Evaluating bariatric surgery in patients aged 60 years and older: a retrospective multicenter comparison of sleeve gastrectomy and roux-en-Y gastric bypass

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dc.contributor.authorDalkılıç, Muhammed Said
dc.contributor.authorYüce, Kenan
dc.contributor.authorZapater, Christophe Adil Fernandez
dc.contributor.authorÖzdemir, Neslihan
dc.contributor.authorKovancı, Hafize
dc.contributor.authorOumar, Mahamat Bechır Saleh
dc.contributor.authorŞişik, Abdullah
dc.date.accessioned2026-05-13T12:31:19Z
dc.date.available2026-05-13T12:31:19Z
dc.date.issued2026
dc.departmentMeslek Yüksekokulu, Gedik Meslek Yüksekokulu, Anestezi Programı
dc.description.abstractBackground: This study aimed to compare the safety and efficacy of laparoscopic sleeve gastrectomy (LSG) and Roux-en-Y gastric bypass (RYGB) in patients aged 60 and older, focusing on postoperative weight loss, improvement in obesity-related comorbidities, and perioperative outcomes. Methods: This was a retrospective analysis of data from three bariatric surgery centers with surgeries performed between January 2019 and September 2024. The study included patients aged >= 60 years who underwent either LSG or RYGB. The primary outcome was the comparison of weight loss metrics (excess weight loss [%EWL] and total weight loss [%TWL]) between LSG and RYGB. Secondary outcomes included the remission or improvement of type 2 diabetes mellitus (T2DM) and hypertension (HTN), 30-day postoperative complications, operative time, and length of hospital stay. Results: A total of 168 patients aged >= 60 who underwent LSG (n = 130) or RYGB (n = 38) were included. Both procedures resulted in similar weight loss outcomes, with a median %EWL of 58.6% for LSG and 61.2% for RYGB. The median %TWL was 23.1% for LSG and 26% for RYGB, with no significant differences between the groups (P = .275). The operative time was significantly shorter for LSG (60 minutes versus 110 minutes for RYGB, P < .001), and LSG patients had a shorter hospital stay (2 versus 3 days, P < .001). The 30-day complication rate was low for both groups, with no significant difference in complications between LSG and RYGB. Regarding comorbidity resolution, 90.7% of patients with T2DM and 93.6% with HTN experienced improvement or remission. Complete remission was achieved in 39% of all T2DM cases (37.5% in LSG, 42.9% in RYGB) and in 33% of all HTN cases (33.3% in LSG, 31.6% in RYGB), with no statistically significant differences between the groups. Conclusions: Bariatric surgery appears safe in older adults when guided by careful patient and procedure selection through multidisciplinary assessment. Both LSG and RYGB yielded comparable weight loss and remission outcomes for T2DM and HTN in this population.
dc.identifier.doi10.1177/10926429251401463
dc.identifier.endpage46
dc.identifier.issn1092-6429
dc.identifier.issn1557-9034
dc.identifier.issue1
dc.identifier.pmid41314989
dc.identifier.scopus2-s2.0-105024913612
dc.identifier.scopusqualityQ2
dc.identifier.startpage40
dc.identifier.urihttps://doi.org/10.1177/10926429251401463
dc.identifier.urihttps://hdl.handle.net/11501/2703
dc.identifier.volume36
dc.identifier.wosWOS:001627695800001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakScopus
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.institutionauthorŞişik, Abdullah
dc.institutionauthorid0000-0002-7500-8651
dc.language.isoen
dc.publisherMary Ann Liebert Inc.
dc.relation.ispartofJournal of Laparoendoscopic and Advanced Surgical Techniques
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAged
dc.subjectBariatric Surgery
dc.subjectComorbidity
dc.subjectDiabetes Mellitus
dc.subjectEfficacy
dc.subjectFrailty
dc.subjectHypertension
dc.subjectPostoperative Complications
dc.subjectSafety
dc.titleEvaluating bariatric surgery in patients aged 60 years and older: a retrospective multicenter comparison of sleeve gastrectomy and roux-en-Y gastric bypass
dc.typeArticle

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