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Propensity Score–Matching Sleeve Gastrectomy (SG) vs. Gastric Bypass (RYGB) in Patients ≥ 60 Years

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Abstract

Background

Since 1 January 2005, the practice of bariatric surgery has been examined with the help of the German Bariatric Surgery Registry (GBSR) in Germany. The focus of the study was to evaluate if sleeve gastrectomy (SG) or Roux-en-Y gastric bypass (RYGB) has the best benefit in terms of perioperative risk in patients over 60 years of age.

Methods

Data collection includes patients over the age of 60 years who underwent SG or RYGB between 2005 and 2017. The bougie is limited to 33–40 French for SG. Furthermore, the RYGB is determined to be 120–180 cm alimentary and 40–60 cm biliopancreatic length. Outcome criteria are perioperative morbidity, postoperative complications, 30-day mortality, and postoperative length of stay.

Results

The study analyzes data from 3561 patients beyond the age of 60 years who underwent SG (1970 patients) and RYGB (1591 patients). Mean age of the patients was 63.4 ± 3.2 in the RYGB group and 63.8 ± 3.5 in the SG group. Mean BMI was 46.4 ± 6.8 in the RYGB group and 49.1 ± 8.0 in the SG group. The average number of comorbidities was 4.5 ± 2.4 for RYGB and 4.5 ± 2.3 for SG. For the 30-day mortality, identical results were found SG vs. RYGB (0.31 vs. 0.38, p = 1.000).

Conclusion

Based on the results of this study, it can be concluded that both SG and RYGB in patients ≥ 60 years can be considered safe surgical procedures.

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Acknowledgements

We would like to thank Mr. Hukauf for his contributions to the statistical analysis of our data.

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Authors and Affiliations

  1. Department of Surgery, Marien Hospital Herne, University Hospitals of the Ruhr University of Bochum, Herne, Germany

    Omar Thaher

  2. Department of General, Visceral, Vascular and Transplantation Surgery, Otto von Guericke University Magdeburg, Magdeburg, Germany

    Stefanie Wolf

  3. Statconsult Magdeburg, Magdeburg, Germany

    Martin Hukauf

  4. Department of Obesity and Metabolic Surgery, SRH Hospital, Gera, Germany

    Christine Stroh

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  1. Omar Thaher
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Correspondence to Christine Stroh.

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For this type of retrospective study, no formal consent was required. All data were gathered and analyzed in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Thaher, O., Wolf, S., Hukauf, M. et al. Propensity Score–Matching Sleeve Gastrectomy (SG) vs. Gastric Bypass (RYGB) in Patients ≥ 60 Years. OBES SURG 31, 2682–2690 (2021). https://doi.org/10.1007/s11695-021-05320-1

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  • DOI: https://doi.org/10.1007/s11695-021-05320-1

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