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Comment on: Predicting serious complications following bariatric surgery in geriatric patients: development of the GeriBari scoring tool using the MBSAQIP database

Published:October 10, 2022DOI:https://doi.org/10.1016/j.soard.2022.10.010
      As the rates of obesity and life expectancy continue to rise, it is inevitable for bariatric surgeons to face more often the dilemma of efficacy and safety of metabolic surgery in the geriatric population. The recently published first randomized prospective trial comparing the safety of laparoscopic sleeve gastrectomy (SG) to laparoscopic Roux-en-Y gastric bypass (LRYGB) in patients older than 65 years found a similar number of complications between the 2 procedures but a higher trend toward severe complications in the LRYGB group [
      • Pajecki D.
      • Batista Dantas A.C.
      • Kanaji A.L.
      • de Oliviera D.R.C.F.
      • de Cleva R.
      • Santo M.A.
      Bariatric surgery in the elderly: a randomized prospective study comparing safety of sleeve gastrectomy and Roux-en-Y gastric bypass (BASE Trial).
      ]. The present study, “Predicting serious complications following bariatric surgery in geriatric patients: development of the GeriBari scoring tool using the MBSAQIP database,” represents an appropriate corollary to previously published evidence of the utility and safety of metabolic surgery in the older population [

      Dang JT, Mocanu V, Verhoeff K, Allemang M, Kroh M, Karmali S. Predicting serious complications following bariatric surgery in geriatric patients: development of the GeriBari scoring tool using the MBSAQIP database. Surg Obes Rel Dis. Epub 2022 Sep 11.

      ].
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      References

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        Bariatric surgery in the elderly: a randomized prospective study comparing safety of sleeve gastrectomy and Roux-en-Y gastric bypass (BASE Trial).
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      1. Dang JT, Mocanu V, Verhoeff K, Allemang M, Kroh M, Karmali S. Predicting serious complications following bariatric surgery in geriatric patients: development of the GeriBari scoring tool using the MBSAQIP database. Surg Obes Rel Dis. Epub 2022 Sep 11.

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