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Short-term weight gain after adenotonsillectomy in children with obstructive sleep apnoea: systematic review

Published online by Cambridge University Press:  21 December 2015

M Van ,
I Khan  and
S S M Hussain
M Van
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Ninewells Hospital and University of Dundee Medical School, Scotland, UK
I Khan
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Ninewells Hospital and University of Dundee Medical School, Scotland, UK
S S M Hussain*
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Ninewells Hospital and University of Dundee Medical School, Scotland, UK
*
Address for correspondence: Professor S S Musheer Hussain, Department of Otorhinolaryngology, Head and Neck Surgery, Ninewells Hospital, Dundee DD1 9SY, Scotland, UK E-mail: musheer.hussain@nhs.net
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Abstract

Background:

Children with obstructive sleep apnoea commonly undergo adenotonsillectomy as first-line surgical treatment. This paper aimed to investigate whether this intervention was associated with weight gain after surgery in the paediatric population with obstructive sleep apnoea.

Method:

Two independent researchers systematically reviewed the literature from 1995 to 2014 for studies on patients who underwent adenotonsillectomy with weight-based measurements before and after surgery. The databases used were Ovid Medline, Embase and PubMed.

Results:

Six papers satisfied all inclusion criteria. Four of these papers showed a significant weight increase and the others did not. The only high quality, randomised, controlled trial showed a significant increase of weight gain at seven months follow up, even in patients who were already overweight before their surgery.

Conclusion:

The current evidence points towards an association between adenotonsillectomy and weight gain in patients with obstructive sleep apnoea in the short term.

Keywords

AdenoidectomyTonsillectomyWeight GainObesityObstructive Sleep ApneaReviewSystematic

Information

Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 3 , March 2016 , pp. 214 - 218
Copyright
Copyright © JLO (1984) Limited 2015 

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Footnotes

Presented orally at the ENT Scotland Annual Summer Meeting, 8 May 2015, Dunblane, Scotland, UK.

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