Clinical outcomes of varying age groups following vertical sleeve gastrectomy: a retrospective study using the 2022 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database in the United States
The rising rates of obesity across the United States, particularly among pediatric and elderly patients, have led to more bariatric surgeries among these populations. Previous studies have compared the outcomes between pediatric or elderly patients and adult patients, but none have studied all group...
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| Published in: | Journal of minimally invasive surgery Vol. 28; no. 2; pp. 89 - 96 |
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| Main Authors: | , , , , |
| Format: | Journal Article |
| Language: | English |
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Korea (South)
The Korean Society of Endo-Laparoscopic & Robotic Surgery
15.06.2025
대한내시경로봇외과학회 |
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| ISSN: | 2234-778X, 2234-5248, 2234-5248 |
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| Abstract | The rising rates of obesity across the United States, particularly among pediatric and elderly patients, have led to more bariatric surgeries among these populations. Previous studies have compared the outcomes between pediatric or elderly patients and adult patients, but none have studied all groups together. Therefore, we compared the outcomes of all three age groups following a laparoscopic sleeve gastrectomy.
The 2022 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) was utilized to identify pediatric (aged 13-17 years, n = 333), adult (aged 18-65 years, n = 118,444), and elderly (aged 66-80 years, n = 5,646) patients. Analyses were performed with the adult cohort serving as the reference group.
Postoperatively, the elderly cohort experienced higher rates of mortality and complications, including sepsis, reoperations, and readmissions. Preoperatively, the elderly cohort also had higher rates of comorbidities, including sleep apnea, gastroesophageal reflux disease, and hypertension. After controlling for all variables, multivariate logistic regression analysis revealed that being pediatric, male, or having a preoperative body mass index (BMI) ≥45 kg/m
were associated with a BMI decrease of ≥2.5 kg/m
postoperatively within the 30-day follow-up period.
These findings highlight the varying clinical outcomes among age groups of patients undergoing bariatric surgery. The pediatric cohort saw the most significant decrease in postoperative BMI with minimal complications, while the elderly cohort saw the opposite trend. |
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| AbstractList | Purpose: The rising rates of obesity across the United States, particularly among pediatric and elderly patients, have led to more bariatric surgeries among these populations. Previous studies have compared the outcomes between pediatric or elderly patients and adult patients, but none have studied all groups together. Therefore, we compared the outcomes of all three age groups following a laparoscopic sleeve gastrectomy.
Methods: The 2022 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) was utilized to identify pediatric (aged 13–17 years, n = 333), adult (aged 18–65 years, n = 118,444), and elderly (aged 66–80 years, n = 5,646) patients. Analyses were performed with the adult cohort serving as the reference group.
Results: Postoperatively, the elderly cohort experienced higher rates of mortality and complications, including sepsis, reoperations, and readmissions. Preoperatively, the elderly cohort also had higher rates of comorbidities, including sleep apnea, gastroesophageal reflux disease, and hypertension. After controlling for all variables, multivariate logistic regression analysis revealed that being pediatric, male, or having a preoperative body mass index (BMI) ≥45 kg/m2 were associated with a BMI decrease of ≥2.5 kg/m2 postoperatively within the 30-day follow-up period.
Conclusion: These findings highlight the varying clinical outcomes among age groups of patients undergoing bariatric surgery. The pediatric cohort saw the most significant decrease in postoperative BMI with minimal complications, while the elderly cohort saw the opposite trend. KCI Citation Count: 0 Purpose: The rising rates of obesity across the United States, particularly among pediatric and elderly patients, have led to more bariatric surgeries among these populations. Previous studies have compared the outcomes between pediatric or elderly patients and adult patients, but none have studied all groups together. Therefore, we compared the outcomes of all three age groups following a laparoscopic sleeve gastrectomy. Methods : The 2022 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) was utilized to identify pediatric (aged 13-17 years, n = 333), adult (aged 18-65 years, n = 118,444), and elderly (aged 66-80 years, n = 5,646) patients. Analyses were performed with the adult cohort serving as the reference group. Results : Postoperatively, the elderly cohort experienced higher rates of mortality and complications, including sepsis, reoperations, and readmissions. Preoperatively, the elderly cohort also had higher rates of comorbidities, including sleep apnea, gastroesophageal reflux disease, and hypertension. After controlling for all variables, multivariate logistic regression analysis revealed that being pediatric, male, or having a preoperative body mass index (BMI) ≥45 kg/m2 were associated with a BMI decrease of ≥2.5 kg/m2 postoperatively within the 30-day follow-up period. Conclusion : These findings highlight the varying clinical outcomes among age groups of patients undergoing bariatric surgery. The pediatric cohort saw the most significant decrease in postoperative BMI with minimal complications, while the elderly cohort saw the opposite trend. The rising rates of obesity across the United States, particularly among pediatric and elderly patients, have led to more bariatric surgeries among these populations. Previous studies have compared the outcomes between pediatric or elderly patients and adult patients, but none have