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Can older people benefit from Bariatric Surgery?
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One of the questions recently studied was whether the efficacy of RNY gastric bypass surgery depend on the age at which people undergo the surgery.
One might think that the later in life a person decides to have the treatment, the longer he or she might have had obesity-associated ailments, and thus the surgery might be less effective.
This question was investigated by Dr. Lance E. Davidson from Brigham Young University in Provo, Utah and colleagues, and the results were published in JAMA Surgery. These researchers were interested in the efficacy of bariatric surgery (in particular Roux-en-Y surgery) in reducing both all-cause and cause-specific long-term mortality, with respect to the age at which the surgery was performed.
To test the hypothesis that the later the age at surgery, the less effective it would be, the researchers evaluated the data from a cohort of 7,925 persons who underwent bariatric surgery, and compared their outcomes to those from a second set of 7,925 people. This group was matched for severe obesity (average BMI was over 45), gender and age but these people did not have the surgery.
All those evaluated were followed for an average of seven years. The data were divided into four groups based on age at surgery: