Surgery for adult obstructive sleep apnoea

Stuart G MacKay and Edward M Weaver
Med J Aust 2014; 200 (3): . || doi: 10.5694/mja13.00051
Published online: 17 February 2014

In reply: We agree that bariatric surgery is an important treatment for obesity-related obstructive sleep apnoea (OSA) but disagree on the body mass index (BMI) criterion and on Wong’s interpretation of the literature.

  • 1 Illawarra ENT Head and Neck Clinic, Wollongong, NSW.
  • 2 University of Washington, Seattle, Wash, USA.


Competing interests:

No relevant disclosures.

  • 1. National Health and Medical Research Council. Clinical practice guidelines for the management of overweight and obesity in adults, adolescents and children in Australia. Melbourne: NHMRC, 2013. (accessed Nov 2013).
  • 2. National Institutes of Health National Heart, Lung, and Blood Institute, North American Association for the Study of Obesity. The practical guide: identification, evaluation, and treatment of overweight and obesity in adults. (NIH Publication No. 00-4084.) (accessed Nov 2013).
  • 3. Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA 2004; 292: 1724-1737.
  • 4. Greenburg DL, Lettieri CJ, Eliasson AH. Effects of surgical weight loss on measures of obstructive sleep apnea: a meta-analysis. Am J Med 2009; 122: 535-542.
  • 5. Dixon JB, Schachter LM, O’Brien PE, et al. Surgical vs conventional therapy for weight loss treatment of obstructive sleep apnea: a randomized controlled trial. JAMA 2012; 308: 1142-1149.


remove_circle_outline Delete Author
add_circle_outline Add Author

Do you have any competing interests to declare? *

I/we agree to assign copyright to the Medical Journal of Australia and agree to the Conditions of publication *
I/we agree to the Terms of use of the Medical Journal of Australia *
Email me when people comment on this article

Online responses are no longer available. Please refer to our instructions for authors page for more information.