Risk prediction for Obstructive Sleep Apnea prognostic in Obese patients referred for bariatric surgery

Hora1, Adriana Fontes; Nápolis, Lara Maris; Villaça, Débora; Santos, Renata dos; Galvão1, Thales Delmondes; Togeiro, Sônia Maria; Bittencourt, Lia; Nery, Luíz Eduardo

doi:10.36416/1806-3756/e20210360

Cited by 2 publications

(2 citation statements)

References 42 publications

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“…Added to this, Hora., et al [21] demonstrates through their study that obesity and OSAS are extremely common health problems, characterized by disturbed glucose homeostasis, insulin resistance, as well as hypercholesterolemia and hyperlipidemia.…”

Section: Resultsmentioning

confidence: 99%

Early Metabolic Effects of Sleeve Gastrectomy in Patients with Severe Obesity

de Carvalho,

Gama Fiho,

Figueiredo

et al. 2023

Act Scie Gastro

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Obesity is responsible for a series of complications that directly affect the quality and life expectancy of individuals. These patients predispose to the emergence of potentially lethal diseases such as dyslipidemia, cardiovascular disease, type 2 diabetes mellitus, in addition to being an important risk factor for some types of cancer. Currently, it is treated as a pandemic disease, in which the number of cases worldwide and nationally is alarming. Therefore, intervention is necessary in these patients, which may be conservatively or surgically, in which the latter consists of several techniques. In this sense, the present study aimed to evaluate the short-term metabolic results of Laparoscopic Sleeve Gastrectomy in morbidly obese patients. This is a retrospective, descriptive, cross-sectional study, with a quantitative approach based on the analysis of preoperative and postoperative data from 6 to 18 months, covering 35 patients who underwent sleeve gastrectomy in a single institute between the years 2007 and 2013. It was observed that thirty-five patients underwent Sleeve Gastrectomy, 30 women and 5 men, 10 of whom were diabetic and 15 were hypertensive, with a mean collective age of approximately 40 years and a mean body mass index of 43 kg/m². Mean HbA1C levels were 7.9 ± 2.8%. The mean body mass index at a mean follow-up of 1 year and 6 months after surgery was 32 ± 4.9 kg/m², with a mean HbA1C of 6.1 ± 1%. There was complete resolution of the diabetes condition, and only one patient remained with systemic arterial hypertension and arthralgia. It is concluded that Sleeve Gastrectomy offers good weight loss results, as well as a resolution or improvement of previous comorbidities, in which the issue of diabetes could be more closely monitored. Prospective studies are needed to better compare long-term outcomes.

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Section: Resultsmentioning

confidence: 99%

Early Metabolic Effects of Sleeve Gastrectomy in Patients with Severe Obesity

de Carvalho,

Gama Fiho,

Figueiredo

et al. 2023

Act Scie Gastro

View full text Add to dashboard Cite

show abstract

“…Evidence strongly suggests that appropriate OSA management can improve atrial fibrillation control [ 22 ]. Positive airway pressure (PAP) in different modes, preferably continuous positive airway pressure (CPAP), is a gold standard for OSA treatment with proven effectiveness in reducing OSA symptoms, complications and improving the quality of sleep [ 7 , 23 ]. Although CPAP is the “golden method” for OSA treatment, there are other methods in OSA therapy.…”

Section: Methodsmentioning

confidence: 99%

Obesity, Bariatric Surgery and Obstructive Sleep Apnea—A Narrative Literature Review

Wyszomirski

Różańska-Walędziak

2023

Medicina

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The purpose of this review was to analyze the available literature on the subject of obesity and obstructive sleep apnea. We searched for available articles for the time period from 2013 to 2023. Obesity is listed as one of the most important health issues. Complications of obesity, with obstructive sleep apnea (OSA) listed among them, are common problems in clinical practice. Obesity is a well-recognized risk factor for OSA, but OSA itself may contribute to worsening obesity. Bariatric surgery is a treatment of choice for severely obese patients, especially with present complications, and remains the only causative treatment for patients with OSA. Though improvement in OSA control in patients after bariatric surgery is well-established knowledge, the complete resolution of OSA is achieved in less than half of them. The determination of subpopulations of patients in whom bariatric surgery would be especially advantageous is an important issue of OSA management. Increasing the potential of non-invasive strategies in obesity treatment requires studies that assess the efficacy and safety of combined methods.

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Risk prediction for Obstructive Sleep Apnea prognostic in Obese patients referred for bariatric surgery

Cited by 2 publications

References 42 publications

Early Metabolic Effects of Sleeve Gastrectomy in Patients with Severe Obesity

Early Metabolic Effects of Sleeve Gastrectomy in Patients with Severe Obesity

Obesity, Bariatric Surgery and Obstructive Sleep Apnea—A Narrative Literature Review

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