Kurono T, Sakuma T, Shinozaki T, Kouchiyama S, Masuyama S, Kunitomo F, Kawamura I, Kuriyama T
Department of Medicine, Chiba University School of Medicine, Chiba, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1990 May;28(5):767-72.
A 23-year-man with morbid obesity and obstructive sleep apnea syndrome (OSAS) was admitted. He was 170 cm in height and 170 kg in weight. He underwent dietary treatment several times, but his weight returned to its original level, or even higher, within a short period. A diagnosis of OSAS was made by nocturnal polysomnography. In this morbidly obese patient with OSAS a nocturnal sleep apnea study was performed before and after weight reduction surgery (gastric restriction). The postoperative findings revealed a dramatic body weight reduction. At the same time, the results of apnea and oxygen desaturation were remarkably improved too. These results indicate that weight reduction surgery is a definitely effective treatment for morbid obesity associated with OSAS.
一名患有病态肥胖和阻塞性睡眠呼吸暂停综合征（OSAS）的23岁男性入院。他身高170厘米，体重170千克。他曾多次接受饮食治疗，但体重在短期内就恢复到原来水平，甚至更高。通过夜间多导睡眠图诊断为OSAS。在这位患有OSAS的病态肥胖患者中，在减重手术（胃限制术）前后进行了夜间睡眠呼吸暂停研究。术后结果显示体重显著减轻。同时，呼吸暂停和氧饱和度下降的结果也得到了显著改善。这些结果表明，减重手术对于与OSAS相关的病态肥胖是一种绝对有效的治疗方法。
