Short-term weight gain after adenotonsillectomy in children with obstructive sleep apnoea: systematic review. Issue 3 (21st December 2015)

• Record Type: Journal Article
• Authors: Van, M; Khan, I; Hussain, S S M
• Is Part Of: Journal of laryngology & otology. Volume 130:Issue 3(2016)
• Page Start: 214
• Page End: 218
• Publication Date: 2015-12-21
• Subjects: Adenoidectomy, -- Tonsillectomy, -- Weight Gain, -- Obesity, -- Obstructive Sleep Apnea, -- Review, -- Systematic; Otolaryngology -- Periodicals; 617.51
• DOI: 10.1017/S0022215115003175
• Languages: English
• ISSNs: 0022-2151

Abstract

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.