
Sleep studies are often recommended for patients attending bariatric surgery to evaluate whether they have obstructive sleep apnoea (OSA). This is because untreated OSA is associated with a greater risk of post-operative complications. However, not all patients require pre-operative sleep studies, as it is more common in patients who are overweight.
| Characteristics | Values |
|---|---|
| To evaluate for obstructive sleep apnoea (OSA) | Untreated OSA is associated with a greater risk of post-operative complications |
| To ensure the best possible outcomes for patients with sleep apnea | |
| To establish whether screened and unscreened patients are at increased risk of post-operative complications |
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What You'll Learn
- Sleep studies are the only way to measure if sleep apnea has improved or disappeared after bariatric surgery
- Sleep apnea is more common in overweight patients
- Sleep apnea can lead to sudden death
- Sleep apnea can be resolved by weight loss after bariatric surgery
- Not all patients require pre-operative sleep studies

Sleep studies are the only way to measure if sleep apnea has improved or disappeared after bariatric surgery
OSA is very prevalent in morbidly obese patients, and the resulting weight loss from bariatric surgery helps reduce the pressure on the throat and neck, which in turn helps reduce the problems of OSA. However, not all bariatric patients have symptoms of OSA, and their phenotype may be at less risk than the typical sleep clinic phenotype. Therefore, all patients may not require pre-operative sleep studies.
Many patients who have OSA don't know they have it, and sleep apnea can have a long-term impact on cardiovascular health and can even lead to sudden death. Sleep studies are the only measurable way to know if sleep apnea has decreased or disappeared altogether. Dr Zeni recommends that patients wait for about six months past surgery before doing another sleep study.
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Sleep apnea is more common in overweight patients
OSA is a mechanical process that can be a challenge to diagnose. Many patients who have OSA don't know they have it. It can be a challenge to get a sleep study done, and patients often think it’s no big deal. However, sleep apnea does have a long-term impact on cardiovascular health and can even lead to sudden death.
The sleep study is the only measurable way to know if the sleep apnea has decreased or disappeared altogether. The resulting weight loss from bariatric surgery helps reduce the pressure on the throat and neck. This, in turn, helps reduce the problems of OSA. “We see about a 60% resolution rate for sleep apnea after bariatric surgery,” Dr. Zeni notes. “The majority of people are able to get rid of their CPAP or other types of machines.”
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Sleep apnea can lead to sudden death
Bariatric surgery can help reduce the problems of obstructive sleep apnea. However, the American Academy of Sleep Medicine recommends that patients attending for bariatric surgery are evaluated for obstructive sleep apnea (OSA) as untreated OSA is associated with a greater risk of post-operative complications.
Sleep apnea can cause health problems, and if left untreated, it can contribute to the risk of sudden death. Sleep apnea is diagnosed when you stop breathing for 10 seconds or longer at least five times an hour during sleep. When changes in respiration cause oxygen levels to drop, a person partially awakens in order to restore breathing. However, there are rare reports of people dying because of an inability to properly reinitiate breathing. Sleep apnea is also linked to several life-threatening conditions, such as high blood pressure, and can cause abnormal heart rhythms, which can lead to sudden cardiac death.
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Sleep apnea can be resolved by weight loss after bariatric surgery
OSA is more common in patients who are overweight. This is because breathing is controlled by the central nervous system while we sleep, but it is also a mechanical process. Weight loss helps reduce the pressure on the throat and neck, which in turn helps reduce the problems of OSA. Dr Tallal Zeni notes that "we see about a 60% resolution rate for sleep apnea after bariatric surgery. The majority of people are able to get rid of their CPAP or other types of machines."
The sleep study is the only measurable way to know if sleep apnea has decreased or disappeared altogether. Dr Zeni recommends that a patient waits for about six months past surgery before doing another sleep study.
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Not all patients require pre-operative sleep studies
OSA is very prevalent in morbidly obese patients, but the lack of association between patients diagnosed with OSA and unscreened patients, and post-operative complications suggests that not all patients require pre-operative sleep studies. Further studies may help identify which patients can safely avoid OSA screening.
One of the side benefits of bariatric surgery is that the resulting weight loss helps reduce the pressure on the throat and neck, which in turn helps reduce the problems of OSA. Dr Tallal Zeni notes that "many patients who have obstructive sleep apnea don't know they have it. It can be a challenge to get a sleep study done, and patients often think it's no big deal. However, sleep apnea does have a long-term impact on cardiovascular health and can even lead to sudden death."
Dr Zeni recommends that patients wait about six months past surgery before doing another sleep study.
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Frequently asked questions
A sleep study is the only measurable way to know if you have sleep apnea, which is very prevalent in morbidly obese patients. Sleep apnea can have a long-term impact on cardiovascular health and can even lead to sudden death.
Sleep apnea is a condition where breathing is interrupted during sleep. Obstructive sleep apnea is more common in patients who are overweight, as the extra weight puts pressure on the throat and neck.
Bariatric surgery helps with sleep apnea by reducing the pressure on the throat and neck. Dr Zeni notes that there is a 60% resolution rate for sleep apnea after bariatric surgery.
Dr Zeni recommends waiting about six months past surgery before doing another sleep study.











































