title: Super-Obesity in the Elderly: Is Bariatric Surgery Justified?
abstract: Although the prevalence of obese elderly patients is increasing, the outcomes of bariatric surgery in this potentially high-risk cohort remain poorly understood, especially those relating to quality of life. Furthermore, there is no data on the efficacy of bariatric surgery in the super-obese elderly. We identified 50 consecutive patients undergoing bariatric surgery aged 60 years or over, and compared the outcomes of the super-obese (BMI ≥ 50; n = 26) with those of BMI < 50. Mean follow-up was 33 months. There were no significant differences between the groups in terms of comorbidities, operation-type and peri-operative complications. Mean percentage excess weight loss was comparable between the groups (56.7 vs. 58.8 %; p = 0.81), as was resolution of comorbidities and post-operative quality of life (mean Bariatric Analysis and Reporting Outcome System (BAROS) 3.5 vs. 3.1; p = 0.64).
authors.affiliation: Department of Surgery, Kingston Hospital NHS Foundation Trust, London, UK, ermcglone@gmail.com.
authors.forename: Emma Rose
authors.initials: ER
authors.lastname: McGlone
authors.forename: Amanda
authors.initials: A
authors.lastname: Bond
authors.forename: Marcus
authors.initials: M
authors.lastname: Reddy
authors.forename: Omar A
authors.initials: OA
authors.lastname: Khan
authors.forename: Andrew C
authors.initials: AC
authors.lastname: Wan
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D050110:Bariatric Surgery; D015897:Comorbidity; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D011446:Prospective Studies; D011788:Quality of Life; D016896:Treatment Outcome; D015431:Weight Loss