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- Title
Timing Considerations for Sleeve Gastrectomy in Kidney Transplant Patients: A Single Center Evaluation.
- Authors
Spaggiari, Mario; Martinino, Alessandro; Bencini, Giulia; Masrur, Mario A.; Petrochenkov, Egor; Lian, Amy; Olazar, Joanna; Di Cocco, Pierpaolo; Almario-Alvarez, Jorge; Benedetti, Enrico; Tzvetanov, Ivo
- Abstract
Current scientific literature is deficient in detailing the optimal timing for conducting bariatric surgery in relation to kidney transplantation. In this study, we performed a retrospective evaluation of kidney transplant recipients with BMI >35 kg/m2. It aimed to provide data on those who received both sleeve gastrectomy (SG) and kidney transplantation (KT) simultaneously, as well as on patients who underwent SG and KT at different times, either before or after. In addition, the acceptance levels of the bariatric surgery among different scenarios were assessed. Our findings demonstrated that combined KT and SG led to successful weight loss, in contrast to undergoing kidney transplant alone, while maintaining comparable rates of graft and patient survival. Weight loss was similar between recipients who had a combined operation and those who underwent SG following the transplant. Additionally, over a median time frame of 1.7 years, patients who underwent SG before KT exhibited a statistically significant reduction in BMI at the time of the transplant. Notably, our study highlights that patients offered the combined procedure were significantly more likely to undergo SG compared to those for whom SG was presented at a different operative time than the transplant.
- Subjects
SLEEVE gastrectomy; KIDNEY transplantation; BARIATRIC surgery; SCIENTIFIC literature; WEIGHT loss; OVERALL survival
- Publication
Transplant International, 2024, p1
- ISSN
0934-0874
- Publication type
Article
- DOI
10.3389/ti.2024.12690