BARIATRIC SURGERY FOR COPD
September 17, 2018

Severe weight loss and malnutrition, medically referred to as cachexia, have long been a concern pulmonary physicians have had for their COPD patients.  Unfortunately, the incidence of obesity and the metabolic syndrome is now more common in patients with moderate to severe COPD.  The metabolic syndrome is characterized by insulin resistant diabetes, high blood pressure, a pot belly and an increased risk of blood clotting.  The significance of obesity in the COPD population is not totally clear. Obesity and the metabolic syndrome contribute substantially to an increased risk of heart disease, which is a major cause of morbidity and mortality in the COPD population.

Weight loss is difficult to achieve in the COPD population.  A recent investigation has found that weight loss surgery decreases the risk of being hospitalized for a COPD exacerbation.  Previous studies have shown the relationship between obesity and an increased risk.

All of these observations beg the question, “Does bariatric surgery reduce COPD exacerbation rates in obese patients?” Medical science can begin to provide an answer. A study of 481 obese patients with COPD, who subsequently underwent bariatric surgery, found that bariatric surgery was associated with a substantial reduction in the risk and occurrence of a COPD exacerbation.

Does this mean, if you are obese (BMI>30), you should immediately request bariatric surgery?  Obviously, no!  This study did not look at other non-surgical means to control a patient’s obesity, but a frank discussion with your doctor will be helpful in your decision making.

Lung Disease Center of Central Pennsylvania
"The Official Sponsor of Peace of Mind"

LDC Ads

The Buzz by Dr. Z

George M. Zlupko, MD, FCCP

Timothy A. Lucas, MD, FCCP

Alan J. Kanouff, DO, FCCP

Dr. Michael C. Zlupko, MD

Address:
800 Chestnut Ave
Altoona, PA 16601

Phone:
814.946.2845

Fax:
814.946.1273

Email:
SherriS@altoonalungspecialists.com

Monday through Friday
8:00 a.m. – 4:00 p.m.

Each of our physicians has office hours several days per week for patient visits. For an appointment, please call 814.946.2845 and our staff will schedule the next available day and time.

If you are not able to keep a scheduled appointment, please advise our office as soon as possible in order to provide another patient this time to meet with the physician and, if necessary, receive treatment.

If you have an emergency, please call 911.

*****************************************
For your complementary copy of Breathe Magazine, please click on "Health News" at the top of the page then "Breathe Magazine". You can view the entire publication on line or request a copy be mailed to you.

*****************************************
Are you a candidate for a Sleep Study? Click on "Sleep" at the top of page to learn more.