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Obesity Surgery

, Volume 29, Issue 11, pp 3690–3697 | Cite as

Short-Term Assessment of Obstructive Sleep Apnea Syndrome Remission Rate after Sleeve Gastrectomy: a Cohort Study

  • Marine Timmerman
  • Damien BasilleEmail author
  • Aurélie Basille-Fantinato
  • Mickaël E. Baud
  • Lionel Rebibo
  • Claire Andrejak
  • Vincent Jounieaux
  • Jean-Daniel Lalau
Original Contributions
  • 98 Downloads

Abstract

Background

Severe obesity is associated with a high prevalence of moderate-to-severe obstructive sleep apnea syndrome (OSA). Bariatric surgery has been shown to effectively reduce excess weight and comorbidities.

Methods

We evaluated the remission rate of moderate-to-severe OSA (apnea-hypopnea index (AHI) ≥ 15) following sleeve gastrectomy. We performed a single-center retrospective chart review of all patients who underwent preoperative polysomnography (PSG) or polygraphy before primary sleeve gastrectomy. Patients with moderate-to-severe OSA treated by continuous positive airway pressure (CPAP) also underwent postoperative PSG. Bivariate analysis was performed to evaluate the criteria associated with remission of moderate-to-severe OSA.

Results

From 2013 to 2018, 39 of 162 patients (24.1%) scheduled for sleeve gastrectomy (SG) presented moderate-to-severe OSA requiring CPAP. Postoperative PSG was performed in 36 patients a mean of 9.9 ± 6.1 months after SG. Mean BMI decreased from 47.4 ± 8.4 to 36.3 ± 7.1 kg/m2 (p < 0.001), and all patients reported clinical improvement of OSA symptoms. A remission of moderate-to-severe OSA was observed in 72.2% of patients with a mean decrease of AHI from 45.8 events/h to 11.3 events/h (p < 0.001). Postoperative neck circumference was the only factor associated with OSA remission.

Conclusion

SG is associated with a rapid improvement of moderate-to-severe OSA partially as a result of a reduction of neck circumference. However, the absence of correlation with excess weight loss suggests that other weight-independent factors may also be involved.

Keywords

Bariatric surgery Sleeve gastrectomy Polysomnography Obstructive sleep apnea Continuous positive airway pressure 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Statements Regarding Ethics and Consent

Formal consent is not required for this type of study.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Marine Timmerman
    • 1
  • Damien Basille
    • 2
    • 3
    Email author
  • Aurélie Basille-Fantinato
    • 4
  • Mickaël E. Baud
    • 2
  • Lionel Rebibo
    • 5
    • 6
  • Claire Andrejak
    • 2
    • 3
    • 4
  • Vincent Jounieaux
    • 2
    • 3
    • 4
  • Jean-Daniel Lalau
    • 1
    • 7
  1. 1.Department of Endocrinology, Metabolic Diseases and NutritionUniversity Hospital Amiens-PicardieAmiens CedexFrance
  2. 2.Department of Respiratory Diseases and Intensive Care UnitUniversity Hospital Amiens-PicardieAmiens CedexFrance
  3. 3.AGIR UnitUniversity Picardie Jules VerneAmiens CedexFrance
  4. 4.Sleep and Vigilance Disorder UnitUniversity Hospital Amiens-PicardieAmiens CedexFrance
  5. 5.Department of Digestive SurgeryUniversity Hospital Amiens-PicardieAmiens CedexFrance
  6. 6.Department of Digestive, Esogastric and Bariatric SurgeryBichat Claude Bernard University HospitalParisFrance
  7. 7.PériTox Unit, UMR-I 01University Picardie Jules VerneAmiens CedexFrance

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