Early morbidity and mortality of laparoscopic sleeve gastrectomy and gastric bypass in the elderly: A NSQIP analysis

Konstantinos Spaniolas; Thadeus L. Trus; Gina L. Adrales; Maureen T. Quigley; Walter J. Pories; William S. Laycock

doi:10.1016/j.soard.2014.02.010

Early morbidity and mortality of laparoscopic sleeve gastrectomy and gastric bypass in the elderly: A NSQIP analysis

Konstantinos Spaniolas, Thadeus L. Trus, Gina L. Adrales, Maureen T. Quigley, Walter J. Pories, William S. Laycock

Research output: Contribution to journal › Article › peer-review

Abstract

Methods: The National Surgical Quality Improvement Program (NSQIP) database was queried for all patients aged 65 and over who underwent laparoscopic RYGB and SG between 2010 and 2011. Baseline characteristics and outcomes were compared. P value <.05 was considered significant. Odds ratios (OR) with 9S% confidence interval (Cl) were reported when applicable.

Background: Even though the U.S. population is aging, outcomes of bariatric surgery in the elderly are not well defined. Current literature mostly evaluates the effects of gastric bypass (RYGB), with paucity of data on sleeve gastrectomy (SG). The objective of this study was to assess 30-day morbidity and mortality associated with laparoscopic SG in patients aged 65 years and over, in comparison to RYGB.

Results: We identified 1005 patients. Mean body mass index was 44 ± 7. SG was performed in 155 patients (15.4%). The American Society of Anesthesiology physical classification of 3 or 4 was similar between the 2 groups (82.6% versus 86.7%, P = .173). Diabetes was more frequent in the RYGB group (43.2C/c versus 55.6%, P .004). 30-day mortality (0.6C/c versus 0.6C/c, OR 1.1, 95C/c Cl .11 9.49), serious morbidity (5.2% versus 5.6%, OR .91, 95% Cl .42 0.96), and overall morbidity (9% versus 9.1%, OR 1.0, 95% Cl .55 1.81) were similar.

Conclusion: In elderly patients undergoing laparoscopic bariatric surgery, SG is not associated with significantly different 30-day outcomes compared to RYGB. Both procedures are followed by acceptably low morbidity and mortality. (Surg Obes Relat Dis 2014:10:584 588.).

Original language	English (US)
Pages (from-to)	584-588
Number of pages	5
Journal	Surgery for Obesity and Related Diseases
Volume	10
Issue number	4
DOIs	https://doi.org/10.1016/j.soard.2014.02.010
State	Published - Jul 1 2014
Externally published	Yes

Keywords

Bariatric surgery
Elderly
NSQIP
Safety
Sleeve gastrectomy

ASJC Scopus subject areas

Surgery

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10.1016/j.soard.2014.02.010

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Early morbidity and mortality of laparoscopic sleeve gastrectomy and gastric bypass in the elderly : A NSQIP analysis. / Spaniolas, Konstantinos; Trus, Thadeus L.; Adrales, Gina L.; Quigley, Maureen T.; Pories, Walter J.; Laycock, William S.

In: Surgery for Obesity and Related Diseases, Vol. 10, No. 4, 01.07.2014, p. 584-588.

Research output: Contribution to journal › Article › peer-review

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title = "Early morbidity and mortality of laparoscopic sleeve gastrectomy and gastric bypass in the elderly: A NSQIP analysis",

abstract = "Methods: The National Surgical Quality Improvement Program (NSQIP) database was queried for all patients aged 65 and over who underwent laparoscopic RYGB and SG between 2010 and 2011. Baseline characteristics and outcomes were compared. P value <.05 was considered significant. Odds ratios (OR) with 9S% confidence interval (Cl) were reported when applicable.Background: Even though the U.S. population is aging, outcomes of bariatric surgery in the elderly are not well defined. Current literature mostly evaluates the effects of gastric bypass (RYGB), with paucity of data on sleeve gastrectomy (SG). The objective of this study was to assess 30-day morbidity and mortality associated with laparoscopic SG in patients aged 65 years and over, in comparison to RYGB.Results: We identified 1005 patients. Mean body mass index was 44 ± 7. SG was performed in 155 patients (15.4%). The American Society of Anesthesiology physical classification of 3 or 4 was similar between the 2 groups (82.6% versus 86.7%, P = .173). Diabetes was more frequent in the RYGB group (43.2C/c versus 55.6%, P .004). 30-day mortality (0.6C/c versus 0.6C/c, OR 1.1, 95C/c Cl .11 9.49), serious morbidity (5.2% versus 5.6%, OR .91, 95% Cl .42 0.96), and overall morbidity (9% versus 9.1%, OR 1.0, 95% Cl .55 1.81) were similar.Conclusion: In elderly patients undergoing laparoscopic bariatric surgery, SG is not associated with significantly different 30-day outcomes compared to RYGB. Both procedures are followed by acceptably low morbidity and mortality. (Surg Obes Relat Dis 2014:10:584 588.).",

keywords = "Bariatric surgery, Elderly, NSQIP, Safety, Sleeve gastrectomy",

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note = "Publisher Copyright: {\textcopyright} 2014 American Society for Bariatric Surgery..",

