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Long-term effectiveness, outcomes and complications of bariatric surgery
World J Clin Cases. 2023 Jul 6;11(19):4504-4512. doi: 10.12998/wjcc.v11.i19.4504.ABSTRACTDietary imbalance and overeating can lead to an increasingly widespread disease - obesity. Aesthetic considerations aside, obesity is defined as an excess of adipose tissue that can lead to serious health problems and can predispose to a number of pathological changes and clinical diseases, including diabetes; hypertension; atherosclerosis; coronary artery disease and stroke; obstructive sleep apnea; depression; weight-related arthropathies and endometrial and breast cancer. A body weight 20% above ideal for age, gender and height is a...
Source: Clinical Breast Cancer - July 20, 2023 Category: Cancer & Oncology Authors: Milena Gulinac Dimitrina Georgieva Miteva Monika Peshevska-Sekulovska Ivan P Novakov Svetozar Antovic Milena Peruhova Violeta Snegarova Plamena Kabakchieva Yavor Assyov Georgi Vasilev Metodija Sekulovski Snezhina Lazova Latchezar Tomov Tsvetelina Velikova Source Type: research

Hospitalizations in OSA patients
Obstructive sleep apnea (OSA) is associated with cardiovascular comorbidities and other chronic diseases, accounting for long-term morbidity, with elevated symptomatic burden and hospitalizations. We aim to study the hospitalizations' causes in OSA patients and its relation to OSA severity and PAP therapy adhesion.This is a retrospective study including 281 hospitalizations corresponding to 200 OSA patients during 2019. Mean age 65 years, 67% were males, and 43,5% (n=87) had severe OSA; 85% patients under PAP; 60,4% (n=102) good adherent patients. Overlap with obesity hypoventilation syndrome (n=7) and COPD (n=48) was noti...
Source: European Respiratory Journal - December 1, 2022 Category: Respiratory Medicine Authors: Cancela da Fonseca Ferreira Santos, G. S., Van Zeller, M., Carrico, F., Rodrigues, D., Torres Redondo, M., Drummond, M. Tags: 04.02 - Clinical and epidemiological respiratory sleep medicine Source Type: research

Obstructive sleep apnea and other predictors of postoperative complications after bariatric surgery
Conclusions: Prevalence of postoperative complications in bariatric surgery patients was low and untreated moderate to severe OSA was not predictor of prolonged hospital stay.
Source: European Respiratory Journal - December 1, 2022 Category: Respiratory Medicine Authors: Aldobyany, A. M., Touman, A., Beshayreh, M., Alamri, F., Ahmed, J., Ghaleb, N., Alsaggaf, R., Alqurashi, H., Albanna, A., Alqurashi, E. Tags: 04.02 - Clinical and epidemiological respiratory sleep medicine Source Type: research

Obstructive Sleep Apnea and Positive Airway Pressure Usage in Populations with Neurological Disease
Obstructive sleep apnea (OSA) is characterized by repetitive episodes of complete or partial upper airway obstruction during sleep, with a worldwide estimate of 936 million sufferers. Treatments of OSA include continuous positive airway pressure (CPAP), weight loss, positional therapy, oral appliances, positive upper airway pressure, oro-maxillofacial surgery, hypoglossal nerve stimulation, and bariatric surgery, and others, with CPAP being the most commonly prescribed treatment. In this review, the neurologic conditions of stroke, cognitive decline, epilepsy, and migraines will be discussed as they relate to OSA. Addition...
Source: Sleep Medicine Clinics - October 9, 2022 Category: Sleep Medicine Authors: Daniel A. Barone, Alan Z. Segal Source Type: research

Preoperative preparation and premedication of bariatric surgical patient
Marina Varbanova, Brittany Maggard, Rainer LenhardtSaudi Journal of Anaesthesia 2022 16(3):287-298 The prevalence of obesity has tripled worldwide over the past four decades. The United States has the highest rates of obesity, with 88% of the population being overweight and 36% obese. The UK has the sixth highest prevalence of obesity. The problem of obesity is not isolated to the developed world and has increasingly become an issue in the developing world as well. Obesity carries an increased risk of many serious diseases and health conditions, including type 2 diabetes, heart disease, stroke, sleep...
Source: Saudi Journal of Anaesthesia - June 20, 2022 Category: Anesthesiology Authors: Marina Varbanova Brittany Maggard Rainer Lenhardt Source Type: research

Bariatric surgery may provide better protection than uvulopalatopharyngoplasty against major adverse cardiovascular events in obese patients with obstructive sleep apnea
CONCLUSION: BS may provide greater protection against MACE than UPPP in Asian obese patients with OSA. Additional mechanistic research is needed to clarify differences between BS and UPPP in these patients.PMID:33423961 | DOI:10.1016/j.soard.2020.11.018
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - January 11, 2021 Category: Surgery Authors: Tien-Yu Chen Chien-Ting Liu Chi-Hsiang Chung Shao-Lun Hung Wu-Chien Chien Jian-Han Chen Source Type: research

Cost-Effectiveness of Bariatric Surgery Compared With Nonsurgical Treatment in People With Obesity and Comorbidity in Colombia
ConclusionThe current study provides evidence that bariatric surgery is a cost-effective alternative among some cohorts in the Colombian setting. For obese patients with sleep apnea or diabetes, bariatric surgery is a recommendable alternative (dominant and cost-effective, respectively) for the Colombian healthcare system.
Source: Value in Health Regional Issues - May 11, 2019 Category: International Medicine & Public Health Source Type: research

The incidence of undiagnosed obstructive sleep apnoea (OSA) within an Australian bariatric population
Background: It is established that a strong correlation exists between morbid obesity and obstructive sleep apnea (OSA). OSA has been shown to be associated with increased incidence of stroke, hypertension and coronary artery disease. Current evidence suggests that a large number of patients with OSA deny experiencing symptoms. Despite these findings, there is a lack of data regarding the incidence of undiagnosed OSA in patients with obesity.
Source: Surgery for Obesity and Related Diseases - November 1, 2018 Category: Surgery Authors: Sabin J Warner-Smith, M Surg Pimlico Source Type: research

Bariatric surgery and diabetes remission: how far have we progressed?
This article will review the effectiveness of bariatric procedures on the remission and improvement of diabetes and its implicated mechanisms. PMID: 30298760 [PubMed]
Source: Expert Review of Endocrinology and Metabolism - October 12, 2018 Category: Endocrinology Tags: Expert Rev Endocrinol Metab Source Type: research

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