Laparoscopic gastric banding surgery performed in obese dialysis patients prior to kidney transplantation.
Obese patients with end-stage renal disease who receive a kidney transplant experience greater rates of posttransplantation diabetes, delayed graft function, and local wound complications. Many centers exclude obese patients from transplantation programs. Diet, exercise, and medication in general are not reliable weight loss options for patients with end-stage renal disease; hence, bariatric surgery should be considered. We report 3 patients who underwent laparoscopically adjustable gastric banding, which enabled sufficient weight loss to gain eligibility for kidney transplantation. All these patients subsequently underwent successful uncomplicated kidney transplantations.
Koshy
Anoop N
AN
Department of Medicine, Clifford Craig Medical Research Trust, Renal Research Tasmania, University of Tasmania, Launceston General Hospital, Launceston, Tasmania, Australia.
Coombes
Jeff S
JS
Wilkinson
Stephen
S
Fassett
Robert G
RG
D000328:Adult; D050110:Bariatric Surgery; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000601:surgery* / Q000628:therapy*; D016030:Kidney Transplantation; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control; D006435:Renal Dialysis; D016896:Treatment Outcome; D015431:Weight Loss