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2013 | 85 | 7 | 407-411
Tytuł artykułu

Bariatric surgery in morbidly obese patients with chronic renal failure, prepared for kidney transplantation – case reports

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Recent years, obesity is a growing health problem also in patients with chronic renal failure and end it’s end stage. This situation has a negative impact both on the extension of the waiting period for transplantation, and the survival rate of the transplanted organ and the recipient. Weight loss through lifestyle modification before transplantation is ambiguous. Its well known fact of rapid body mass gain after transplantation, and finnaly the results of transplantation are not better than those of patients who have not reduced body weight. The paper presents preliminary experience associated with bariatric operations of three chronic dialysed patients with morbid obesity BMI> 35 kg/m2, all patients had been treated by Roux-en-Y gastric by-pass (RYGB). All operated patients were classified as potential recipients were listed by Poltransplant. One of them three months after RYGB surgery underwent without complications a renal transplantation. Preliminary experiences based on operating these three caese confirmed the complete safety of this type of approach in patients with end-stage chronic kidney disease (CKD).
Wydawca

Rocznik
Tom
85
Numer
7
Strony
407-411
Opis fizyczny
Daty
wydano
2013-07-01
online
2013-08-13
Twórcy
  • Department of General, Endocrinological, and Transplantation Surgery, Pomeranian Medical University Kierownik: prof. dr hab. Z. Śledziński,, mproczko@gumed.edu.pl
  • 80-211 Gdańsk, ul. Dębinki 7
  • Department of General, Endocrinological, and Transplantation Surgery, Pomeranian Medical University Kierownik: prof. dr hab. Z. Śledziński
  • Department of General, Endocrinological, and Transplantation Surgery, Pomeranian Medical University Kierownik: prof. dr hab. Z. Śledziński
  • Department of General, Endocrinological, and Transplantation Surgery, Pomeranian Medical University Kierownik: prof. dr hab. Z. Śledziński
  • Department of General, Endocrinological, and Transplantation Surgery, Pomeranian Medical University Kierownik: prof. dr hab. Z. Śledziński
  • Department of General, Endocrinological, and Transplantation Surgery, Pomeranian Medical University Kierownik: prof. dr hab. Z. Śledziński
Bibliografia
  • 1. Szomstein S, Rojas R, Rosenthal RJ: Outcomes of laparoscopic bariatric surgery after renal transplant. Obes Surg 2010; 20(3): 383-85.[Crossref][PubMed]
  • 2. Bartholomay L: Surgical Weight Loss Considerations and Nutritional Implications for Patients with Renal Disease. Bariatric Times 2011; 8(5): 8-13.
  • 3. Kian A: Bariatric surgery among kidney transplant candidates and recipients: Analysis of the United States Renal Data System and literature - review. Transplantology 2009; 87(8): 1167-73.
  • 4. Bray GA: Medical consequences of obesity. J ClinEndocrinol Metab 2004; 89: 2583-89.[Crossref]
  • 5. Olarte IG, Hawasli A: Kidney transplant complications and obesity. Am J Surg 2009; 197(3): 424-26.
  • 6. Durlik M: Nefrol Problemy przeszczepienia nerek u osób otyłych. Dial Pol 2010; 14: 211-13.
  • 7. Segev DL , Simpkins CE, Thompson RE : Obesity impacts access to kidney transplantation. J Am SocNephrol 2008; 40: 3408-12.
  • 8. Schold JD, Srinivas TR , Guerra G et al.: A “Weight List” Paradox for Candidates of Renal Transplantation? Am J Transplant 2007; 7: 550-59.[Crossref]
  • 9. Modanlou KA , Muthyala U, Xiao H: Bariatric surgery among kidney transplant candidates and recipients: analysis of the United States renal data system and literature review. Transplantation 2009; 87: 1167.[PubMed][Crossref]
  • 10. Gore JL, Pham PT, Danovitch G: Obesity outcome following renal transplantation. Am J Transplant 2006; 6: 357-63.[PubMed][Crossref]
  • 11. Chang SH, Coates PT, McDonald SP: Effects of body mass index at transplant on outcomes of kidney transplantation. Transplantation 2007; 84: 981.[Crossref][PubMed]
  • 12. Getty JL, Hamdallah IM, Shamseddeen HN et al.: Changes in Renal Function Following Rouxen- Y Gastric By-pass: A Prospective Study. ObesSurg 2012 Feb 9. Epub ahead of print.[WoS]
  • 13. Navaneethan SD , Kelly KR, Sabbagh F et al.: Urinary Albumin Excretion, HMW Adiponectin, and Insulin Sensitivity in Type 2 Diabetic Patients Undergoing Bariatric Surgery. Obes Surg 2010; (20)3: 308-15.[Crossref][PubMed][WoS]
  • 14. Navaneethan SD , Yehnert H, Moustarah F et al.:Weight Loss Interventions in Chronic Kidney Disease: A Systematic Review and Meta-analysis Clin J Am Soc Nephrol 2009; 4: 1565-74.[WoS]
  • 15. Go AS , Chertow GM, Fan D et al.: Chronic kidney disease and the risks of death, cardiovascular events, and hospitalization. N Engl J Med 2004; 351: 1296-1305.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_pjs-2013-0062
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