Impact of laparoscopic sleeve gastrectomy on obesity-related comorbidities in patients over 65 years: a prospective comparative study

Obesity in adults over 65 years is increasingly prevalent and linked to comorbidities like type 2 diabetes (T2D), hypertension (HTN), osteoarthritis (OA), and obstructive sleep apnea (OSA), where conservative treatments often fail. Laparoscopic sleeve gastrectomy (LSG) effectively treats severe obesity, but prospective comparisons with non-surgical management in this age group are limited. This prospective, non-randomized, patient-preference cohort study enrolled 60 patients aged ≥ 65 years with