Bariatric Surgery in the Elderly

  • Julie Kim
  • Scott Shikora
  • Michael Tarnoff


Advances in health care enable people to live longer and healthier lives than ever before. The average life span is now well into the 70s. This is a dramatic increase since Roman times, when the average life span was only 25 to 30 years. In 1990, more than 30 million people were above the age of 65 in the United States. This figure is estimated to nearly double to 58.9 million, comprising nearly 20% of the population, by the year 2025 (1). Individuals above the age of 65 currently undergo more surgical procedures than any other age group, the incidence of which is only expected to increase over the next several decades (2). This raises many potential areas of concern for all surgeons, including bariatric surgeons.


Bariatric Surgery Gastric Bypass Morbid Obesity Bariatric Surgeon Laparoscopic Gastric Banding 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Beliveau MM, Multach M. Perioperative care for the elderly patient. Med Clin North Am 2003;87:273–289.CrossRefPubMedGoogle Scholar
  2. 2.
    Ergina P, Gold S, Meakin J. Perioperative care of the elderly patient. World J Surg 1993;17:192–198.CrossRefPubMedGoogle Scholar
  3. 3.
    Printen KJ, Mason EE. Gastric bypass for morbid obesity in patients more than fifty years of age. Surg Gynecol Obstet 1977;144:192–194.PubMedGoogle Scholar
  4. 4.
    MacGregor AMC, Rand CS. Gastric surgery in morbid obesity. Outcome in patients aged 55 and older. Arch Surg 1993;128:1153–1157.CrossRefPubMedGoogle Scholar
  5. 5.
    Murr MM, Siadati MR, Sarr MG. Results of bariatric surgery for morbid obesity in patients older than 50 years. Obes Surg 1995;5:399–402.CrossRefPubMedGoogle Scholar
  6. 6.
    Heiat A, Vaccarino V, Krunholz HM. An evidence-based assessment of federal guidelines for overweight and obesity as they apply to elderly persons. Arch Intern Med 2001;161: 1194–1203.CrossRefPubMedGoogle Scholar
  7. 7.
    Bender R, Jockel KH, Trautner C, et al. Effect of age on excess mortality in obesity. JAMA 1999;281:1498–1504.CrossRefPubMedGoogle Scholar
  8. 8.
    Gastrointestinal surgery for severe obesity.National Institutes of Health Consensus Development Conference Statement. Am J Cli Nutr 1992;55:615s–619s.Google Scholar
  9. 9.
    Liu L, Leung JM. Predicting adverse postoperative outcomes in patients aged 80 years or older. J Am Geritr Soc 2000;48:405–412.CrossRefGoogle Scholar
  10. 10.
    Marcantonio ER, Goldman L, Mangione CM, et al. A clinical prediction rule for delirium after elective non-cardiac surgery. JAMA 1994;271:134–139.CrossRefPubMedGoogle Scholar
  11. 11.
    Marcantonio ER, Goldman L, Ovar EJ, et al. The association of intraoperative factors with the development of postoperative delirium. Am J Med 1998;105:380–384.CrossRefPubMedGoogle Scholar
  12. 12.
    Bender J, Magnunsun T, Zenilman M et al. Outcome following colon surgery in the octogenarian. Am Surg 1996; 62:276–279.PubMedGoogle Scholar
  13. 13.
    Keating J, III. Major surgery in nursing home patients: procedures, morbidity and mortality in the frailest of the frail elderly. J Am Geriatr Soc 1992;40:8–11.CrossRefPubMedGoogle Scholar
  14. 14.
    Adkins RJ, Scott HJ. Surgical procedures in patients aged 90 years and older. South Med J 1984;77:1357–1364.CrossRefPubMedGoogle Scholar
  15. 15.
    Osaki T, Shirakusa T, Kodate M, et al. Surgical treatment of lung cancer in the octogenarian. Ann Thorac Surg 1994; 57:188–193.CrossRefPubMedGoogle Scholar
  16. 16.
    Livingston EH, Huerta S, Arthur D, et al. Male gender is a predictor of morbidity and age a predictor of mortality in patients undergoing gastric bypass surgery. Ann Surg 2002;236:576–582.PubMedCentralCrossRefPubMedGoogle Scholar
  17. 17.
    Ngyuyen NT. Systemic response after laparoscopic and open gastric bypass. J Am Coll Surg 2002;194:557–566.CrossRefGoogle Scholar
  18. 18.
    Schauer PR, Ikramuddin S, Gourash WF, et al. Outcomes after laparoscopic Roux-en-Y gastric bypass for morbid obesity. Ann Surg 2000;232:515–529.PubMedCentralCrossRefPubMedGoogle Scholar
  19. 19.
    Gonzalez R, Lin E, Mattar SG, et al. Gastric bypass for morbid obesity in patients 50 years or older: laparoscopic technique safer? Am Surg 2003;69:547–553.PubMedGoogle Scholar
  20. 20.
    Nehoda H, Hourmont K, Sauper T, et al. Laparoscopic gastric banding in older patients. Arch Surg 2001;136:1171–1176.CrossRefPubMedGoogle Scholar
  21. 21.
    Abu-Abeid S, Keider A, Szoid A. Resolution of chronic medical conditions after laparoscopic adjustable silicone gastric banding for the treatment of morbid obesity in the elderly. Surg Endsc 2001;15:132–134.CrossRefGoogle Scholar
  22. 22.
    Trus TL, Laycock WS, Wo JM, et al. Laparoscopic antireflux surgery in the elderly. Am J Gastroenterol 1998;93: 351–353.CrossRefPubMedGoogle Scholar
  23. 23.
    Bammer T, Hinder RA, Klaus A, et al. Safety and long-term outcome of laparoscopic antireflux surgery in patients in their eighties and older. Surg Endosc 2002;16:40–42.CrossRefPubMedGoogle Scholar
  24. 24.
    Law WL, Chu KW, Tung PH. Laparoscopic colorectal resection: a safe option for elderly patients. J Am Coll Surg 2002;195:768–773.CrossRefPubMedGoogle Scholar
  25. 25.
    Bingener J, Richards ML, Schwesinger WH. Laparoscopic cholecystectomy for elderly patients: gold standard for golden years? Arch Surg 2003;138:535–536.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Julie Kim
    • 1
  • Scott Shikora
    • 1
  • Michael Tarnoff
    • 2
  1. 1.Department of SurgeryTufts University School of Medicine, Tufts-New England Medical CenterBostonUSA
  2. 2.Department of SurgeryTufts-New England Medical CenterBostonUSA

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