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ARTICLE |

Gastric Surgery in Morbid Obesity:  Outcome in Patients Aged 55 Years and Older

Alex M. C. Macgregor, MD; Colleen S. W. Rand, PhD
Arch Surg. 1993;128(10):1153-1157. doi:10.1001/archsurg.1993.01420220073010.
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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)

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