The Long-term Outcome of Sleeve Gastrectomy in Managing Obstructive Sleep Apnea in Prader–Willi Syndrome Patients: A Case Series

Authors

Safa Eltahir^*, , Mohammed Alzaid, Gawahir Mukhtar, Wadha Alotaibi

Pediatric Pulmonology Section, Children Specialised Hospital, King Fahad Medical City, Riyadh, Saudi Arabia

^*Corresponding author. Email: seltahir@kfmc.med.sa

DOI

10.2991/dsahmj.k.200916.001How to use a DOI?

Keywords

Gastric sleeve surgery; OSA; PWS

Abstract

Background: Prader–Willi syndrome (PWS) is a genetic disorder with multisystem involvement. Bariatric laparoscopic Sleeve Gastrectomy (SG) surgery has been proposed as a means of weight control in PWS patients. There is some controversy around sleeve gastrectomy as a management strategy in PWS to control Obstructive Sleep Apnea (OSA).

Case-Series: In this case series we are questioning the effectiveness of bariatric gastric sleeve surgery as a long-term solution for weight control. Therefore, we followed up four patients with PWS in our center who had SG and evaluated their growth parameters along with symptoms of sleep disordered breathing. The median age of patients in this group was 7.5 years. There were three males and one female. The average Body Mass Index (BMI) prior to SG was 40.5. The average BMI after SG, at 5–7 years, was 40.8. This shows an insignificant effect of SG on BMI and control of OSA on follow-up over more than 5 years.

Conclusion: We believe that SG has limited and transient success for obesity management in PWS patients, especially in the absence of a multidisciplinary team that can provide behavioral therapy, nutritional plan, and psychosocial support. Further studies are necessary to compare the long-term outcome sleeve gastrectomy with behavioral and strict nutritional therapy.

Copyright

© 2020 Dr. Sulaiman Al Habib Medical Group. Publishing services by Atlantis Press International B.V.

Open Access

This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

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TY  - JOUR
AU  - Safa Eltahir
AU  - Mohammed Alzaid
AU  - Gawahir Mukhtar
AU  - Wadha Alotaibi
PY  - 2020
DA  - 2020/09/21
TI  - The Long-term Outcome of Sleeve Gastrectomy in Managing Obstructive Sleep Apnea in Prader–Willi Syndrome Patients: A Case Series
JO  - Dr. Sulaiman Al Habib Medical Journal
SP  - 140
EP  - 143
VL  - 2
IS  - 4
SN  - 2590-3349
UR  - https://doi.org/10.2991/dsahmj.k.200916.001
DO  - 10.2991/dsahmj.k.200916.001
ID  - Eltahir2020
ER  -