Sleep Medicine and Psychophysiology (수면정신생리)

KOREAN ACADEMY OF SLEEP MEDICINE (대한수면의학회)
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A Case of Bariatric Surgery for an OSAS Patient with Severe Obesity

고도비만이 동반된 폐쇄성수면무호흡증 환자에서 시행된 비만대사수술 1례

  • Lee, Sang Kuk (Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon Hospital) ;
  • Hong, Seung-No (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine, Ansan Hospital) ;
  • Jung, Jae Hyun (Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon Hospital) ;
  • Choi, Ji Ho (Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon Hospital)
  • 이상국 (순천향대학교 부천병원 이비인후-두경부외과) ;
  • 홍승노 (고려대학교 안산병원 이비인후-두경부외과) ;
  • 정재현 (순천향대학교 부천병원 이비인후-두경부외과) ;
  • 최지호 (순천향대학교 부천병원 이비인후-두경부외과)
  • Received : 2016.10.11
  • Accepted : 2016.12.16
  • Published : 2016.12.31
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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] ${\geq}35$) who failed dietary weight loss underwent bariatric surgery. After surgery, there were improvements in BMI (from 36.9 to $31.7kg/m^2$) 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.

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References

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