Surgery for Obesity and Related Diseases
Volume 1, Issue 1 , Pages 64-66, January 2005

Reduction of proteinuria after gastric bypass surgery: Case presentation and management

  • Scott P. Cuda, M.D.

      Affiliations

    • Department of Surgery, Tripler Army Medical Center, Honolulu, Hawaii
    • ,
  • Mathew H. Chung, M.D.

      Affiliations

    • Department of Surgery, Tripler Army Medical Center, Honolulu, Hawaii
    • ,
  • Troy M. Denunzio, D.O.

      Affiliations

    • Department of Medicine, Tripler Army Medical Center, Honolulu, Hawaii
    • ,
  • Stanley M. Zagorski, M.D.

      Affiliations

    • Department of Surgery, Tripler Army Medical Center, Honolulu, Hawaii
    • Corresponding Author InformationReprint requests: Stanley M. Zagorski, MD, FACS, Department of Surgery, MCHK-DSG, 1 Jarrett White Road, Tripler Army Medical Center, Honolulu, HI 96859-5000.

Abstract 

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.

Keywords:  Gastric bypass , Obesity , Hypertension , Proteinuria , Renal dysfunction , Glomerulonephropathy

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 This article contains the opinions of the authors only and does not represent the opinions of the United States Department of Defense or the United States Army.

PII: S1550-7289(04)00003-6

doi:10.1016/j.soard.2004.12.001

Surgery for Obesity and Related Diseases
Volume 1, Issue 1 , Pages 64-66, January 2005

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