title: Biliopancreatic diversion in a renal transplant patient.
abstract: Surgery is usually the only solution to modify the evolution of morbid obesity and resolve the associated co-morbidities. There is very little written regarding malabsorptive surgery and transplantation. A 48-year-old male with hypertension, hyperuricemia and obesity underwent renal transplantation in 1994 for renal amyloidosis. He was maintained on oral immunosuppressive cyclosporine. The patient developed uncontrollable hypertension, hyperlipemia, hyperglycemia and increasing weight to a BMI of 44. Thus, in December 2004, he underwent biliopancreatic diversion (BPD). After 18 months follow-up, he has lost 85% of his excess weight, and his hypertension, hyperglycemia and hyperlipemia are markedly improved. Renal function was not modified, nor were the levels of cyclosporine. He has had no complications derived from the BPD, and has a better quality of life.
authors.affiliation: Department of General Surgery, Hospital Marques de Valdecilla, Santander, Spain. cgddda@humv.es
authors.forename: Maite
authors.initials: M
authors.lastname: López Deogracias
authors.forename: Agustin
authors.initials: A
authors.lastname: Domínguez-Diez
authors.forename: Rosa
authors.initials: R
authors.lastname: Palomar-Fontanet
authors.forename: Monica
authors.initials: M
authors.lastname: González-Noriega
authors.forename: E
authors.initials: E
authors.lastname: Rodrigo
authors.forename: G
authors.initials: G
authors.lastname: Fernández-Fresnedo
authors.forename: J A
authors.initials: JA
authors.lastname: Zubimendi
authors.forename: Francisco
authors.initials: F
authors.lastname: Olmedo
authors.forename: Manuel
authors.initials: M
authors.lastname: Gómez-Fleitas
authors.forename: M
authors.initials: M
authors.lastname: Arias
authors.forename: Carlos
authors.initials: C
authors.lastname: Fernández-Escalante
mesh_terms: D000686:Amyloidosis / Q000601:surgery; D015904:Biliopancreatic Diversion; D016572:Cyclosporine / Q000008:administration & dosage; D006801:Humans; D007166:Immunosuppressive Agents / Q000008:administration & dosage; D007676:Kidney Failure, Chronic / Q000601:surgery; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*
chemical_list: D007166:Immunosuppressive Agents; D016572:Cyclosporine