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

  • M Van (a1), I Khan (a1) and S S M Hussain (a1)

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.

Copyright

Corresponding author

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

Footnotes

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

Footnotes

References

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Keywords

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

  • M Van (a1), I Khan (a1) and S S M Hussain (a1)

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