Bariatric Surgery Should Be Proposed in Certain Septuagenarian Patients with Obesity

Boris Hansel; Pierre Sabatier; Diana Kadouch; Tigran Poghosyan; Konstantinos Arapis; Claire Rives-Lange; Sebastien Czernichow; Anne-Sophie Jannot; Claire Carette

doi:10.1007/s11695-023-06655-7

Bariatric Surgery Should Be Proposed in Certain Septuagenarian Patients with Obesity

Obes Surg. 2023 Aug;33(8):2608-2610. doi: 10.1007/s11695-023-06655-7. Epub 2023 Jun 22.

Authors

Affiliations

¹ Unité de Nutrition-Prévention, Service de Chirurgie cardiaque, Université Paris Cité, AP-HP.Nord, Hôpital Bichat Claude Bernard, LVTS, UMR 1148, Inserm, 46 Rue Henri Huchard, Paris, France. [email protected].
² Université Paris Cité, AP-HP.Centre, Hôpital Européen Georges Pompidou, HeKA, UMR 1138, Centre de Recherche Des Cordeliers, Inserm, INRIA Paris, Paris, France.
³ Unité de Nutrition-Prévention, Service de Chirurgie cardiaque AP-HP.Nord, Hôpital Bichat Claude Bernard, Paris, France.
⁴ Université Paris Cité, AP-HP.Nord, Hôpital Bichat Claude Bernard, Service de Chirurgie DigestiveUMR 1149, Inserm, Paris, France.
⁵ AP-HP.Nord, Hôpital Avicenne, Paris, France.
⁶ Université Paris Cité, AP-HP.Centre, Hôpital Européen Georges Pompidou, Paris, France.
⁷ UMR1153, Inserm, Epidemiology and Biostatistics Sorbonne Paris Cité Center (CRESS), METHODS Team, Paris, France.
⁸ Université Paris Cité, AP-HP.Centre, Hôpital Européen Georges-Pompidou, Service de Nutrition, Centre Spécialisé Obésité, Paris, France.
⁹ Université Paris Cité, AP-HP.Centre, Hôpital Européen Georges-Pompidou, Inserm, CIC1418, Paris, France.

PMID: 37347397
DOI: 10.1007/s11695-023-06655-7

Abstract

Bariatric surgery (BS) is rarely performed on patients aged 70 and over, due to the fear of adverse effects, particularly related to sarcopenia. We examined the outcome of obese patients who underwent BS after the age of 69 in the French population. Operated subjects were matched with non-operated obese patients (n = 1307 in each group after matching). We showed that BS was associated with a reduction in mortality and no increase in the risks of rehospitalization or fracture events.

Keywords: Bariatric surgery; Elderly.

MeSH terms

Aged
Bariatric Surgery*
Fractures, Bone* / etiology
Fractures, Bone* / prevention & control
Humans
Obesity / complications
Obesity / surgery
Obesity, Morbid* / complications
Obesity, Morbid* / surgery