Original communicationObjective evidence that bariatric surgery improves obesity-related obstructive sleep apnea
Section snippets
Methods
This study was approved by the Institutional Review Board at the University of South Florida Health Science Center and was conducted in compliance with HIPAA guidelines and regulations.
Prevalence of OSA in bariatric patients
A total of 597 consecutive bariatric surgery patients completed the ESS during the study period (Figure); 447 patients who scored ≥6 on the ESS were referred for consultation with a pulmonologist. On further consultation with the pulmonologist, 98 of the 447 patients did not undergo polysomnography, because their symptoms were mild and not attributed to airway obstruction. The remaining 349 patients underwent polysomnography for evaluation and documentation of OSA. This group was composed of
Discussion
This study confirms that surgically induced weight loss results in significant improvement of obesity-related OSA in bariatric patients. Moreover, this is the largest series that documents objective improvement of obesity-related OSA as measured by polysomnography after bariatric surgery.
OSA is prevalent in obese patients and in patients seeking bariatric surgery.1, 2, 3, 4 This study confirms our earlier reports,1, 2 that at least 45% of bariatric patients who were screened for OSA were
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2018, Surgery for Obesity and Related DiseasesCitation Excerpt :Additionally, both groups reached a similar %TBWL at the 6-month and 1-year follow-ups (Fig. 4). Many studies have discussed how weight reduction—even at modest levels—has been associated with significant improvements in T2D, OSA, HTN, and HLD [9–13]. To the best of our knowledge, however, there are only a few studies that focus on the remission of these co-morbidities in super-obese patients, and more importantly, that compare the resolution of these co-morbidities in the super-obese with other obese groups.