October 1993

Gastric Surgery in Morbid ObesityOutcome in Patients Aged 55 Years and Older

Author Affiliations

From the Department of Surgery, North Florida Regional Medical Center (Dr Macgregor) and the Department of Psychiatry, University of Florida (Dr Rand), Gainesville.

Arch Surg. 1993;128(10):1153-1157. doi:10.1001/archsurg.1993.01420220073010

Objective:  To evaluate long-term outcome of gastric restrictive surgery in morbidly obese patients aged 55 years and older.

Design:  Retrospective review with 3- to 13-year postoperative follow-up. Average follow-up 6 years.

Setting:  Private surgical practice with bariatric surgery specialty.

Study Participants:  Eighty-eight morbidly obese patients, 73 women and 15 men, aged 55 years and older.

Intervention:  Between 1977 and 1989, 77 patients had Roux-en-Y gastric bypass, four had vertical banded gastroplasty, and seven had silicone ring vertical gastroplasty.

Main Outcome Measures:  Weight loss, change in incidence of comorbidity, and reduction in medication use.

Results:  Patients had an average of 57% excess body weight loss, lost 31 kg, and decreased their body mass index by 12 kg/m2. There was a 20% to 48% reduction in the number of patients requiring medication for obesityrelated disorders (eg, diabetes mellitus and hypertension). Body mass index of less than 30 kg/m2 was achieved and maintained by 42% of patients.

Conclusion:  This form of therapy is appropriate for selected patients in the older age groups.(Arch Surg. 1993;128:1153-1157)