2014
DOI: 10.1007/s11695-014-1533-2
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Bariatric Surgery or Non-Surgical Weight Loss for Obstructive Sleep Apnoea? A Systematic Review and Comparison of Meta-analyses

Abstract: Both bariatric surgery and non-surgical weight loss may have significant beneficial effects on OSA through BMI and AHI reduction. However, bariatric surgery may offer markedly greater improvement in BMI and AHI than non-surgical alternatives. Future studies must address the lack of randomised controlled and comparative trials in order to confirm the exact relationship between metabolic surgery and non-surgical weight loss interventions in OSA resolution.

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Cited by 153 publications
(83 citation statements)
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“…In patients with obesity, weight loss is the most important alternative treatment for OSA. A recent review and meta-analysis demonstrated that obesity surgery was followed, on average, by a large reduction in AHI (29 events/h; 95% CI 22-37 events/h) [59]. However, although bariatric surgery significantly ameliorates OSA, it does not completely resolve the disease in all patients.…”
Section: Management Of Co-morbiditiesmentioning
confidence: 99%
“…In patients with obesity, weight loss is the most important alternative treatment for OSA. A recent review and meta-analysis demonstrated that obesity surgery was followed, on average, by a large reduction in AHI (29 events/h; 95% CI 22-37 events/h) [59]. However, although bariatric surgery significantly ameliorates OSA, it does not completely resolve the disease in all patients.…”
Section: Management Of Co-morbiditiesmentioning
confidence: 99%
“…In a retrospective study with a 5-year follow up, Dimitri et al [50] showed that the prevalence of sleep apnea decreases significantly after metabolic surgery. A systematic review comparing 19 surgical and 20 non-surgical studies similarly proved that metabolic surgery has more impact on the apnea-hypopnea index than non-surgical weight loss does [57]. Comparing different surgical methods, Sarkhosh et al [58] found that every metabolic surgery procedure was highly effective in improving OSAS although 25% of patients reported no improvement at all.…”
Section: Metabolic Surgery For Other Potential Indicationsmentioning
confidence: 99%
“…However, bariatric surgery has a role, and OSA is a comorbidity that increases the cost-efficacy of such surgery. 9 Removal of large tonsils in children is usually effective, and tonsillectomy may occasionally be effective in the less obese adult. A few centres offer surgical advancement of the mandible and maxilla in highly selected cases, although there are concerns over remodelling with OSA recurrence some years later.…”
Section: Treatmentmentioning
confidence: 99%