BARİATRİK CERRAHİ VE OSAS

Uyku sağlıklı bir yaşamın en önemli unsurlarındandır. Uyku anındaki en önemli solunumbozukluklarından bir tanesi de obstrüktif uyku apne sendromudur ( OSAS) ve uykuda ölümlerekadar varan sıkıntılara yol açabilir. Obezite OSAS için en önemli risk faktörlerindendir. Obesitevücut yağ miktarının, insan sağlığını bozacak şekilde aşırı veya anormal birikmesidir ve dünyaçapında artan bir sağlık problemidir. 1980’lerden günümüze gelindiğinde obez kişi sayısı ikikatına çıkmıştır. Bariatrik cerrahi, dramatik kilo kaybı ile diğer komorbitelerde olduğu gibi uykubozukluğunda ve OSAS’da da önemli iyileşmeler sağlamaktadır.

Bariatric Surgery and Osas

Sleep is one of the most important elements of a healthy lifestyle. One of the most important respiratory disorders during sleep is the obstructive sleep apnea syndrome (OSAS), which can lead to sleep disturbances. Obesity is the most important risk factor for OSAS. Obesity is the excessive or abnormal accumulation of body fat that disrupts human health and is a growing health problem worldwide. The number of obese people doubled when they arrived in the 1980s. Bariatric surgery provides dramatic improvements in sleep disturbance and OSAS as well as in other comorbidities with dramatic weight loss.

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  • 1. Report of a WHO consultation. World Health Organization technical report series Obesity: Preventing and Managing the Global Epidemic, 2000.
  • 2. L. Angrisani, A. Santonicola, P. Iovino, G. Formisano, H. Buchwald, N. Scopinaro, Bariatric surgery worldwide , Obes. Surg.2015; 25 (10):1822-32.
  • 3. Young T, Peppard PE, Gottlieb DJ. Epidemiology of obstructive sleep apnea: a population health perspective. Am J Respir Crit Care Med. 2002;165(9):1217-39.
  • 4. Peppard PE, Young T, Palta M, Dempsey J, Skatrud J. Longitudinal study of moderate weight change and sleep-disordered breathing. JAMA. 2000;284(23):3015-21.
  • 5. Kyzer S, Charuzi I. Obstructive sleep apnea in the obese. World J Surg 1998; 22: 998-1001.).
  • 6. O'Keefe T, Patterson EJ. Evidence supporting routine polysomnography before bariatric surgery. Obes Surg 2004; 14: 23-26.
  • 7. Ravesloot MJ, van Maanen JP, Hilgevoord AA, van Wagensveld BA, de Vries N. Obstructive sleep apnea is underrecognized and underdiagnosed in patients undergoing bariatric surgery. Eur Arch Otorhinolaryngol. 2012;269(7):1865-71.
  • 8. Shah N, Roux F. The relationship of obesity and obstructive sleep apnea. Clin Chest Med. 2009;30(3):455-65.
  • 9. NIH conference. Gastrointestinal surgery for severe obesity. Consensus Development Conference Panel. Ann Intern Med. 1991 Dec 15;115(12):956-61.
  • 10. Kissler HJ, Settmacher U. Bariatric surgery to treat obesity. Semin Nephrol. 2013 Jan;33(1):75-89.
  • 11. Frigg A1, Peterli R, Peters T, Ackermann C, Tondelli P. Reduction in co-morbidities 4 years after laparoscopic adjustable gastric banding. Obes Surg. 2004 Feb;14(2):216-23
  • 12. Varela J.E., Hinojosa MW, Nguyen NT. Resolution of Obstructive Sleep Apnea after Laparoscopic Gastric Bypass Obesity Surgery, 17,2007, 1279-1282.
  • 13. Buchwald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K, Schoelles K. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004 13;292:1724-37.
  • 14. Montserrat JM, Ballester E, Hernandez L. Overview of management options for snoring and sleep apnea. Eur Respir Mon (Respiratory Disorders During Sleep) 1998;3: 144-78.