Gastroplasty for Respiratory Insufficiency of Obesity
- 1 June 1981
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health) in Annals of Surgery
- Vol. 193 (6), 677-685
- https://doi.org/10.1097/00000658-198106000-00002
Abstract
Three patients with the obesity hypoventilation syndrome and one patient with the sleep apnea syndrome underwent gastroplasty for weight reduction. A tracheostomy was also performed in the patient with sleep apnea. The PaOo rose from an average of 51 ± 9 to 71 ± 5 torr and the PaC02 fell from an average of 51 ± 12 to 41 ± 6 torr within two to ten months following bariatric surgery. The improved arterial blood gases were associated with an increased forced vital capacity in each patient. The change in maximum voluntary ventilation was variable. Sleep capneography demonstrated cure of the patient with sleep apnea permitting removal of the tracheostomy. All four patients have returned to productive lives in society. Given proper pre- and postoperative care, patients with respiratory insufficiency tolerate the operation well. Respiratory insufficiency associated with morbid obesity should be considered an indication for the gastroplasty procedure, rather than a contraindication as previously suggested.Keywords
This publication has 32 references indexed in Scilit:
- Respiration, Circulation and Anaesthetic Management in Obesity. Investigation before and after Jejunoileal BypassActa Anaesthesiologica Scandinavica, 1977
- MASSIVE WEIGHT-LOSS FOLLOWING JEJUNOILEAL BYPASS .1. EFFECTS ON PULMONARY-FUNCTION1977
- Cardiovascular and Respiratory Changes in Response to Change of Posture in the Very ObeseAnesthesiology, 1976
- The Sleep Apnea SyndromesAnnual Review of Medicine, 1976
- Closing volume and gas exchange in obese patients before and after intestinal bypass operation. (A preliminary report).1976
- Effect of Position (Semirecumbent Versus Supine) on Postoperative Oxygenation in Markedly Obese SubjectsAnesthesia & Analgesia, 1976
- Normal chemoreceptor function in obesity before and after heal bypass surgery to force weight reductionAmerican Journal Of Medicine, 1975
- Current concepts in the pathogenesis of the obesity-hypoventilation syndromeAmerican Journal Of Medicine, 1974
- The sleep deprivation syndrome of the obese patientAmerican Journal Of Medicine, 1974
- Gastric Bypass in ObesitySurgical Clinics of North America, 1967