{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T16:45:51Z","timestamp":1792601151009,"version":"4.5.0"},"reference-count":41,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T00:00:00Z","timestamp":1775952000000},"content-version":"vor","delay-in-days":101,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Obstructive sleep apnea (OSA) is prevalent in patients with obesity and is a known risk factor for metabolic bariatric surgery (MBS). This study assessed the association between OSA severity and operative outcomes of laparoscopic sleeve gastrectomy (LSG) in a Japanese cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We analyzed 141 patients who underwent LSG, divided into two groups based on their apnea\u2010hypopnea index (AHI): a high\u2010AHI group (AHI \u2265\u200932 events\/h;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200970) and a low\u2010AHI group (AHI\u2009&lt;\u200932 events\/h;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200971). Perioperative outcomes and gastroesophageal reflux disease (GERD) were compared. Multivariable logistic regression was used to identify independent predictors of early postoperative complications.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Patient characteristics differed significantly, with higher BMI and a higher proportion of males in the high\u2010AHI group. CPAP was utilized by 87% of patients in the high\u2010AHI group versus 11% in the low\u2010AHI group. There were no significant differences between groups regarding operative time, blood loss, or GERD improvement. Multivariable analysis showed that while AHI was a statistically significant independent predictor of early complications (OR 1.018, 95% CI 1.002\u20131.035,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.024), its clinical impact was minimal. CPAP usage showed a trend toward risk reduction (OR 0.362,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.172).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Severe OSA does not prohibitively increase perioperative risk when managed with appropriate preoperative CPAP therapy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ases.70285","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T05:32:29Z","timestamp":1776058349000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of Obstructive Sleep Apnea Severity on Laparoscopic Sleeve Gastrectomy Outcomes"],"prefix":"10.1111","volume":"19","author":[{"given":"Kotaro","family":"Wakamatsu","sequence":"first","affiliation":[{"name":"Department of Surgery Toho University Sakura Medical Center  Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taiki","family":"Nabekura","sequence":"additional","affiliation":[{"name":"Department of Surgery Toho University Sakura Medical Center  Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natsumi","family":"Kitahara","sequence":"additional","affiliation":[{"name":"Department of Surgery Toho University Sakura Medical Center  Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuuki","family":"Moriyama","sequence":"additional","affiliation":[{"name":"Department of Surgery Toho University Sakura Medical Center  Chiba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Oshiro","sequence":"additional","affiliation":[{"name":"Department of Surgery The Jikei University School of Medicine  Chiba 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