고도비만이 동반된 폐쇄성수면무호흡증 환자에서 시행된 비만대사수술 1례
A Case of Bariatric Surgery for an OSAS Patient with Severe Obesity
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Obstructive sleep apnea syndrome (OSAS) has negative effects on health, including increased mortality, risk of cardiovascular disease, and neurocognitive difficulties. OSAS is common in obese patients and obesity is an important risk factor of OSAS. A 41-year-old female OSAS patient with severe obesity (body mass index [BMI] ≥ 35) who failed dietary weight loss underwent bariatric surgery. After surgery, there were improvements in BMI (from 36.9 to 31.7 kg/m2) and polysomnographic data, including the apnea-hypopnea index (from 25.1 to 11.2 events/hr) and minimum SaO2 (from 69 to 82%). This case demonstrates that bariatric surgery may be an effective therapeutic option to reduce sleep-disordered breathing in severely obese patients with moderate OSAS. Bariatric surgery as a treatment option for OSAS should be considered in OSAS patients with severe obesity who failed dietary weight loss.
Abstract
Obstructive sleep apnea syndrome (OSAS) has negative effects on health, including increased mortality, risk of cardiovascular disease, and neurocognitive difficulties. OSAS is common in obese patients and obesity is an important risk factor of OSAS. A 41-year-old female OSAS patient with severe obesity (body mass index [BMI] ≥ 35) who failed dietary weight loss underwent bariatric surgery. After surgery, there were improvements in BMI (from 36.9 to 31.7 kg/m2) and polysomnographic data, including the apnea-hypopnea index (from 25.1 to 11.2 events/hr) and minimum SaO2 (from 69 to 82%). This case demonstrates that bariatric surgery may be an effective therapeutic option to reduce sleep-disordered breathing in severely obese patients with moderate OSAS. Bariatric surgery as a treatment option for OSAS should be considered in OSAS patients with severe obesity who failed dietary weight loss.
참고문헌 (12)
- American Academy of Sleep Medicine, "International classification of sleep disorders" (2014), American Academy of Sleep Medicine
- Ashrafian H, "Bariatric surgery or non-surgical weight loss for obstructive sleep apnea? A systematic review and comparison of meta-analyses", Obes Surg, 25, pp.1239~1250 (2015)
- Del Genio G, "Sleeve gastrectomy improves obstructive sleep apnea syndrome(OSAS) : 5 year longitudinal study", Surg Obses Relat Dis, 12, pp.70~74 (2015)
- Epstein LJ, "Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults", J Clin Sleep Med, 5, pp.263~276 (2009)
- Flegal KM, "Association of allcause mortality with overweight and obesity using standard body mass index categories : a systematic review and metaanalysis", JAMA, 309, pp.71~82 (2013)
- Peppard PE, "Longitudinal study of moderate weight change and sleep-disordered breathing", JAMA, 284, pp.3015~3021 (2000)
- Richards WO, "Sabiston text book of surgery : the biological basis of modern surgical practice", pp.358~388 (2012), Elsevier sounders
- Sarkhosh K, "The impact of bariatric surgery on obstructive sleep apnea : a systematic review", Obes Surg, 23, pp.414~423 (2013)
- Shepard JW Jr, "Cardiopulmonary consequences of obstructive sleep apnea", Mayo Clin Proc, 65, pp.1250~1259 (1990)
- White DP, "Obstructive sleep apnea", Compr Physiol, 2, pp.2541~2594 (2012)
- Young T, "The occurrence of sleep-disordered breathing among middle-aged adults", N Engl J Med, 328, pp.1230~1235 (1993)
- Young T, "Excess weight and sleep-disordered breathing", J Appl Physiol, 99, pp.1592~1599 (2005)