Wednesday, 13 September 2023

Management of Obesity Associated Airway Problems with Bariatric Surgery | Chapter 6 | Current Innovations in Disease and Health Research Vol. 6

 Bariatric section is known to be an direct treatment planning for a variety of obesity accompanying medical comorbidities. Obesity befriended airway disease poses a meaningful morbidity and death risk. Individuals with obesity are at greater risk of developing respiring infections, report negative quality of existence scores, longer and increased hospitalisation rates in addition to being more susceptible to growth threatening emergencies in the way that cardiorespiratory arrest in comparison to active weight individuals.This book episode summarises the evidence base of the management of few obesity related ventilating pipe pathologies, obstructive sleep apnoea (OSA), asthma and chronic opposing pulmonary disease (COPD) in addition to laryngotracheal stenosis (LTS) with bariatric medical procedure.The literature base for the administration of OSA and asthma with bariatric surgery is abundant, with most of the evidence professed a significant improvement of syndromes with burden loss achieved through differing bariatric interventions (gastric band, sleeve gastrectomy and roux en-Y-pertaining to the stomach bypass). However, accompanying LTS, the impact of bariatric surgery as a treatment approach is novel and subsequently the evidence is predominantly unknown. To date, there is singular prospective multicentre practical study that has evaluated the impact of bariatric surgery on dispassionate outcomes in LTS subjects, yielding encouraging results. Individuals not only helped from a reduction in the number of interventions that were necessary to manage the manifestations of LTS, but bariatric surgery also authorized more patients to favorably undergo definitive surgical situation through effective pre-influential optimisation achieved through weight deficit.Given the effectiveness of bariatric incision for the management of these airway ailments; OSA, asthma and LTS may be considered as ventilating pipe pathologies that can be harmlessly and effectively treated by metabolic enucleation. This may be mirrored in updated national and worldwide guidelines designed by learned bodies in the way that the International Federation for the Surgery of Obesity and Metabolic Disorders to guide the bariatric and metabolic communities.

Author(s) Details:

Anuja T. Mitra,
Department of Surgery and Cancer, Imperial College London, St Mary’s Hospital, Paddington, London, W21NY, United Kingdom.

Matyas Fehervari,
Department of Surgery and Cancer, Imperial College London, St Mary’s Hospital, Paddington, London, W21NY, United Kingdom.

Please see the link here: https://stm.bookpi.org/CIDHR-V6/article/view/11840

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