The impact of bariatric surgery on the resolution of obstructive sleep apnoea

Autor: Martin Wadley, Steven John Robinson, Karen Abolghasemi-Malekabadi, Toritseju Oluwafunmilayo Sillo, Anthony Perry, Muhammed Ali, Simon Lloyd-Owen, Penny Lock-Pullan, Emma White
Rok vydání: 2018
Předmět:
Adult
Male
Weight loss
medicine.medical_specialty
Sleeve gastrectomy
Gastroplasty
medicine.medical_treatment
Continuous positive airway pressure
Gastric bypass
Gastric Bypass
lcsh:Medicine
General Biochemistry
Genetics and Molecular Biology
03 medical and health sciences
0302 clinical medicine
stomatognathic system
Outcome Assessment
Health Care
medicine
Humans
In patient
Obesity
030212 general & internal medicine
lcsh:Science (General)
lcsh:QH301-705.5
Bariatric surgery
Sleep Apnea
Obstructive
business.industry
Incidence (epidemiology)
lcsh:R
Mean age
General Medicine
Middle Aged
medicine.disease
Obesity
Morbid
nervous system diseases
respiratory tract diseases
Surgery
Research Note
lcsh:Biology (General)
030228 respiratory system
Female
Sleep apnoea
obstructive
medicine.symptom
business
lcsh:Q1-390
Zdroj: BMC Research Notes
BMC Research Notes, Vol 11, Iss 1, Pp 1-6 (2018)
ISSN: 1756-0500
DOI: 10.1186/s13104-018-3484-5
Popis: Objective Obesity is associated with a high incidence of obstructive sleep apnoea (OSA). Bariatric surgery is postulated to lead to OSA resolution, but there is inconclusive evidence on its efficacy. We used objective measurements to determine the rate of resolution or improvement of OSA in patients who had bariatric procedures in our unit. Results Data was analysed on all patients with OSA who underwent bariatric procedures [laparoscopic Roux-en-Y gastric bypass (LRYGB) and sleeve gastrectomy (LSG)] between June 2012 and September 2016 in our unit. 47 patients (26.7%) were diagnosed with OSA. Mean age was 48.5 years. 63.8% were female. 43 required nocturnal continuous positive airway pressure (CPAP) support. Procedures were LRYGB (n = 26) and LSG (n = 21). Mean excess weight loss was 56.1%. Mean start apnoea-hypopnoea index (AHI) on CPAP was 6.4 events/hr and end AHI was 1.4 events/h. 14 patients (32.6%) had complete OSA resolution and 12 (27.9%) showed improvement in pressure support requirements. We demonstrated that 55.3% of patients had resolution or improvement in OSA following bariatric surgery. However, there was a high rate of non-attendance of follow-up appointments. Future efforts will involve analysis of the reasons for this to ensure more robust monitoring.
Databáze: OpenAIRE
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