Wednesday 28 January 2015

Laparoscopic gastric banding in corpulent patients with slumber apnea: A 3-year controlled study and follow-up following 10 years

Laparoscopic gastric banding in corpulent patients with slumber apnea: A 3-year controlled study and follow-up following 10 years 

Heftiness Surgery, 02/24/2015  Clinical Article

Feigel–Guiller B, et al. – The reason for this study was to think about the impacts of serious nutritious consideration (INC) and laparoscopic flexible gastric banding (LAGB) on nighttime non–invasive ventilation (NIV) prerequisite in stout patients utilizing short–, medium–, and long–term follow–up information. In this study LAGB was not better than INC for weaning from NIV at 1 and 3 years in large patients with OSA.

Systems

This imminent randomized controlled trial included hefty patients with obstructive slumber apnea (OSA) treated by NIV.

Patients were randomized to the INC and LAGB bunches.

The essential endpoint was the hypothetical rate of weaning from NIV at years 1 and 3.

Information were additionally gathered from patients 10 years after randomization.

Results

Sixty–three patients were randomized.

The rate of weaning from NIV did not vary essentially between the LAGB and INC bunches at year 1 (35 versus 13 %) or year 3 (14 versus 21 %).

Rates of abundance weight reduction were more prominent in the LAGB bunch than in the INC bunch at years 1 (33 versus 15 %, p=0.002) and 3 (27 versus 8 %, p=0.014).

Declines in the apnea–hypopnea list were seen in the LAGB bunch from benchmark to year 1 (–44 %, p=0.001) and from standard to year 3 (–26 %, p=0.044).

Following 10 years, the weaning rate was low and comparab