Laparoscopic gastric banding in obese patients with sleep apnea: a 3-year controlled study and follow-up after 10 years
| Autor: | Maëlle Le Bras, Delphine Drui, Estelle Nobécourt-Dupuy, E. Letessier, Yassine Zair, Barbara Feigel-Guiller, Nuria Fuertes-Zamorano, Bertrand Cariou, Jérôme Dimet, Michel Krempf |
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| Přispěvatelé: | Université de Nantes (UN), Hopital La Roche sur Yon, Partenaires INRAE |
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Gastroplasty Gastric banding Endocrinology Diabetes and Metabolism law.invention Randomized controlled trial Weight loss law Laparoscopic adjustable gastric banding Weight Loss Medicine Humans Nutritional care Caloric Restriction Bariatric surgery Sleep Apnea Obstructive Nutrition and Dietetics Noninvasive Ventilation business.industry Sleep apnea Middle Aged medicine.disease Obesity Surgery Obesity Morbid Treatment Outcome Anesthesia Breathing Patient Compliance Female Laparoscopy [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie medicine.symptom business Controlled study [SDV.AEN]Life Sciences [q-bio]/Food and Nutrition Follow-Up Studies |
| Zdroj: | Obesity Surgery Obesity Surgery, Springer Verlag, 2015, 25 (10), pp.1886-92. ⟨10.1007/s11695-015-1627-5⟩ |
| ISSN: | 0960-8923 1708-0428 |
| DOI: | 10.1007/s11695-015-1627-5⟩ |
| Popis: | Background The purpose of this study was to compare the effects of intensive nutritional care (INC) and laparoscopic adjustable gastric banding (LAGB) on nocturnal non-invasive ventilation (NIV) requirement in obese patients using short-, medium-, and long-term follow-up data. Methods This prospective randomized controlled trial included obese patients with obstructive sleep apnea (OSA) treated by NIV. Patients were randomized to the INC and LAGB groups. The primary endpoint was the theoretical rate of weaning from NIV at years 1 and 3. Data were also collected from patients 10 years after randomization. Results Sixty-three patients were randomized. The rate of weaning from NIV did not differ significantly between the LAGB and INC groups at year 1 (35 vs. 13 %) or year 3 (14 vs. 21 %). Percentages of excess weight loss were greater in the LAGB group than in the INC group at years 1 (33 vs. 15 %, p = 0.002) and 3 (27 vs. 8 %, p = 0.014). Decreases in the apnea-hypopnea index were observed in the LAGB group from baseline to year 1 (−44 %, p = 0.001) and from baseline to year 3 (−26 %, p = 0.044). After 10 years, the weaning rate was low and similar between groups. Conclusion LAGB was not superior to INC for weaning from NIV at 1 and 3 years in obese patients with OSA. |
| Databáze: | OpenAIRE |
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