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(
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References:
- 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)
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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Article info
Publication history
Accepted:
January 15,
2023
Received in revised form:
January 3,
2023
Received:
December 13,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Published by Elsevier Inc. on behalf of American Society for Metabolic and Bariatric Surgery.
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- Bariatric surgery before and after kidney transplant: a propensity score–matched analysisSurgery for Obesity and Related DiseasesOpen Access
