Bariatric Surgery Can Benefit Patients With End-Stage Renal Disease Bariatric Surgery Can Benefit Patients With End-Stage Renal Disease

Despite increased complication rates, patients with end-stage renal disease (ESRD) can benefit from bariatric surgery, including becoming eligible for transplant, researchers say.Reuters Health Information
Source: Medscape Medical News Headlines - Category: Consumer Health News Tags: Medscape Today News Source Type: news

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Morbid obesity (body mass index ≥35 kg/m2) is both common and growing among patients with end-stage kidney disease (ESKD) in the United States. An estimated 20% of adult ESKD patients live with morbid obesity, representing over 140,000 people [1]. Due in part to poor post-operative outcomes, these patients have limited access to transplantation, as most transplant centers utilize a body mass index cutoff of 35-40 kg/m2 [2-4]. Many of these patients remain relegated to long-term dialysis with an estimated survival of less than 50% at 5 years compared to greater than 85% with a kidney transplant [5-8].
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
AbstractPurpose of reviewThis review will define morbid obesity and relationship between morbid obesity and heart failure syndromes. It will delve into unique challenges facing patients with dual diagnoses of heart failure and morbid obesity and examine the data that obesity should be a target in the treatment of heart failure.Recent findingsEmerging literature has indicated the safety and efficacy of surgical weight loss in patients with heart failure. Furthermore, bariatric surgery with associated weight loss has been associated with improvements in heart failure symptoms and reverse remodeling on echocardiography. In pa...
Source: Current Treatment Options in Cardiovascular Medicine - Category: Cardiology Source Type: research
Academic Hospital
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Original articles Source Type: research
Abstract BACKGROUND AND OBJECTIVES: Despite the potential for improving health status or increasing access to transplantation, national practice patterns for bariatric surgery in obese patients with ESKD are poorly understood. The purpose of this study was to describe current trends in surgical care for this population. DESIGN, SETTING, PARTICIPANTS, &MEASUREMENTS: Using 100% Medicare data, we identified all beneficiaries undergoing bariatric surgery in the United States between 2006 and 2016. We evaluated longitudinal practice patterns using linear regression models. We also estimated risk-adjusted compl...
Source: Clinical Journal of the American Society of Nephrology : CJASN - Category: Urology & Nephrology Authors: Tags: Clin J Am Soc Nephrol Source Type: research
AbstractPurpose of ReviewThe aim of this review is to summarize the current data available on the metabolic effects of fecal microbiota transplantation (FMT) including obesity and glucose metabolism in humans.Recent FindingsGut microbiota dysbiosis is a frequent characteristic observed in obesity and related metabolic diseases. Pieces of evidence mostly generated in mouse models suggest that rescuing this dysbiosis associates with improved metabolism. In humans, dietary or bariatric surgery interventions are often accompanied by complete or partial restoration of this dysbiosis together with weight reduction and metabolic ...
Source: Current Diabetes Reports - Category: Endocrinology Source Type: research
CONCLUSIONS: Severe LF occurring after BS, although rare, might require LT. When indicated, LT is effective at restoring liver function, even when BS reversal is performed synchronously. PMID: 31285130 [PubMed - as supplied by publisher]
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - Category: Surgery Authors: Tags: Surg Obes Relat Dis Source Type: research
Protein malnutrition and bacterial overgrowth occurring after bariatric surgery (BS) might cause severe liver failure (LF) needing liver transplantation (LT).
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Review articles Source Type: research
Protein malnutrition and bacterial overgrowth occurring after bariatric surgery (BS) might cause severe liver failure (LF) needing liver transplantation (LT).
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Review article Source Type: research
Severe obesity is frequently a barrier to kidney transplantation, and kidney transplant recipients often have significant weight gain following transplantation.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Original article: integrated health Source Type: research
ConclusionIn our experience, bariatric patients with ILD achieved significant weight loss and improvement in PFT. Bariatric surgery in these higher risk ILD patients appears relatively safe with acceptable perioperative morbidity and improved candidacy for lung transplantation.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
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