Comparison of weight loss outcomes 1 year after sleeve gastrectomy and Roux-en-Y gastric bypass in patients aged above 50 years.
BACKGROUND
Safe, effective weight loss with resolution of comorbidities has been convincingly demonstrated with bariatric surgery in the aged obese. They, however, lose less weight than younger individuals. It is not known if degree of weight loss is influenced by the choice of bariatric procedure. The aim of this study was to compare the degree of weight loss between laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) in patients above the age of 50 years at 1 year after surgery.


METHODS
A retrospective analysis was performed of all patients more than 50 years of age who underwent LSG or LRYGB between February 2012 and July 2013 with at least 1 year of follow-up. Data evaluated at 1 year included age, sex, weight, body mass index (BMI), mean operative time, percentage of weight loss and excess weight loss, resolution/remission of diabetes, morbidity and mortality.


RESULTS
Of a total of 86 patients, 54 underwent LSG and 32 underwent LRYGB. The mean percentage of excess weight loss at the end of 1 year was 60.19 ± 17.45 % after LSG and 82.76 ± 34.26 % after LRYGB (P = 0.021). One patient developed a sleeve leak after LSG, and 2 developed iron deficiency anaemia after LRYGB. The remission/improvement in diabetes mellitus and biochemistry was similar.


CONCLUSIONS
LRYGB may offer better results than LSG in terms of weight loss in patients over 50 years of age.
Department of Bariatric Surgery, Gem Hospital and Research Centre, Coimbatore, Tamil Nadu, India.
Palanivelu
P
Praveenraj
Department of Bariatric Surgery, Gem Hospital and Research Centre, Coimbatore, Tamil Nadu, India.
Rachel M
RM
Gomes
Department of Bariatric Surgery, Gem Hospital and Research Centre, Coimbatore, Tamil Nadu, India.
Saravana
S
Kumar
Department of Bariatric Surgery, Gem Hospital and Research Centre, Coimbatore, Tamil Nadu, India.
Sivalingam
S
Perumal
Department of Bariatric Surgery, Gem Hospital and Research Centre, Coimbatore, Tamil Nadu, India.
Palanisamy
P
Senthilnathan
Department of Bariatric Surgery, Gem Hospital and Research Centre, Coimbatore, Tamil Nadu, India.
Ramakrishnan
R
Parthasarathi
Department of Bariatric Surgery, Gem Hospital and Research Centre, Coimbatore, Tamil Nadu, India.
Subbiah
S
Rajapandian
Department of Bariatric Surgery, Gem Hospital and Research Centre, Coimbatore, Tamil Nadu, India.
Chinnusamy
C
Palanivelu