Bariatric Surgery Outcomes in Patients with Kidney Transplantation

被引:5
|
作者
Pane, Adriana [1 ,2 ,3 ]
Molina-Andujar, Alicia [4 ,5 ]
Olbeyra, Romina [3 ]
Romano-Andrioni, Barbara [1 ,4 ]
Boswell, Laura [1 ,6 ]
Montagud-Marrahi, Enrique [4 ,5 ]
Jimenez, Amanda [1 ,2 ,7 ]
Ibarzabal, Ainitze [8 ]
Viaplana, Judith [3 ,9 ]
Ventura-Aguiar, Pedro [4 ,5 ]
Amor, Antonio J. [1 ]
Vidal, Josep [1 ,7 ,9 ]
Flores, Lilliam [1 ,7 ,9 ]
de Hollanda, Ana [1 ,2 ,7 ]
机构
[1] Hosp Clin Barcelona, Endocrinol & Nutr Dept, Barcelona 08036, Spain
[2] Inst Salud Carlos III ISCIII, Ctr Invest Biomed Red Fisiopatol Obesidad & Nutr, Madrid 28029, Spain
[3] Fundacio Clin Recerca Biomed FCRB, Barcelona 08036, Spain
[4] Hosp Clin Barcelona, Nephrol & Kidney Transplantat Dept, Barcelona 08036, Spain
[5] Fundacio Clin, IDIBAPS, Lab Expt Nefrol & Trasplantament LENIT, CRB CELLEX, Barcelona 08036, Spain
[6] Althaia, Endocrinol & Nutr Dept, Univ Hlth Network, Manresa 08243, Spain
[7] Inst Invest Biomed August Pi Sunyer IDIBAPS, Barcelona 08036, Spain
[8] Hosp Clin Barcelona, Gastrointestinal Surg Dept, Obes Unit, Barcelona 08036, Spain
[9] Ctr Invest Biomed Red Diabet & Enfermedades Metab, Barcelona 28029, Spain
关键词
bariatric surgery; kidney transplantation; obesity; renal graft dysfunction; RENAL-TRANSPLANTATION; MORBID-OBESITY; CANDIDATES;
D O I
10.3390/jcm11206030
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Obesity and kidney transplantation (KTx) are closely related. Obesity increases the risk of chronic kidney disease and can be a relative contraindication for KTx. Besides, KTx recipients are predisposed to obesity and its comorbidities. Consequently, bariatric surgery (BS) emerges as a powerful therapeutic tool either before or after KTx. Since evidence regarding the best approach is still scarce, we aimed to describe renal and metabolic outcomes in a single centre with more than 15-year experience in both surgeries. Methods: A retrospective study including patients who had received a KTx either before or after BS. Usual metabolic and renal outcomes, but also new variables (as renal graft dysfunction) were collected for a minimum follow-up of 1-year post-BS. Results: A total of 11 patients were included: n = 6 (BS-post-KTx) and n = 5 (BS-pre-KTx). One patient was assessed in both groups. No differences in the main outcomes were identified, but BS-post-KTx group tended to gain more weight during the follow-up. The incidence of renal graft dysfunction was comparable (4/6 for BS-post-KTx, 3/5 for BS-pre-KTx) between groups. Conclusions: BS in patients with KTx appears to be safe and effective attending to metabolic and renal outcomes. These results seem irrespective of the time course, except for weight regain, which appears to be a common pattern in the BS-post-KTx group.
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页数:9
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