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  • Q&A with Australian Health Practitioners

    Can you help somebody with severe sleep apnoea?

    Related Topic
    Has been diagnosed for several years with sleep apnoea but the only solution provided was a continuous positive airway pressure (CPAP) which he can't sleep with.
  • Find a professional to answer your question

  • Dr Nicholas Wilsmore

    Respiratory & Sleep Medicine Physician

    Dr. Wilsmore in an Australian trained specialist, with International fellowship expertise in Interventional Pulmonology. Nick has unique expertise in the interventional diagnosis and management of ... View Profile
    • Lilydale, VIC (03) 8797 5377
    • Box Hill, VIC (03) 8797 5377

    Whilst CPAP is often recommended as the gold standard for management of severe obstructive sleep apnoea, some patients cannot tolerate this, as you point out. It is important however to recognise that there are often new CPAP masks and machines, that are better tolerated than older equipment, so if it has been a long time since he last trialled CPAP, then a sleep physician assessment and discussion is worth pursuing. Alternatives to CPAP, such as a mandibular advancement splint are also worth considering. Other options, such as position modification devices may also be an option, depending upon the specific features on his diagnostic sleep study. 

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  • Dr Jason Wong

    Bariatric (Obesity) Surgeon, General Surgeon, Laparoscopic Surgeon, Upper GI Surgeon (Abdominal)

    Jason Wong is a Laparoscopic GI Surgeon with expertise in gallbladder, hernia, endoscopic pilonidal, bariatric, antireflux and emergency general surgery. NO GAP for major health ... View Profile
    • Redcliffe, QLD (07) 3062 7716
    • Everton Park, QLD (07) 3485 0829

    If obesity is present, I recommend considering bariatric surgery as an option for weight loss and improvement or remission of obstructive sleep apnoea.  

    Gastric bypass, and even the sleeve gastrectomy, are very good options to consider.  If you had never considered bariatric surgery before but it is something that you would like to find out more about with regard to improving your sleep apnoea, many bariatric practices will see patients for a no obligation consultation.

    Kind regards,

    Dr Jason Wong

    Weight & Metabolic Solutions Australia

    www.lapsurgerybrisbane.com.au

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