Bariatrics at the edge
Quality of life for the morbidly obese older patient
Many bariatric units set an arbitrary upper limit of age for bariatric surgery at between 65-70 years.
In fact age should be considered as a relative contraindication and be considered in functional age rather than chronological.
Whilst it is true to say that the benefits in bariatric surgery in terms of prolonging life may not be as definite there is no doubt that quality can be added back to a patient who achieves good weight loss even in their seventies.
At Mercy Bariatrics we have operated on many patients older than 70 and seen satisfying improvement in their state of health particularly in resolving their diabetes and joint pain and improving mobility.
Obviously the goals are different in the elderly and a gentler and more considered approach is needed.
Patients may need particularly careful preparation to maximise their health and manage comorbidities. Generally though bariatric surgery is no more stressful that a gallbladder removal and most patients can be made fit for surgery.
We will usually recommend a mid-size 40 Fr bougie.
Weight loss is not expected to be quite as good as in a younger age because the metabolic rate of the elderly is lower and activity levels may be lower but generally the outcomes are very satisfactory.
Mercy Bariatrics Perth
If you are older than 65 and want to discuss your options we are happy to see you and determine if you are a candidate for bariatric surgery such as sleeve.
Call 08 9272 0420 or see our contact page for email and location details.