NDLI: Distal airway dysfunction in obese subjects corrects after bariatric surgery.

Please wait, while we are loading the content...

Year: 2017 Volume: 13

Year: 2016 Volume: 12

Year: 2015 Volume: 11

Year: 2014 Volume: 10

Year: 2013 Volume: 9

Year: 2012 Volume: 8

Year: 2012 Volume: 8 Issue: 6

Year: 2012 Volume: 8 Issue: 5

Management of gastrointestinal leaks after surgery for clinically severe obesity.

Jejunocolic fistula after Roux-en-Y gastric bypass.

Predictors of pulmonary complications after bariatric surgery.

Laparoscopic management of sleeve obstruction.

Carbon dioxide elimination pattern in morbidly obese patients undergoing laparoscopic surgery.

Laparoscopic conversion of laparoscopic sleeve gastrectomy to gastric bypass for intractable gastroesophageal reflux disease.

Diabetes remission without weight loss after duodenal bypass surgery.

Sleep apnea syndrome is significantly underdiagnosed in bariatric surgical patients.

Pre- to postoperative changes in physical activity: report from the longitudinal assessment of bariatric surgery-2 (LABS-2).

Implantation of the duodenal-jejunal bypass sleeve under conscious sedation: a case series.

Distal airway dysfunction in obese subjects corrects after bariatric surgery.

Nasogastric tube, temperature probe, and bougie stapling during bariatric surgery: a multicenter survey.

Algorithm to diagnose etiology of hypoglycemia after Roux-en-Y gastric bypass for morbid obesity: case series and review of the literature.

Changes in brain activation to food pictures after adjustable gastric banding.

Older bariatric surgery candidates: is there greater psychological risk than for young and midlife candidates?

Six-year changes in health-related quality of life in gastric bypass patients versus obese comparison groups.

Evaluation of nutrient status after laparoscopic sleeve gastrectomy 1, 3, and 5 years after surgery.

Evaluation and treatment of patients with cardiac disease undergoing bariatric surgery.

Pancreaticoduodenectomy for pancreatic carcinoma after complicated open Roux-en-Y gastric bypass surgery: an alternative approach to reconstruction.

A pilot study investigating the efficacy of postoperative dietary counseling to improve outcomes after bariatric surgery.

Endoscopic neogastrogastrostomy in a postgastric bypass patient by application of an endoscopic antegrade-retrograde rendezvous technique.

Legal and policy approaches to the obesity epidemic.

'Why won't my patients do what's good for them?' Motivational interviewing and treatment adherence.

Type 2 diabetes after gastric bypass: remission in five models using HbA1c, fasting blood glucose, and medication status.

Difficult tracheal intubation in morbidly obese patients.

Acute postgastric reduction syndrome.

Presidental address--Obesity discrimination: what can we do?

Psychopathology before surgery in the longitudinal assessment of bariatric surgery-3 (LABS-3) psychosocial study.

Weight loss at first postoperative visit predicts long-term outcome of Roux-en-Y gastric bypass using Duke weight loss surgery chart.

Nonexercise activity thermogenesis: a way forward to treat the worldwide obesity epidemic.

