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Erschienen in:
29.04.2022 | Geriatrics (A Afzali and S Katz, Section Editors)
Endoscopic Bariatric Procedures and the Elderly
Erschienen in: Current Treatment Options in Gastroenterology | Ausgabe 2/2022
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Purpose of review
Obesity is an increasingly prevalent disease among patients greater than age 65. Bariatric procedures offer a promising route to treat obesity in this population. Endoscopic bariatric therapy (EBT) is a promising technique with less risk than surgery. Minimal data exist on the role of EBT in the elderly population. We aim to summarize available literature to make recommendations on procedural considerations and discuss areas for further development.
Recent findings
Existing EBT has largely been studied in a middle-aged population with very few patients above age 65 in pivotal trials. There are several comorbidities frequently encountered in the population evaluated for these procedures, and such conditions warrant a multidisciplinary approach to planning. Specific pre-, intra-, and post-procedure considerations should be given to the elderly population undergoing EBT to optimize the results of the procedure.
Summary
EBT in the elderly population requires more considerations and interdisciplinary planning than procedures in younger counterparts. Given the burden of obesity in this population, there is room for the development of this field, which has the potential to offer life-altering treatment for many.