gastrectomy in older obese patients. Surg Endosc. 2013;27(6):2014–9.CrossRefPubMed
27.
Zurück zum Zitat Dorman RB, Abraham AA, Al-Refaie WB, et al. Bariatric surgery outcomes in the elderly: an ACS NSQIP study. J Gastrointest Surg. 2012;16(1):35–44.CrossRefPubMed Dorman RB, Abraham AA, Al-Refaie WB, et al. Bariatric surgery outcomes in the elderly: an ACS NSQIP study. J Gastrointest Surg. 2012;16(1):35–44.CrossRefPubMed
28.
Zurück zum Zitat Sampath K, Dinani AM, Rothstein RI. Endoscopic devices for obesity. Curr Obes Rep. 2016;5(2):251–61.CrossRefPubMed Sampath K, Dinani AM, Rothstein RI. Endoscopic devices for obesity. Curr Obes Rep. 2016;5(2):251–61.CrossRefPubMed
29.
Zurück zum Zitat van Hout GC, Verschure SK, van Heck GL. Psychosocial predictors of success following bariatric surgery. Obes Surg. 2005;15(4):552–60.CrossRefPubMed van Hout GC, Verschure SK, van Heck GL. Psychosocial predictors of success following bariatric surgery. Obes Surg. 2005;15(4):552–60.CrossRefPubMed
30.
Zurück zum Zitat Fabricatore AN, Wadden TA, Moore RH, et al. Predictors of attrition and weight loss success: results from a randomized controlled trial. Behav Res Ther. 2009;47(8):685–91.CrossRefPubMedPubMedCentral Fabricatore AN, Wadden TA, Moore RH, et al. Predictors of attrition and weight loss success: results from a randomized controlled trial. Behav Res Ther. 2009;47(8):685–91.CrossRefPubMedPubMedCentral
31.
Zurück zum Zitat Boza C, Daroch D, Barros D, et al. Long-term outcomes of laparoscopic sleeve gastrectomy as a primary bariatric procedure. Surg Obes Relat Dis. 2014;10(6):1129–33.CrossRefPubMed Boza C, Daroch D, Barros D, et al. Long-term outcomes of laparoscopic sleeve gastrectomy as a primary bariatric procedure. Surg Obes Relat Dis. 2014;10(6):1129–33.CrossRefPubMed
32.
Zurück zum Zitat Vaidya V, Gangan N, Sheehan J. Impact of cardiovascular complications among patients with type 2 diabetes mellitus: a systematic review. Expert Rev Pharmacoecon Outcomes Res. 2015;15(3):487–97.CrossRefPubMed Vaidya V, Gangan N, Sheehan J. Impact of cardiovascular complications among patients with type 2 diabetes mellitus: a systematic review. Expert Rev Pharmacoecon Outcomes Res. 2015;15(3):487–97.CrossRefPubMed
33.
Zurück zum Zitat Chenniappan M. Blood pressure variability: assessment, prognostic significance and management. J Assoc Physicians India. 2015;63(5):47–53.PubMed Chenniappan M. Blood pressure variability: assessment, prognostic significance and management. J Assoc Physicians India. 2015;63(5):47–53.PubMed
34.
Zurück zum Zitat Bragg DA, Walling A. Metabolic syndrome: hyperlipidemia. FP Essent. 2015;435:17–23.PubMed Bragg DA, Walling A. Metabolic syndrome: hyperlipidemia. FP Essent. 2015;435:17–23.PubMed
35.
Zurück zum Zitat Jordan AS, McSharry DG, Malhotra A. Adult obstructive sleep apnoea. Lancet. 2014;383(9918):736–47.CrossRefPubMed Jordan AS, McSharry DG, Malhotra A. Adult obstructive sleep apnoea. Lancet. 2014;383(9918):736–47.CrossRefPubMed
36.
Zurück zum Zitat Oria HE, Moorehead MK. Updated bariatric analysis and reporting outcome system (BAROS. Surg Obes Relat Dis. 2009;5(1):60–6.CrossRefPubMed Oria HE, Moorehead MK. Updated bariatric analysis and reporting outcome system (BAROS. Surg Obes Relat Dis. 2009;5(1):60–6.CrossRefPubMed
37.
Zurück zum Zitat Flum DR, Salem L, Elrod JA, et al. Early mortality among Medicare beneficiaries undergoing bariatric surgical procedures. Jam. 2005;294(15):1903–8.CrossRef Flum DR, Salem L, Elrod JA, et al. Early mortality among Medicare beneficiaries undergoing bariatric surgical procedures. Jam. 2005;294(15):1903–8.CrossRef
38.
Zurück zum Zitat Livingston EH, Huerta S, Arthur D, et al. Male gender is a predictor of morbidity and age a predictor of mortality for patients undergoing gastric bypass surgery. Ann Surg. 2002;236(5):576–82.CrossRefPubMedPubMedCentral Livingston EH, Huerta S, Arthur D, et al. Male gender is a predictor of morbidity and age a predictor of mortality for patients undergoing gastric bypass surgery. Ann Surg. 2002;236(5):576–82.CrossRefPubMedPubMedCentral
39.
Zurück zum Zitat Turrentine FE, Wang H, Simpson VB, et al. Surgical risk factors, morbidity, and mortality in elderly patients. J Am Coll Surg. 2006;203(6):865–77.CrossRefPubMed Turrentine FE, Wang H, Simpson VB, et al. Surgical risk factors, morbidity, and mortality in elderly patients. J Am Coll Surg. 2006;203(6):865–77.CrossRefPubMed
Metadaten
Titel
The Effectiveness and Safety of Sleeve Gastrectomy in the Obese Elderly Patients: a Systematic Review and Meta-Analysis
verfasst von
Yao Wang
Xiaoyan Yi
Qifu Li
Jun Zhang
Zhihong Wang
Publikationsdatum
06.10.2016
Verlag
Springer US
Erschienen in
Obesity Surgery / Ausgabe 12/2016
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-016-2396-5

Weitere Artikel der Ausgabe 12/2016

Obesity Surgery 12/2016 Zur Ausgabe

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare
CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare
CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare
CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.