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Minimally Invasive Bariatric Surgery pp 429–432Cite as

Bariatric Surgery in the Elderly

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Abstract

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.

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References

  1. Beliveau MM, Multach M. Perioperative care for the elderly patient. Med Clin North Am 2003;87:273–289.

    Article  PubMed  Google Scholar 

  2. Ergina P, Gold S, Meakin J. Perioperative care of the elderly patient. World J Surg 1993;17:192–198.

    Article  CAS  PubMed  Google Scholar 

  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.

    CAS  PubMed  Google Scholar 

  4. MacGregor AMC, Rand CS. Gastric surgery in morbid obesity. Outcome in patients aged 55 and older. Arch Surg 1993;128:1153–1157.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  7. Bender R, Jockel KH, Trautner C, et al. Effect of age on excess mortality in obesity. JAMA 1999;281:1498–1504.

    Article  CAS  PubMed  Google Scholar 

  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. Liu L, Leung JM. Predicting adverse postoperative outcomes in patients aged 80 years or older. J Am Geritr Soc 2000;48:405–412.

    Article  CAS  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  12. Bender J, Magnunsun T, Zenilman M et al. Outcome following colon surgery in the octogenarian. Am Surg 1996; 62:276–279.

    CAS  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  14. Adkins RJ, Scott HJ. Surgical procedures in patients aged 90 years and older. South Med J 1984;77:1357–1364.

    Article  PubMed  Google Scholar 

  15. Osaki T, Shirakusa T, Kodate M, et al. Surgical treatment of lung cancer in the octogenarian. Ann Thorac Surg 1994; 57:188–193.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  PubMed Central  PubMed  Google Scholar 

  17. Ngyuyen NT. Systemic response after laparoscopic and open gastric bypass. J Am Coll Surg 2002;194:557–566.

    Article  Google Scholar 

  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.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  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.

    PubMed  Google Scholar 

  20. Nehoda H, Hourmont K, Sauper T, et al. Laparoscopic gastric banding in older patients. Arch Surg 2001;136:1171–1176.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  CAS  Google Scholar 

  22. Trus TL, Laycock WS, Wo JM, et al. Laparoscopic antireflux surgery in the elderly. Am J Gastroenterol 1998;93: 351–353.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  24. Law WL, Chu KW, Tung PH. Laparoscopic colorectal resection: a safe option for elderly patients. J Am Coll Surg 2002;195:768–773.

    Article  PubMed  Google Scholar 

  25. Bingener J, Richards ML, Schwesinger WH. Laparoscopic cholecystectomy for elderly patients: gold standard for golden years? Arch Surg 2003;138:535–536.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Surgery, Tufts University School of Medicine, Tufts-New England Medical Center, Boston, MA, USA

    Julie Kim MD (Assistant Professor) & Scott Shikora MD (Professor)

  2. Department of Surgery, Tufts-New England Medical Center, Boston, MA, USA

    Michael Tarnoff MD (Assistant Professor)

Authors
  1. Julie Kim MD
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  2. Scott Shikora MD
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  3. Michael Tarnoff MD
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Editor information

Editors and Affiliations

  1. Lerner College of Medicine, USA

    Philip R. Schauer MD (Professor of Surgery) (Professor of Surgery)

  2. Advanced Laparoscopic and Bariatric Surgery, Bariatric and Metabolic Institute The Cleveland Clinic Foundation, Cleveland, OH, 44195, USA

    Philip R. Schauer MD (Professor of Surgery) (Professor of Surgery)

  3. Department of Surgery Health Sciences Center, University of Virginia Health System, Charlottesville, VA, 22908, USA

    Bruce D. Schirmer MD (Stephen H. Watts Professor of Surgery) (Stephen H. Watts Professor of Surgery)

  4. Advanced Laparoscopic and Bariatric Surgery, Department of Surgery, The Cleveland Clinic Foundation, Cleveland, OH, USA

    Stacy A. Brethauer MD (Staff Surgeon) (Staff Surgeon)

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Kim, J., Shikora, S., Tarnoff, M. (2007). Bariatric Surgery in the Elderly. In: Schauer, P.R., Schirmer, B.D., Brethauer, S.A. (eds) Minimally Invasive Bariatric Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-68062-0_50

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  • DOI: https://doi.org/10.1007/978-0-387-68062-0_50

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-68058-3

  • Online ISBN: 978-0-387-68062-0

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