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The Effects of Laparoscopic Gastric Bypass Surgery on Patients with Obstructive Sleep Apnea

Cornman, Sarah P.

Abstract Details

2012, Master of Health and Human Services, Youngstown State University, Department of Health Professions.
Roux-en-Y Gastric bypass (RYGB) surgery is widely accepted as the most successful treatment of obesity, and has also been shown to eliminate a number of comorbidities associated with excess body weight including Obstructive Sleep Apnea (OSA). Despite such favorable effects, few studies have systematically examined the effect that the surgery has on health-related indices of obese patients being treated concomitantly for OSA. The purpose of this research was to examine these effects when patients were compliant with OSA treatment. This study was a prospective, within-subjects' design, and was part of a larger, single-center pilot study. Participants included six females who presented for RYGB and were diagnosed with OSA, which was being treated with CPAP therapy prior to surgery. They completed a series of study visits at postoperative follow up. The subjects completed a series of questionnaires at each visit, and anthropometric data were measured. Other assessments included blood lipid profiles, spirometry testing, and polysomnography. OSA treatment compliance of all participants was monitored closely, and those who were non-compliant (<50%) were excused from the study. Analyses showed LRYGB to impart significant loss of body weight (and BMI), neck circumference, and improvement in SAQLI scores, total cholesterol, and AHI in the immediate (up to 6 month) postoperative period. However, our analysis did not reveal any statistically significant changes in triglyceride, HDL cholesterol, or LDL cholesterol concentrations, or in spirometric indices of lung function postoperatively. Our results have demonstrated that bariatric surgery imparts a pronounced improvement in the health-related indices outlined in the study, and that are sustained over time in the immediate postoperative period.
Rachael Pohle-Krauza, PhD (Advisor)
Michele McCarroll, PhD (Committee Member)
Salvatore Sanders, PhD (Committee Member)
Keisha Robinson, DrPH (Committee Member)
77 p.

Recommended Citations

Citations

  • Cornman, S. P. (2012). The Effects of Laparoscopic Gastric Bypass Surgery on Patients with Obstructive Sleep Apnea [Master's thesis, Youngstown State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ysu1343695158

    APA Style (7th edition)

  • Cornman, Sarah. The Effects of Laparoscopic Gastric Bypass Surgery on Patients with Obstructive Sleep Apnea. 2012. Youngstown State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ysu1343695158.

    MLA Style (8th edition)

  • Cornman, Sarah. "The Effects of Laparoscopic Gastric Bypass Surgery on Patients with Obstructive Sleep Apnea." Master's thesis, Youngstown State University, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=ysu1343695158

    Chicago Manual of Style (17th edition)