Assessment of the Effect of Bariatric Surgery on Obstructive Sleep Apnea at Two Postoperative Intervals

Background Studies have reported significant improvement of obstructive sleep apnea (OSA) in obese patients after bariatric surgery (BS). Weight loss following BS is rapid in the first few months, but it can take at least 1 year to reach the final result. The aim of this study is to measure the effe...

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Bibliographic Details
Published in:Obesity surgery 2014, Vol.24 (1), p.22-31
Main Authors: Ravesloot, M. J. L., Hilgevoord, A. A. J., van Wagensveld, B. A., de Vries, N.
Format: Article
Language:English
Subjects:
Bariatric Surgery
Female
Gastrointestinal surgery
Humans
Male
Medicine
Medicine & Public Health
Obesity
Obesity - complications
Obesity - surgery
Original Contributions
Polysomnography
Prospective Studies
Sleep apnea
Sleep Apnea, Obstructive - diagnosis
Sleep Apnea, Obstructive - etiology
Sleep Apnea, Obstructive - surgery
Surgery
Weight Loss - physiology
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Summary:Background Studies have reported significant improvement of obstructive sleep apnea (OSA) in obese patients after bariatric surgery (BS). Weight loss following BS is rapid in the first few months, but it can take at least 1 year to reach the final result. The aim of this study is to measure the effect of BS on various clinical, respiratory, and sleep parameters of OSA at two postoperative intervals. Methods Prospectively, all patients being evaluated for BS underwent a polysomnography (PSG). Patients diagnosed with OSA preoperatively were invited to undergo a PSG at least 6 months postoperatively and if OSA persisted, again at least 12 months postoperatively. Results One hundred ten patients underwent a first postoperative PSG 7.7 months after surgery. The mean apnea–hypopnea index (AHI) significantly decreased from 39.5 to 15.6/h. In 58.2 %, the AHI was reduced to below 10 and in 25.5 % to below 5. Fifty patients underwent a first PSG 7.1 months and a second PSG 16.9 months after surgery. The mean AHI decreased from 49.1 to 22.7 to 17.4/h following BS. Conclusions BS initiates dramatic improvement and even remission of clinical and sleep parameters during the first 7 months, which continues at a slower rate over the next 10 months. We recommend a follow-up PSG after surgery to check for residual disease and if necessary retritration of continuous positive airway pressure, which may lead to higher treatment compliance.
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-013-1023-y