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Laparoscopic Gastric Banding in Older Morbidly Obese Patients

Older Patients Benefit From Laparoscopic Gastric Banding, Postoperative Complications Acceptable

Bariatric Surgery - Bariatric Research Studies

Laparoscopic Gastric Banding in Older Morbidly Obese Patients

Hypothesis is that older patients experience the same benefits from a laparoscopic gastric banding (LGB) operation as younger patients.

Method

A case series of 320 morbidly obese and superobese patients who underwent LGB within a 46-month period. A consecutive sample of 320 patients who met the criteria for a bariatric procedure and were aged 18 years or older. Patients were divided into the following 2 age groups: younger patients (group A, 18-49 years) and older patients (group B, > or =50 years).

Intervention

Laparoscopic gastric banding with an adjustable gastric band.

Main Outcome Measures

Clinicopathologic features, including weight loss, complications, length of hospital stay, and operative times, were reviewed retrospectively, and a multivariate analysis was carried out.

Results

Of 320 patients, we identified 68 older patients (21.5%, group B). The mean postoperative follow-up period was 12 months (range, 6-28 months). The average preoperative weight was 127.8 kg (body mass index [calculated as weight in kilograms divided by the square of height in meters], 44.29). The average total weight loss was 4.3 kg per month for the first 3 months, reaching an average total of 31.0 kg after 1 year. The excess weight loss after 12 months was 68%. Complications requiring reoperation occurred in 10.3% of patients. Ninety-seven percent of the patients reported an improvement in their comorbid conditions.

Conclusion

Older patients receive the same benefits from laparoscopic gastric banding as younger patients, with an acceptable postoperative complication rate. Presently, our upper age limit is 70 years.

Source:
Nehoda H, Hourmont K, Sauper T, Mittermair R, Lanthaler M, Aigner F, Weiss H. Department of General Surgery, University Hospital of Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria. 2001

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Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2017 Bariatric-Surgery.Info - Terms - Contact - Information - Resources