Palavras-chave
Manejo da obesidade
Apneia obstrutiva do sono
Síndrome de hipoventilação da obesidade
Síndrome metabólica
Como Citar
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Resumo
Objetivo: Evaluar índices de apnea/hipopnea en individuos sometidos a dos técnicas de cirugía bariátrica: Manga Gástrica y Bypass Gástrico en y de Roux. Métodos: Cohorte prospectiva incluyendo pacientes obesos con Síndrome de Apnea del Sueño sometidos a cirugía bariátrica, para evaluación pre y postoperatoria mediante polisomnografía. Se midieron la masa corporal y los índices de apnea/hipopnea. Resultados: 30 participantes selecionados (60% manga gástrica). 73,3% mujeres, con edad media de 40,2 años (rango 24-63). Media de masa corporal preoperatoria y índices de apnea/hipopnea de manga gástrica y bypass gástrico fueron respectivamente 39,9 y 42,8 kg/m2, y 33,7 y 27,7 eventos/hora. Media de masa corporal postoperatoria y índices de apnea/hipopnea para manga gástrica y bypass gástrico fueron de 28,8 y 30,3 kg/m², y de 7,4 y 9,5 eventos/hora (0,3-27,3), respectivamente. No se observaron diferencias estadísticas entre los grupos en cuanto a apnea del sueño o peso. Conclusión: Ambas técnicas quirúrgicas son eficaces para controlar apnea del sueño. Pacientes con menor IMC preoperatorio fueron los principales beneficiarios. Mayor número de pacientes y estudios podría corroborar estos hallazgos.
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