Bariatric surgery among patients with end-stage kidney disease: improving access to transplantation

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 patients with ESKD live with morbid obesity, representing over 140,000 people [1]. Due in part to poor postoperative outcomes, these patients have limited acces s to transplantation, as most transplant centers use a body mass index cutoff of 35 to 40 kg/m2 [2–4]. Many of these patients remain relegated to long-term dialysis with an estimated survival of85% with a kidney transplant [5 –8].

Source: Surgery for Obesity and Related Diseases - October 13, 2019 Category: Surgery Authors: John R. Montgomery, Amir A. Ghaferi, Seth A. Waits Tags: Editorial comment Source Type: research