Obstructive sleep apnoea/hypopnoea syndrome (OSAHS) is a growing concern among the health authorities as its economic, social and health implications are immense. OSAHS is a condition in which a person experiences repeated episodes of apnoea because of a narrowing or closure of the pharyngeal airway during sleep.”Hypopnoea” is the decreased airflow due to partial obstruction whereas “Apnoea” is complete obstruction of airflow .This causes interruption of sleep to restore breathing. Hence the resultant poor sleep quality eventually gives rise to symptoms like impaired alertness, cognitive impairment, excessive daytime sleepiness, mood and personality changes, loud snoring, choking or gasping during sleep, morning headaches and …show more content…
The dramatic increase in the worldwide prevalence of obesity has paralleled the increase in the prevalence of obstructive sleep apnoea . Studies have shown a strong association between increased body mass index (BMI) and the risk of OSAHS. Significant OSAHS is present in 40% of obese individuals and 70% of OSAHS patients are obese . A mere 10% increase in BMI has been shown to increase the individuals risk of developing OSA by 500% and weight loss in OSAHS patients significantly decreases apnoea frequency …show more content…
Material & Methods:
Their local General Physicians using a special referral form referred the patients to the Bariatric Surgery Service. Each patient was then discussed in the Bariatric Multi Disciplinary Team (MDT). This team included the bariatric surgeon, a psychologist, bariatric nurse specialist, dietician and an endocrinologist. After discussion at this team meeting if the patients met the local trust criteria for being offered bariatric surgery services, which was; BMI>35 with NIDDM and/or OSAHS an appointment at the bariatric surgery clinic was issued.
At the first clinic visit a complete history; initial weight, BMI, height, neck circumference, waist, blood pressure and co-morbidities were recorded. The patients themselves completed an Epworth Sleepiness Score form and if the ESS score was>11 they were referred to the respiratory physicians team for further assessment and polysomnography.
Patients were explained in detail about the surgery, possible complications and post procedure expectations; they were offered surgery after obtaining a complete informed