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T1 - Early morbidity and mortality of laparoscopic sleeve gastrectomy and gastric bypass in the elderly

T2 - A NSQIP analysis

AU - Spaniolas, Konstantinos

AU - Trus, Thadeus L.

AU - Adrales, Gina L.

AU - Quigley, Maureen T.

AU - Pories, Walter J.

AU - Laycock, William S.

PY - 2014/7/1

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N2 - Methods: The National Surgical Quality Improvement Program (NSQIP) database was queried for all patients aged 65 and over who underwent laparoscopic RYGB and SG between 2010 and 2011. Baseline characteristics and outcomes were compared. P value <.05 was considered significant. Odds ratios (OR) with 9S% confidence interval (Cl) were reported when applicable.Background: Even though the U.S. population is aging, outcomes of bariatric surgery in the elderly are not well defined. Current literature mostly evaluates the effects of gastric bypass (RYGB), with paucity of data on sleeve gastrectomy (SG). The objective of this study was to assess 30-day morbidity and mortality associated with laparoscopic SG in patients aged 65 years and over, in comparison to RYGB.Results: We identified 1005 patients. Mean body mass index was 44 ± 7. SG was performed in 155 patients (15.4%). The American Society of Anesthesiology physical classification of 3 or 4 was similar between the 2 groups (82.6% versus 86.7%, P = .173). Diabetes was more frequent in the RYGB group (43.2C/c versus 55.6%, P .004). 30-day mortality (0.6C/c versus 0.6C/c, OR 1.1, 95C/c Cl .11 9.49), serious morbidity (5.2% versus 5.6%, OR .91, 95% Cl .42 0.96), and overall morbidity (9% versus 9.1%, OR 1.0, 95% Cl .55 1.81) were similar.Conclusion: In elderly patients undergoing laparoscopic bariatric surgery, SG is not associated with significantly different 30-day outcomes compared to RYGB. Both procedures are followed by acceptably low morbidity and mortality. (Surg Obes Relat Dis 2014:10:584 588.).

AB - Methods: The National Surgical Quality Improvement Program (NSQIP) database was queried for all patients aged 65 and over who underwent laparoscopic RYGB and SG between 2010 and 2011. Baseline characteristics and outcomes were compared. P value <.05 was considered significant. Odds ratios (OR) with 9S% confidence interval (Cl) were reported when applicable.Background: Even though the U.S. population is aging, outcomes of bariatric surgery in the elderly are not well defined. Current literature mostly evaluates the effects of gastric bypass (RYGB), with paucity of data on sleeve gastrectomy (SG). The objective of this study was to assess 30-day morbidity and mortality associated with laparoscopic SG in patients aged 65 years and over, in comparison to RYGB.Results: We identified 1005 patients. Mean body mass index was 44 ± 7. SG was performed in 155 patients (15.4%). The American Society of Anesthesiology physical classification of 3 or 4 was similar between the 2 groups (82.6% versus 86.7%, P = .173). Diabetes was more frequent in the RYGB group (43.2C/c versus 55.6%, P .004). 30-day mortality (0.6C/c versus 0.6C/c, OR 1.1, 95C/c Cl .11 9.49), serious morbidity (5.2% versus 5.6%, OR .91, 95% Cl .42 0.96), and overall morbidity (9% versus 9.1%, OR 1.0, 95% Cl .55 1.81) were similar.Conclusion: In elderly patients undergoing laparoscopic bariatric surgery, SG is not associated with significantly different 30-day outcomes compared to RYGB. Both procedures are followed by acceptably low morbidity and mortality. (Surg Obes Relat Dis 2014:10:584 588.).

KW - Bariatric surgery

KW - Elderly

KW - NSQIP

KW - Safety

KW - Sleeve gastrectomy

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Early morbidity and mortality of laparoscopic sleeve gastrectomy and gastric bypass in the elderly: A NSQIP analysis

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