Renal failure, glomerulonephritis and morbid obesity: improvement after rapid weight loss following laparoscopic gastric bypass.
There is experimental evidence but very few human studies that suggest a role for obesity in the formation and progression of some glomerular lesions. We report the case of a morbidly obese male with hematuria and proteinuria that was subsequently diagnosed with renal failure which required dialysis. Histological findings of the renal biopsy performed during a laparoscopic gastric bypass are presented. His renal failure resolved with the weight loss.
Soto
Flavia C
FC
The Bariatric Institute and Department of Nephrology, Cleveland Clinic Florida, Weston, FL 33331, USA.
Higa-Sansone
Guillermo
G
Copley
John B
JB
Berho
Mariana
M
Kennedy
Colleen
C
LoMenzo
Emanuelle
E
Podkameni
David
D
Szomstein
Samuel
S
Rosenthal
Raul J
RJ
D058186:Acute Kidney Injury / Q000150:complications / Q000473:pathology* / Q000628:therapy; D000328:Adult; D001707:Biopsy, Needle; D015992:Body Mass Index; D005500:Follow-Up Studies; D015390:Gastric Bypass / Q000379:methods*; D005921:Glomerulonephritis / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D007150:Immunohistochemistry; D007677:Kidney Function Tests; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D009767:Obesity, Morbid / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D020127:Recovery of Function; D006435:Renal Dialysis / Q000379:methods; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome; D015431:Weight Loss