Positional obstructive sleep apnea in bariatric surgery patients: risk factor for postoperative cardiopulmonary complications?

详细信息    查看全文

• 作者：Christel A. L. de Raaff ; Dana M. Bindt ; Nico de Vries…
• 关键词：Bariatric surgery ; Obstructive sleep apnea ; Positional obstructive sleep apnea ; Postoperative complications
• 刊名：Sleep and Breathing
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：20
• 期：1
• 页码：113-119
• 全文大小：136 KB
• 参考文献：1.Buchwald H, Oien DM (2013) Metabolic/bariatric surgery worldwide 2011. Obes Surg 23(4):427–436CrossRef PubMed
  2.Buchwald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K et al (2004) Bariatric surgery: a systematic review and meta-analysis. JAMA 292(14):1724–1737CrossRef PubMed
  3.Ravesloot MJ, Van Maanen JP, Hilgevoord AA, Van Wagensveld BA, de Vries N (2012) Obstructive sleep apnea is underrecognized and underdiagnosed in patients undergoing bariatric surgery. Eur Arch Otorhinolaryngol 269(7):1865–1871CrossRef PubMed PubMedCentral
  4.Khan A, King WC, Patterson EJ, Laut J, Raum W, Courcoulas AP et al (2013) Assessment of obstructive sleep apnea in adults undergoing bariatric surgery in the longitudinal assessment of bariatric surgery-2 (LABS-2) study. J Clin Sleep Med 9(1):21–29PubMed PubMedCentral
  5.Clinical Issues Committee ASMBS (2012) Peri-operative management of obstructive sleep apnea. Surg Obes Relat Dis 8(3):e27–e32CrossRef
  6.Flum DR, Belle SH, King WC, Wahed AS, Berk P, Chapman W et al (2009) Perioperative safety in the longitudinal assessment of bariatric surgery. N Engl J Med 361(5):445–454CrossRef PubMed
  7.Shepard JW Jr (1992) Hypertension, cardiac arrhythmias, myocardial infarction, and stroke in relation to obstructive sleep apnea. Clin Chest Med 13(3):437–458PubMed
  8.Abrishami A, Khajehdehi A, Chung F (2010) A systematic review of screening questionnaires for obstructive sleep apnea. Can J Anaesth 57(5):423–438CrossRef PubMed
  9.Greenstone M, Hack M (2014) Obstructive sleep apnoea. BMJ 348:g3745CrossRef PubMed
  10.Epstein LJ, Kristo D, Strollo PJ Jr, Friedman N, Malhotra A, Patil SP et al (2009) Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. J Clin Sleep Med 5(3):263–276PubMed
  11.Cartwright RD (1984) Effect of sleep position on sleep apnea severity. Sleep 7(2):110–114PubMed
  12.Mador MJ, Kufel TJ, Magalang UJ, Rajesh SK, Watwe V, Grant BJ (2005) Prevalence of positional sleep apnea in patients undergoing polysomnography. Chest 128(4):2130–2137CrossRef PubMed
  13.Morong S, Benoist LB, Ravesloot MJ, Laman DM, de Vries N (2014) The effect of weight loss on OSA severity and position dependence in the bariatric population. Sleep Breath 18(4):851–856CrossRef PubMed
  14.Fried M, Yumuk V, Oppert JM, Scopinaro N, Torres A, Weiner R et al (2014) Interdisciplinary European guidelines on metabolic and bariatric surgery. Obes Surg 24(1):42–55CrossRef PubMed
  15.Ravesloot MJ, van Maanen JP, Dun L, de Vries N (2013) The undervalued potential of positional therapy in position-dependent snoring and obstructive sleep apnea—a review of the literature. Sleep Breath 17(1):39–49CrossRef PubMed PubMedCentral
  16.van Maanen JP, Meester KA, Dun LN, Koutsourelakis I, Witte BI, Laman DM et al (2013) The sleep position trainer: a new treatment for positional obstructive sleep apnoea. Sleep Breath 17(2):771–779CrossRef PubMed
  17.van Maanen JP, de Vries N (2014) Long-term effectiveness and compliance of positional therapy with the sleep position trainer in the treatment of positional obstructive sleep apnea syndrome. Sleep 37(7):1209–1215PubMed PubMedCentral
  18.Diamantis T, Apostolou KG, Alexandrou A, Griniatsos J, Felekouras E, Tsigris C (2014) Review of long-term weight loss results after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis 10(1):177–183CrossRef PubMed
  19.Puzziferri N, Roshek TB III, Mayo HG, Gallagher R, Belle SH, Livingston EH (2014) Long-term follow-up after bariatric surgery: a systematic review. JAMA 312(9):934–942CrossRef PubMed PubMedCentral
  20.Sunnergren O, Brostrom A, Svanborg E (2013) Positional sensitivity as a confounder in diagnosis of severity of obstructive sleep apnea. Sleep Breath 17(1):173–179CrossRef PubMed
  21.Oksenberg A, Silverberg DS, Arons E, Radwan H (1997) Positional vs nonpositional obstructive sleep apnea patients: anthropomorphic, nocturnal polysomnographic, and multiple sleep latency test data. Chest 112(3):629–639CrossRef PubMed
  22.Teerapraipruk B, Chirakalwasan N, Simon R, Hirunwiwatkul P, Jaimchariyatam N, Desudchit T et al (2012) Clinical and polysomnographic data of positional sleep apnea and its predictors. Sleep Breath 16(4):1167–1192CrossRef PubMed
  
• 作者单位：Christel A. L. de Raaff (1) (4)
  Dana M. Bindt (1)
  Nico de Vries (2) (3)
  Bart A. van Wagensveld (1) (4)
  
  1. Department of Surgery, St. Lucas Andreas Hospital, Amsterdam, The Netherlands
  4. Obesity Center Amsterdam, Sint Lucas Andreas Hospital, Jan Tooropstraat 164, 1061 AE, Amsterdam, The Netherlands
  2. Department of Otolaryngology, St. Lucas Andreas Hospital, Amsterdam, The Netherlands
  3. Department of Otolaryngology, University of Antwerp, Antwerpen, Belgium
  
• 刊物主题：Pneumology/Respiratory System; Otorhinolaryngology; Dentistry; Neurology; Internal Medicine; Pediatrics;
• 出版者：Springer Berlin Heidelberg
• ISSN：1522-1709

文摘

Background Up to 80 % of the bariatric surgery (BS) patients suffer from obstructive sleep apnea (OSA). BS patients with moderate to severe OSA (apnea-hypopnea index (AHI) ≥15) are usually treated with continuous positive airway pressure (CPAP). This is not indicated in mild OSA patients (AHI <15). However, >50 % of patients with mild OSA have positional OSA (POSA); their AHI is at least twice as high in supine sleeping position than in other positions. Since many patients sleep in supine position for surgical safety reasons after BS, evaluating the AHI in this position might be more relevant in this group. The aim of this study is to evaluate the postoperative cardiopulmonary complication rate in mild OSA patients with and without POSA. Secondary aim is to evaluate predictive factors for POSA.