Efficacy of Upper Gastrointestinal Endoscopic Examination to Identify Patients with Obstructive Sleep Apnea Syndrome: A Retrospective Cross-Sectional Study

Digestion ◽  
2018 ◽  
Vol 99 (3) ◽  
pp. 252-259
Author(s):  
Ken Ohata ◽  
Eiji Sakai ◽  
Tomomi Nakao ◽  
Yoshiaki Kimoto ◽  
Rindo Ishii ◽  
...  
2020 ◽  
Vol 69 ◽  
pp. 172-178 ◽  
Author(s):  
Plamen Bokov ◽  
Boris Matrot ◽  
Noria Medjahdi ◽  
Souham Boureghda ◽  
Mohamed Essalhi ◽  
...  

2017 ◽  
Vol 63 (10) ◽  
pp. 862-868 ◽  
Author(s):  
Débora Aparecida Oliveira Modena ◽  
Everton Cazzo ◽  
Elaine Cristina Cândido ◽  
Letícia Baltieri ◽  
Luciana Jaroslavsky Bueno da Silveira ◽  
...  

Summary Introduction: The obstructive sleep apnea syndrome (OSAS) is a respiratory illness, characterized by recurrent episodes of apnea and hypopnea, leading to reduction or cessation of the airflow. Obesity is one of the major risk factors for the development of OSAS. To help in the diagnosis of this disease, easily applicable and low-cost questionnaries were developed, such as the Berlin Questionnaire (BQ). Objective: To evaluate the efficacy of the BQ for the screening of OSAS among candidates to bariatric surgery in a multidisciplinary preoperative program. Method: This is an observational, descriptive and cross-sectional study which evaluated obese individuals that were being prepared for bariatric surgery by means of the BQ. Results: BQ was able to detect that minimal variations in the body mass index, neck circumference and hip-to-waist ratio lead to changes in the risk to develop OSAS; the higher the values of these variables, the higher the risk for OSAS development. Conclusion: BQ was an efficient and reliable tool to demonstrate the high risk for OSAS development in individual with obesity.


2016 ◽  
Vol 87 (7) ◽  
pp. 772-782 ◽  
Author(s):  
Silvia H. C. Sales-Peres ◽  
Francisco C. Groppo ◽  
Lida V. Rojas ◽  
Matheus de C. Sales-Peres ◽  
Arsenio Sales-Peres

2015 ◽  
Vol 42 (5) ◽  
pp. 289-294
Author(s):  
Priscila Sequeira Dias ◽  
Maria Helena de Araujo-Melo ◽  
Denise Duprat Neves ◽  
Lucas Neves de Andrade Lemes ◽  
Manuela Salvador Mosciaro ◽  
...  

Objective: To correlate anatomical and functional changes of the oral cavity, pharynx and larynx to the severity of obstructive sleep apnea syndrome (OSAS). Methods : We conducted a cross-sectional study of 66 patients of both genders, aged between 21 and 59 years old with complaints of snoring and / or apnea. All underwent full clinical evaluation, including physical examination, nasolarybgoscopy and polisonography. We classified individuals into groups by the value of the apnea-hypopnea index (AHI), calculated measures of association and analyzed differences by the Kruskal-Wallis and chi-square tests. Results : all patients with obesity type 2 had OSAS. We found a relationship between the uvula projection during nasoendoscopy and OSAS (OR: 4.9; p-value: 0.008; CI: 1.25-22.9). In addition, there was a major strength of association between the circular shape of the pharynx and the presence of moderate or severe OSAS (OR: 9.4, p-value: 0.002), although the CI was wide (1.80-53.13). The septal deviation and lower turbinate hypertrophy were the most frequent nasal alterations, however unrelated to gravity. Nasal obstruction was four times more common in patients without daytime sleepiness. The other craniofacial anatomical changes were not predictors for the occurrence of OSAS. Conclusion : oral, pharyngeal and laryngeal disorders participate in the pathophysiology of OSAS. The completion of the endoscopic examination is of great value to the evaluation of these patients.


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