A Prospective Case Study on an Obese Adolescent with Obstructive Sleep Apnea before Versus One Year after Bariatric Surgery

Basel Habra1*, Jassim Fakhro2, Ashraf Soliman1 and Abdulla Alhothi1

1Department of Pediatric Medicine, Hamad Medical Corporation, Doha, Qatar
2Department of General Surgery, Hamad Medical Corporation, Doha, Qatar

*Corresponding author: Basel Habra, Department of Pediatric Medicine, Hamad Medical Corporation, PO Box: 3050, Doha, Qatar, E-mail: bhabra@hamad.qa

Received: June 19, 2021; Accepted: June 28, 2021; Published: July 16, 2021

Citation: Habra B, Fakhro J, Soliman A, et al. A Prospective Case Study on an Obese Adolescent with Obstructive Sleep Apnea (OSA) before Versus One Year after Bariatric Surgery. Clin Image Case Rep J. 2021; 3(7): 174.

Abstract

Introduction: The prevalence of adolescent obesity is on the rise. New evidence suggests that bariatric surgery is an alternative and effective option for weight reduction in severely obese adolescents.

Case study: This is a 14 years old obese adolescent boy who was hospitalized for symptoms of snoring, orthopnea and restless during sleep at night. On physical examination; His weight was 80 Kg BMI= 39 kg/m2. The patient was diagnosed with OSA and was started on night time continuous positive airway pressure. Metabolically he had impaired glucose tolerance and very high Homeostatic Model Assessment for Insulin Resistance = 22 with HbA1c = 5.7%, elevated liver enzymes. Diagnostic sleep study showed moderate OSA (AHI= 7.6 AASM score). He was discharged on CPAP during sleep. During follow up he had progressive weight gain (weight =103 Kg, BMI 45 kg/m2), He was admitted to our tertiary surgical center for bariatric surgery and multidisciplinary approach. Laparoscopic sleeve gastrostomy operation was performed. He was discharged home within three days on CPAP. One year post-operative follow up, his weight dropped to 57 Kg (47.4% dropped), BMI 20. He had normal glucose tolerance and normal hepatic enzyme level. The one year follow up sleep study showed complete resolution of his OSA. He also reported complete resolution of his OSA related symptoms with dramatic improvement of his daily activity, and school performance.

Conclusions: This prospective case study showed that bariatric surgery has significantly dropped patient weight, with complete resolution of patient OSA that persisted for one year post-operatively.

Keywords: Adolescent obesity; Bariatric surgery; Obstructive sleep apnea

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