Victor D W, Sarmiento C F, Yanta M, Halverson J D
Arch Surg. 1984 Aug;119(8):970-2. doi: 10.1001/archsurg.1984.01390200086020.
Two morbidly obese patients were described as having severe obstructive sleep apnea syndrome with several apneic periods occurring during sleep that produced substantial oxygen desaturation and, in one patient, cardiac arrhythmias. These patients, by dieting, had noted specific "trigger" weights at which they would manifest symptoms of lethargy, hypersomnolence, and snoring. Both were treated with tracheostomy, and after several days without apnea their cardiac and respiratory status stabilized and they underwent loop gastric bypass. Successful weight loss ensued and repeated sleep studies disclosed no further apneic periods (with the tracheostomies occluded), and so their tracheostomies were removed. We consider sleep apnea syndrome to be an indication for bariatric surgery.
两名病态肥胖患者被描述为患有严重的阻塞性睡眠呼吸暂停综合征，睡眠期间出现多次呼吸暂停期，导致明显的氧饱和度下降，其中一名患者还出现心律失常。这些患者通过节食发现了特定的“触发”体重，在这个体重时他们会出现嗜睡、过度嗜睡和打鼾症状。两人均接受了气管切开术，在数天无呼吸暂停后，他们的心脏和呼吸状况稳定下来，随后接受了胃旁路手术。体重成功减轻，重复的睡眠研究显示不再有呼吸暂停期（气管切开处堵塞），因此他们的气管切开术被移除。我们认为睡眠呼吸暂停综合征是减肥手术的一个指征。
