Reduction of proteinuria after gastric bypass surgery: Case presentation and management.
Obesity is increasing in prevalence across the United States. The surgical therapy for obesity is effective at reducing weight; however, the benefits to renal function are not well described. We report an obese patient with nonnephrotic-range proteinuria that resolved after Roux-en-Y gastric bypass. Evidence suggests that obesity-related renal dysfunction is multifactorial and may be a result of hyperfiltration or increased intra-abdominal pressure. The use of gastric bypass as a permanent solution to obesity may confer a similar benefit to obesity-related renal dysfunction.
Cuda
Scott P
SP
Department of Surgery, Tripler Army Medical Center, Honolulu, Hawaii, USA.
Chung
Mathew H
MH
Denunzio
Troy M
TM
Zagorski
Stanley M
SM
D000328:Adult; D005260:Female; D015390:Gastric Bypass; D006801:Humans; D007668:Kidney / Q000503:physiopathology; D009767:Obesity, Morbid / Q000150:complications* / Q000503:physiopathology / Q000601:surgery; D011507:Proteinuria / Q000209:etiology* / Q000503:physiopathology