studied all groups together. Therefore, we compared the outcomes of all three age groups following a laparoscopic sleeve gastrectomy. The 2022 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) was utilized to identify pediatric (aged 13-17 years, n = 333), adult (aged 18-65 years, n = 118,444), and elderly (aged 66-80 years, n = 5,646) patients. Analyses were performed with the adult cohort serving as the reference group. Postoperatively, the elderly cohort experienced higher rates of mortality and complications, including sepsis, reoperations, and readmissions. Preoperatively, the elderly cohort also had higher rates of comorbidities, including sleep apnea, gastroesophageal reflux disease, and hypertension. After controlling for all variables, multivariate logistic regression analysis revealed that being pediatric, male, or having a preoperative body mass index (BMI) ≥45 kg/m were associated with a BMI decrease of ≥2.5 kg/m postoperatively within the 30-day follow-up period. These findings highlight the varying clinical outcomes among age groups of patients undergoing bariatric surgery. The pediatric cohort saw the most significant decrease in postoperative BMI with minimal complications, while the elderly cohort saw the opposite trend. The rising rates of obesity across the United States, particularly among pediatric and elderly patients, have led to more bariatric surgeries among these populations. Previous studies have compared the outcomes between pediatric or elderly patients and adult patients, but none have studied all groups together. Therefore, we compared the outcomes of all three age groups following a laparoscopic sleeve gastrectomy.PurposeThe rising rates of obesity across the United States, particularly among pediatric and elderly patients, have led to more bariatric surgeries among these populations. Previous studies have compared the outcomes between pediatric or elderly patients and adult patients, but none have studied all groups together. Therefore, we compared the outcomes of all three age groups following a laparoscopic sleeve gastrectomy.The 2022 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) was utilized to identify pediatric (aged 13-17 years, n = 333), adult (aged 18-65 years, n = 118,444), and elderly (aged 66-80 years, n = 5,646) patients. Analyses were performed with the adult cohort serving as the reference group.MethodsThe 2022 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) was utilized to identify pediatric (aged 13-17 years, n = 333), adult (aged 18-65 years, n = 118,444), and elderly (aged 66-80 years, n = 5,646) patients. Analyses were performed with the adult cohort serving as the reference group.Postoperatively, the elderly cohort experienced higher rates of mortality and complications, including sepsis, reoperations, and readmissions. Preoperatively, the elderly cohort also had higher rates of comorbidities, including sleep apnea, gastroesophageal reflux disease, and hypertension. After controlling for all variables, multivariate logistic regression analysis revealed that being pediatric, male, or having a preoperative body mass index (BMI) ≥45 kg/m2 were associated with a BMI decrease of ≥2.5 kg/m2 postoperatively within the 30-day follow-up period.ResultsPostoperatively, the elderly cohort experienced higher rates of mortality and complications, including sepsis, reoperations, and readmissions. Preoperatively, the elderly cohort also had higher rates of comorbidities, including sleep apnea, gastroesophageal reflux disease, and hypertension. After controlling for all variables, multivariate logistic regression analysis revealed that being pediatric, male, or having a preoperative body mass index (BMI) ≥45 kg/m2 were associated with a BMI decrease of ≥2.5 kg/m2 postoperatively within the 30-day follow-up period.These findings highlight the varying clinical outcomes among age groups of patients undergoing bariatric surgery. The pediatric cohort saw the most significant decrease in postoperative BMI with minimal complications, while the elderly cohort saw the opposite trend.ConclusionThese findings highlight the varying clinical outcomes among age groups of patients undergoing bariatric surgery. The pediatric cohort saw the most significant decrease in postoperative BMI with minimal complications, while the elderly cohort saw the opposite trend. |
| Author | Ghodasara, Satyam K. Padnani, Ashish Elsawwah, Jana K. Nemeth, Zoltan H. Yang, Hyo J. |
| AuthorAffiliation | 1 Department of Surgery, Morristown Medical Center, Morristown, NJ, USA 2 Department of Anesthesiology, Columbia University, New York, NY, USA |
| AuthorAffiliation_xml | – name: 1 Department of Surgery, Morristown Medical Center, Morristown, NJ, USA – name: 2 Department of Anesthesiology, Columbia University, New York, NY, USA |
| Author_xml | – sequence: 1 givenname: Satyam K. orcidid: 0009-0009-7103-3591 surname: Ghodasara fullname: Ghodasara, Satyam K. organization: Department of Surgery, Morristown Medical Center, Morristown, NJ, USA – sequence: 2 givenname: Jana K. orcidid: 0009-0004-7126-2582 surname: Elsawwah fullname: Elsawwah, Jana K. organization: Department of Surgery, Morristown Medical Center, Morristown, NJ, USA – sequence: 3 givenname: Hyo J. orcidid: 0000-0001-5279-3194 surname: Yang fullname: Yang, Hyo J. organization: Department of Surgery, Morristown Medical Center, Morristown, NJ, USA – sequence: 4 givenname: Ashish orcidid: 0009-0006-6201-811X surname: Padnani fullname: Padnani, Ashish organization: Department of Surgery, Morristown Medical Center, Morristown, NJ, USA – sequence: 5 givenname: Zoltan H. orcidid: 0000-0002-9282-6322 surname: Nemeth fullname: Nemeth, Zoltan H. organization: Department of Surgery, Morristown Medical Center, Morristown, NJ, USA, Department of Anesthesiology, Columbia University, New York, NY, USA |
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| Title | Clinical outcomes of varying age groups following vertical sleeve gastrectomy: a retrospective study using the 2022 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database in the United States |
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