Weight Loss After Bariatric Surgery in Morbidly Obese End-Stage Kidney Disease Patients as Preparation for Kidney Transplantation. Matched Pair Analysis in a High-Volume Bariatric and Transplant Center

ConclusionMorbidly obese ESKD patients have an equal weight loss to patients without ESKD. Bariatric surgery could improve access to kidney transplantation and may potentially improve transplantation outcomes of obese patients with ESKD.
Source: Obesity Surgery - Category: Surgery Source Type: research

Related Links:

Obesity is a serious, chronic, treatable, and global disease epidemic. Over 98 million people currently have the disease of obesity, and in a recent New England Journal of Medicine article, Harvard researchers predicted that by 2030, 50% of the population in the United States will have the disease of obesity. Type 2 diabetes (T2D) is significantly associated with obesity. While many people with obesity do not have diabetes, most people with T2D have the disease of obesity. Excess adiposity (body fat storage), which is present in obesity, contributes to many chronic diseases beyond T2D. These include high blood pressure, he...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Diabetes Diet and Weight Loss Health Heart Health Surgery Source Type: blogs
Obesity is now common among children and adults who are kidney transplant candidates and recipients. It is associated with an increased risk of cardiovascular disease and kidney failure. This also pertains to potential living kidney donors with obesity. Obese patients with end-stage renal disease benefit from transplantation as do nonobese patients, but obesity is also associated with more risk. A complicating factor is that obesity is also associated with increased survival on maintenance dialysis in adults, but not in children. The assessment of obesity and body habitus should be individualized. Body mass index is a comm...
Source: Cardiology in Review - Category: Cardiology Tags: Review Articles Source Type: research
ConclusionsAlthough bariatric surgery in the transplant population is not yet extensively studied and is mostly reported in small series, it seems a useful approach for the treatment of morbid obesity in these high-risk patients. Comparative data regarding optimal timing and type of bariatric procedure and long-term results are warranted.
Source: Current Transplantation Reports - Category: Transplant Surgery Source Type: research
We report a case of a 55 years-old female patient who underwent a sleeve gastrectomy due to class III obesity. She had a past medical history of a kidney transplant due to end-stage chronic kidney disease. Seven days after surgery after the bariatric procedure, the drain output increased suddenly and after ingestion of methylene blue, we could identify bluish output, suggesting gastric fistula. The patient was clinically stable so we decided for conservative treatment. We promptly put the patient on broad-spectrum antibiotics and NPO and referred her to Endoscopy unit for stent placement.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Oral abstract Source Type: research
ConclusionIn this specific group of high-risk patients, SG showed encouraging results in terms of weight loss and resolution/improvement of comorbidities, renal function, and quality of life.
Source: Obesity Surgery - Category: Surgery Source Type: research
Morbid obesity has been shown to increase risk of perioperative complications, delayed graft function, and mortality in kidney, liver, and lung/heart transplants. Both laparoscopic gastric bypass(LGBP) and laparoscopic sleeve gastrectomy(LSG) have been proven to be safe and efficacious in patients with end-stage kidney and liver disease of various etiologies, and are utilized to improve transplant candidacy by treating morbid obesity and associated co-morbidities, however the optimal bariatric operation for each transplant is not clear.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
AbstractObesity is linked to inferior transplant outcome. Bariatric surgery (BS) is an established treatment of morbid obesity. We provide an overview on BS in the field of kidney (KT) and liver transplantation (LT). In end-stage renal disease (ESRD) and KT patients, BS seems safe and feasible. Complication rates were slightly higher compared to the non-transplant population, whereas weight loss and improvement of comorbidities were comparable. Sleeve gastrectomy (SG) was the preferred procedure before KT and superior to gastric bypass (GB) in regard to mortality and morbidity. If conducted after KT, both procedures showed...
Source: Obesity Surgery - Category: Surgery Source Type: research
ConclusionsAccording to the results of this small sample series, LSG seems to be an effective and safe procedure in DDRF patients with concomitant obesity and can increase access to transplantation.
Source: Obesity Surgery - Category: Surgery Source Type: research
r S Abstract BACKGROUND: The prevalence of obesity and obesity-related morbidity in end-stage renal disease patients is rising. Although it is established that obesity does not abrogate the transplant benefit with respect to lower long-term mortality and cardiovascular risk, it is associated with increased graft failure, delayed graft function, surgical complications, prolonged hospital stay, and costs. OBJECTIVES: To examine the safety and efficacy of LSG (laparoscopic sleeve gastrectomy) in renal transplant candidates and evaluate transplant outcomes. SETTING: Single-center prospective nonrandomized tr...
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
We report a case of morbid obesity, poorly controlled new-onset diabetes mellitus, and gout after kidney transplantation that was treated with laparoscopic sleeve gastrectomy 3 years after kidney transplantation. After 1 year of follow-up, 76% excessive body weight loss was attained.
Source: Transplantation Proceedings - Category: Transplant Surgery Authors: Tags: 14th Congress of the Asian Society of Transplantation Source Type: research
More News: Bariatric Surgery | Eating Disorders & Weight Management | Gastrectomy | Gastroenterology | Kidney Transplant | Kidney Transplantation | Obesity | Surgery | Transplant Surgery | Transplants | Urology & Nephrology | Weight Loss