title: Potential nutritional conflicts in bariatric and renal transplant patients.
abstract: An increasing number of morbidly obese patients with end stage renal disease (ESRD) are sequentially undergoing bariatric surgery followed by renal transplantation. Discrepancies between the nutritional recommendations for obesity and chronic kidney disease (CKD) are often confusing for the obese patient in renal failure. However, when recommendations are structured according to stage and treatment of disease, a consistent plan can be clearly communicated to the patient. Therefore, to optimize patient and graft outcomes we present nutritional recommendations tailored to three patient populations: obese patients with ESRD, patients post Roux-en-Y gastric bypass (RYGBP) with ESRD, and patients post RYGBP and post renal transplantation.
authors.affiliation: Department of Surgery, Stanford University School of Medicine, MSLS, 3rd Floor, MC: 5492, 1201 Welch Road, Stanford, CA 94305-5102, USA. amy4@stanford.edu
authors.forename: Amy L
authors.initials: AL
authors.lastname: Lightner
authors.forename: James
authors.initials: J
authors.lastname: Lau
authors.forename: Patricia
authors.initials: P
authors.lastname: Obayashi
authors.forename: Kristine
authors.initials: K
authors.lastname: Birge
authors.forename: Marc L
authors.initials: ML
authors.lastname: Melcher
mesh_terms: D015390:Gastric Bypass; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000601:surgery*; D016030:Kidney Transplantation; D044623:Nutrition Therapy; D009765:Obesity / Q000150:complications* / Q000601:surgery*