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Comment on “Bariatric surgery before and after kidney transplantation: a propensity score-matched analysis”

Published:January 18, 2023DOI:https://doi.org/10.1016/j.soard.2023.01.013
      Obesity in the presence of end stage renal disease poses a significant challenge to a patient’s medical team. Patients have increased risk for kidney stones, pretransplant diabetes, new onset diabetes after transplant, and hypertension. The glycemic and hypertensive impact of obesity may accelerate chronic kidney failure. Transplant is more technically challenging, with an increased risk of delayed graft function and acute rejection, and a medicinal challenge to appropriate immunosuppression and dosing(
      • Oniscu G.C.
      • Abramowicz D.
      • Bolignano D.
      • et al.
      Management of obesity in kidney transplant candidates and recipients: A clinical practice guideline by the DESCARTES Working Group of ERA.
      ).
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      References:

        • Oniscu G.C.
        • Abramowicz D.
        • Bolignano D.
        • et al.
        Management of obesity in kidney transplant candidates and recipients: A clinical practice guideline by the DESCARTES Working Group of ERA.
        Nephrol Dial Transplant Nephrol Dial Transplant. 2021; 37 (i1–i15)
      1. Fang Y, Outmani L, de Joode AAE, et al. Bariatric surgery before and after kidney transplantation: propensity score-matched analysis. Surg Obes Relat Dis. In press.

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