Morbidity Rates and Weight Loss After Roux-en-Y Gastric Bypass, Sleeve Gastrectomy, and Adjustable Gastric Banding in XXXX Older Than 60  Years old: Which Procedure to Choose?

@entity1 @entity356 @entity353
BACKGROUND: As life expectancy increases, more elderly @entity1 fit into the criteria for bariatric procedures. The aim of our study is to evaluate and compare the safety and efficacy of @entity356 ( @entity356 ), laparoscopic sleeve gastrectomy (LSG), and laparoscopic adjustable gastric banding (LAGB) in @entity1 older than 60. MATERIAL AND METHODS: Between January 2005 and December 2013, 68 LAGB, 73 LSG, and 212 @entity356 @entity1 were 60  years or older at the time of primary procedure. A retrospective review was performed in these @entity1 . RESULTS: Mean age and body mass index (BMI) was 62.7        2.2, 64.1        2.9, and 62.6        2.3  years and 42.7        5.6, 44.0        7.0, and 45.2        6.7  kg/m(2) for LAGB, LSG, and @entity356 at the time of procedure, respectively. Seven (10.3  %) @entity1 from the LAGB, 3 (4.1  %) from the LSG, and 29 (13.8  %) from the @entity356 group required readmissions. Reoperation rate was 10.3, 1.4, and 9.5  % in LAGB, LSG, and @entity356 , respectively. The difference in reoperation rates was statistically significant (p   <   0.03) while that in readmission rates was not (p   >   0.58). Procedure-related mortality rate was 1.4  % in the @entity356 group, while no mortality was observed in LSG and LAGB groups. At 6, 12, and 18  months postoperatively, mean percentage of excess @entity353 were highest in the @entity356 group, followed by LSG and LAGB group (p   <   0.01). Mean number of comorbidities at the last follow-up significantly decreased in LSG and @entity356 @entity1 . CONCLUSIONS: LSG showed the lowest readmission and reoperation rate, and @entity356 @entity1 had the highest mortality rate. Weight loss and comorbidity resolution were effectively achieved in @entity356 and LSG @entity1 .
