Benefit of Bariatric Surgery in Elderly

Research Article

Austin Surg Case Rep. 2016; 1(2): 1008.

Benefit of Bariatric Surgery in Elderly

Susmallian S¹*, Raziel A² and Barnea R³

¹Department of Surgery, Assuta Medical Center, Israel

²Department of Medicine, Assuta Medical Center, Israel

³Department of Hemato-Oncology, Assuta Medical Center, Israel

*Corresponding author: Susmallian S, Department of Surgery, Assuta Medical Center, Israel

Received: July 05, 2016; Accepted: September 11, 2016; Published: September 16, 2016


It has been estimated that the elderly population will grow by 1% every year. The elderly population is growing also thanks to the progress made.

Obesity has become one of the biggest health problems affecting more than one third of the world population. The elderly population is no stranger to proportional increase in obesity. Until today has not found an effective treatment for obesity, surgical treatment is the most effective treatment today.

We analyze the results of bariatric surgery in elderly patients during 3 years. From a total of 9044 bariatric surgery, 451 (5%) were performed in elderly. More than 76% of the patients have co-morbidities. The type of bariatric surgery most frequent was sleeve gastrectomy performed in 70% of patients.

There were 38 (8.42%), peri-operative complicated patients: 6 (1.33) patients need re- operation. In 10 patients has been systemic complications related to their co-morbidities. Eight patients were re-admitted after discharge 5 of them with abdominal abscess.

There were no deaths in our cohort of study.

Bariatric surgery offers to elderly patients an acceptable outcome. It is true to give the opportunity to improve the quality of life for elderly patients who require bariatric surgery. It is imperative a new consensus conference panel to determine increasing the age for bariatric surgery that includes early elderly.

Keywords: Obesity; Elderly; Bariatric surgery; Comorbidities


It has been estimated that the elderly population will grow by 1% every year until 2040 [1]. In the literature of the 40s we can find that elderly patients are not per se a contraindication for mayor surgery [2]. Anyway, there is no doubt that mortality and morbidity in elderly patients is related to age and coexisting diseases [3].

Physical inactivity and high caloric intake have caused an increase in the obese population in a way that is considered a global epidemic [4].

Conservative treatments for obesity as medicaments, behavioral and physical activities have failed as instruments to stop the increase of obesepopulation; therefore, the surgical option appears to be best treatment for obesity and related diseases [5].

A logical reasonable question today: if, it is acceptable to limit to 65 years for bariatric surgery in obese patients? In 1991 the National Institutes of Health Consensus Development Conference on Gastrointestinal Surgery for Severe Obesity accept that the age range 18-60 is ideal for performing bariatric surgery [6]. The Aim of our study is to corroborate the results of bariatric surgery in elderly.

Material and Methods

In this study, a retrospective analysis of patients that underwent bariatric procedures was performed a in our medical center between the years 2013-2015. All patients are monitored by a multidisciplinary team that analyzes and corroborates the indications to perform a bariatric operation.

The group study includes 451 patient that underwent bariatric surgery, which represent 4.98% of all bariatric surgery performed in the institution, 271 of them were female (60%) and 180 were male (40%). All the procedures were performed laparoscopicaly by a total of 39 expert surgeons. The mean age in the group study was 67.92 years old (Min. 65; max. 84). Patients under 70 years old were 385 and above 70 years old were 66 patients.

The mean Body Mass Index was 40.42 Kg/m² (min. 23 Kg/m² and max. of 85 Kg/m²).


The procedures performed distributed as follow: Sleeve Gastrectomy in 318 patients (70.5%), Gastric bypass in 66 (14.6%), gastric banding in 62 (14.2%) and duodenal switch in 3 (0.7%). In 316 (70.1%) patient was the first bariatric procedure, in 135 (29.9%) was a conversion from one to other type of bariatric surgery (Figure 1). The mean BMI change among elderly patients was 12.03kg/m² and no failure (less than 25% weight lost) were reported.