Safety and effectiveness of laparoscopic y-en-rougastric bypass surgery in obese elderly patients

Abstract

Purpose: To analyze, in aged obese patients, the weight loss, comorbidity control, and safetpostoperative complications of bariatric surgery by Roux-en-Y gastric bypass technique. Methods: Twenty-seven patients who underwent laparoscopic weight-reducing gastroplasty witRoux-en-Y gastric bypass to treat obesity were included. All patients were ≥ 60 years old at the timof surgery. The Wilcoxon test was used for statistical analysis, and a p-value ≤0.05it was consideresignificant. Results: Ten (90.9%) patients with dyslipidemia were cured (p < 0.001). Nine (81.8%) patients wittype 2 diabetes mellitus had total improvement and 2 (18.2%) had partial improvement (p = 0.003). I23 patients with systemic arterial hypertension, 9 (39.1%) achieved total improvement and 14 (60.9%partial improvement (p = 0.140). Five (71.4%) patients with obstructive sleep apnea syndrome wercured (p = <0.001). For other comorbidities, no partial improvement or cure was shown. Conclusions: Roux-en-Y gastric bypass surgery in obese elderly patients can be performed safely anwith low morbidity and mortality rates. The benefits of weight loss and reduced comorbidities arpromising and like those of the younger population.