Staff Members - Benha University
Single-setting Combined Uvulopalatopharyngeoplasty and Laparoscopic Sleeve Gastrectomy as a Therapeutic Modality for Obesity-associated Obstructive Sleep Apnea
Journal of American Science, • 2011
Publication Information
Authors
Ahmed F. Allam1; Mohamed F. Shindy1; Ahmed A. Al-Shal1 and Gamal I. El-Habbaa 2
Keywords
Obstructive sleep apnea, Obesity, Uvulopalatopharyngeoplasty Laparoscopic sleeve gastrectomy
Journal
Journal of American Science,
Publisher
Not Available
Volume
Not Available
Issue
Not Available
Pages
Not Available
publication.type
International
Paper Link
Not Available
Supplementary Materials
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Abstract
Objectives: To evaluate the outcome of single-setting laparoscopic sleeve gastrectomy (LSG) and
uvulopalatopharyngeoplasty (UPPP) as a management policy for Obesity-associated sleep-disordered breathing.
Patients & Methods: The study included 23 obstructive sleep apnea syndrome (OSAS) with body mass index
(BMI) >40 kg/m2. Preoperative OSAS evaluation included Epworth Sleepiness Scale (ESS) and polysomnography
to determine the apnea-hypopnea index (AHI). OSAS was diagnosed if the patients demonstrated an AHI ≥15/h or
≥5/h with an ESS ≥10. Body weight (BW) and BMI were evaluated at 1, 3 and 6 months after surgery and the
percentage of excess weight loss (%EWL)
and the percentage of excess BMI loss (%EBMIL). AHI and ESS score
were re-determined at 6 months after surgery and percentage of change was determined. Results: Mean total theatre
time was 105.3±10.7, mean time till first ambulation was 2.5±0.7 hours, mean time for first oral intake was 41±11.2
hours and mean hospital stay was 4.9±0.8 days. LSG and postoperative dieting regimen allowed significant
progressive BW reduction with a progressive increase of %EWL and %EBMIL at 6 months after surgery compared
to percentages reported at 3 months after surgery. Moreover, BMI strata showed progressive change with 21 women
had BMI 35 but
uvulopalatopharyngeoplasty (UPPP) as a management policy for Obesity-associated sleep-disordered breathing.
Patients & Methods: The study included 23 obstructive sleep apnea syndrome (OSAS) with body mass index
(BMI) >40 kg/m2. Preoperative OSAS evaluation included Epworth Sleepiness Scale (ESS) and polysomnography
to determine the apnea-hypopnea index (AHI). OSAS was diagnosed if the patients demonstrated an AHI ≥15/h or
≥5/h with an ESS ≥10. Body weight (BW) and BMI were evaluated at 1, 3 and 6 months after surgery and the
percentage of excess weight loss (%EWL)
and the percentage of excess BMI loss (%EBMIL). AHI and ESS score
were re-determined at 6 months after surgery and percentage of change was determined. Results: Mean total theatre
time was 105.3±10.7, mean time till first ambulation was 2.5±0.7 hours, mean time for first oral intake was 41±11.2
hours and mean hospital stay was 4.9±0.8 days. LSG and postoperative dieting regimen allowed significant
progressive BW reduction with a progressive increase of %EWL and %EBMIL at 6 months after surgery compared
to percentages reported at 3 months after surgery. Moreover, BMI strata showed progressive change with 21 women
had BMI 35 but