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Thorax Paper of the Week
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Respiratory medicine
Thorax Paper of the Week
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The  BMJ huddle this morning  at Castle BMJ discussed the ongoing obesity epidemic in the US, and the impact bariatric surgery can have on obesity rates. The, the  Thorax recommended pa
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Forums  »  Open clinical  »  Respiratory medicine  »  Thorax Paper of the Week

Thorax Paper of the Week

posted at 8/5/2012 9:37 PM BST on bmj.com
Posts: 1213
First: 19/4/2010
Last: 14/6/2013
The BMJ huddle this morning at Castle BMJ discussed the ongoing obesity epidemic in the US, and the impact bariatric surgery can have on obesity rates.

The, the Thorax recommended paper of the week plops through my inbox, and this week it's all about the impact bariatric surgery can have on sleep apnoea.

Our Tuesday afternoon sleep apnoea clinic requires more and more "wide" chairs, and the referral rate shows no sign of abating.  We don't offer bariatric surgery here in Dundee.



Re: Thorax Paper of the Week

posted at 8/5/2012 10:54 PM BST on bmj.com
Posts: 3059
First: 27/3/2012
Last: 13/6/2013
Thanks Dr. dundeeChest for seeking attention to an important topic.
The bariatric surgery may  be effective in reducing rates of obstructive sleep apnea, although further evaluation is warranted. The bariatric surgery for obesity offers a significant reduction of the symptoms and measures of OSA. The beneficial effects of metabolic surgery on OSA may include both weight-dependent and weight-independent mechanisms. These include adipokine effects, cytokine actions, altered gut hormonal release and the improvement of insulin resistance. Identifying the precise mechanisms through which metabolic surgery improves or resolves OSA will increase our understanding of how obesity and metabolic dysfunction contribute to this multisystem sleep disorder. Currently, the heterogeneity across the available trials and a deficiency in comparative studies between surgical and non-surgical therapy precludes definitive statements regarding the relative benefits of surgical therapy.

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