Year: 2012 Volume: 8 Issue: 4

Year: 2012 Volume: 8 Issue: 3

Year: 2012 Volume: 8 Issue: 2

Year: 2012 Volume: 8 Issue: 1

Distal airway dysfunction in obese subjects corrects after bariatric surgery.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Oppenheimer, Beno W. Macht, Ryan Goldring, Roberta M. Stabile, Alexandra Berger, Kenneth I. Parikh, Manish
Description	Country affiliation: United States Author Affiliation: Oppenheimer BW ( André Cournand Pulmonary Physiology Laboratory, Division of Pulmonary, Critical Care and Sleep, Department of Medicine, Bellevue Hospital/New York University School of Medicine, New York, New York 10016, USA. beno.oppenheimer@nyumc.org)
Abstract	BACKGROUND: Obesity is frequently associated with respiratory symptoms despite normal large airway function as assessed by spirometry. However, reduced functional residual capacity and expiratory reserve volume are common and might reflect distal airway dysfunction. Impulse oscillometry (IOS) might identify distal airway abnormalities not detected using routine spirometry screening. Our objective was to test the hypothesis that excess body weight will result in distal airway dysfunction detected by IOS that reverses after bariatric surgery. The setting was a university hospital. METHODS: A total of 342 subjects underwent spirometry, plethysmography, and IOS before bariatric surgery. Of these patients, 75 repeated the testing after the loss of 20% of the total body weight. The data from 47 subjects with normal baseline spirometry and complete pre- and postoperative data were analyzed. RESULTS: IOS detected preoperative distal airway dysfunction despite normal spirometry findings by an abnormal airway resistance at an oscillation frequency of 20 Hz (4.75 ± 1.2 cm H2O/L/s), frequency dependence of resistance from 5 to 20 Hz (2.20 ± 1.6 cm H2O/L/s), and reactance at 5 Hz (-3.47 ± 2.1 cm H2O/L/s). Postoperatively, the subjects demonstrated 57% ± 15% excess weight loss. The body mass index decreased (from 44 ± 6 to 32 ± 5 kg/m2, P < .001). Improvements in functional residual capacity (from 59% ± 11% to 75% ± 20% predicted, P < .001) and expiratory reserve volume (from 41% ± 20% to 75% ± 20% predicted, P < .001) were demonstrated. Distal airway function also improved: airway resistance at an oscillation frequency of 20 Hz (3.91 ± .9, P < .001), frequency dependence of resistance from 5 to 20 Hz (1.17 ± .9, P < .001), and reactance at 5 Hz (-1.85 ± .9, P < .001). CONCLUSION: The present study detected significant distal airway dysfunction despite normal preoperative spirometry findings. The effect of increased body weight was likely the main mechanism for these abnormalities. However, the inflammatory state of obesity or associated respiratory disease could also be invoked. These abnormalities improved significantly toward normal after weight loss. The results of the present study highlight the importance of bariatric surgery as an effective intervention in reversing these respiratory abnormalities.
File Format	HTM / HTML
ISSN	15507289
Issue Number	5
Volume Number	8
e-ISSN	18787533
Journal	Surgery for Obesity and Related Diseases
Language	English
Publisher	Elsevier
Publisher Date	2012-09-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Metabolism Discipline General Surgery Bariatric Surgery Methods Bronchial Diseases Etiology Laparoscopy Obesity, Morbid Surgery Respiration Disorders Adult Body Mass Index Physiopathology Female Humans Male Complications Oscillometry Postoperative Care Preoperative Care Respiratory Function Tests Retrospective Studies Spirometry Weight Loss Journal Article
Content Type	Text
Resource Type	Article
Subject	Surgery

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Effect of preoperative body mass index on weight loss after obesity surgery.

Pulmonary function tests in obese people candidate to bariatric surgery.

Effect of preoperative weight loss in bariatric surgical patients: a systematic review.

Effect of Weight Loss on Postural Changes in Pulmonary Function in Obese Subjects: A Longitudinal Study.

Preoperative factors and 3-year weight change in the Longitudinal Assessment of Bariatric Surgery (LABS) consortium.

Laparoscopic Gastric Banding in Older Patients

Does patient compliance with preoperative bariatric office visits affect postoperative excess weight loss?

Postoperative Rhabdomyolysis Following Laparoscopic Gastric Bypass in the Morbidly Obese

Cognitive function predicts weight loss after bariatric surgery.

Distal airway dysfunction in obese subjects corrects after bariatric surgery.

Similar Documents

Effect of preoperative body mass index on weight loss after obesity surgery.

Pulmonary function tests in obese people candidate to bariatric surgery.

Effect of preoperative weight loss in bariatric surgical patients: a systematic review.

Effect of Weight Loss on Postural Changes in Pulmonary Function in Obese Subjects: A Longitudinal Study.

Preoperative factors and 3-year weight change in the Longitudinal Assessment of Bariatric Surgery (LABS) consortium.

Laparoscopic Gastric Banding in Older Patients

Does patient compliance with preoperative bariatric office visits affect postoperative excess weight loss?

Postoperative Rhabdomyolysis Following Laparoscopic Gastric Bypass in the Morbidly Obese

Cognitive function predicts weight loss after bariatric surgery.

Distal airway dysfunction in obese subjects corrects after bariatric surgery.