Morbidity Rates and Weight Loss After Roux-en-Y Gastric Bypass, Sleeve Gastrectomy, and Adjustable Gastric Banding in Patients Older Than 60 Years old: Which Procedure to Choose?

Among 353 patients aged 60 and older undergoing bariatric procedures, readmission rates were 10.3% for LAGB, 4.1% for LSG, and 13.8% for RYGB.

• Mean age of patients was 62.7 years for LAGB, 64.1 years for LSG, and 62.6 years for RYGB.
• The mean body mass index (BMI) at the time of procedure was 42.7 for LAGB, 44.0 for LSG, and 45.2 kg/m² for RYGB.
• Reoperation rates were 10.3% for LAGB, 1.4% for LSG, and 9.5% for RYGB, with significant differences observed (p < 0.03).
• The procedure-related mortality rate was 1.4% in the RYGB group, while no mortality occurred in the LSG or LAGB groups.
• At 6, 12, and 18 months postoperatively, the percentage of excess weight loss was highest in the RYGB group, followed by LSG and LAGB (p < 0.01).
• The mean number of comorbidities significantly decreased in LSG and RYGB patients at the last follow-up.

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