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- Title
Comparison of Kidney Transplantation Outcomes Between Patients with and Without Pre-transplantation Bariatric Surgery: a Systematic Review.
- Authors
Mousapour, Pouria; Ling, Jonathan; Zimbudzi, Edward
- Abstract
This systematic review evaluated the impact of bariatric surgery, performed to improve eligibility for kidney transplantation, on post-transplantation outcomes. A systematic literature search was performed for articles published by 30 January 2022. A total of 31 studies were included. Among patients without pre-transplantation bariatric surgery, 18 studies reported 13.7% graft loss and 9.1% mortality within 5 years' post-transplantation. Among recipients with pre-transplantation bariatric surgery, 15 studies reported 8.7% graft loss and 2.8% mortality within 1 month to over 5 years' post-transplantation. Two case–control studies comparing post-transplantation outcomes between recipients with and without prior bariatric surgery demonstrated no significant differences between groups for graft loss, patient mortality, delayed graft function, wound complications and lymphocele. Non-randomized selection of patients and different lengths of follow-up limit the results of this study.
- Subjects
BARIATRIC surgery; TREATMENT effectiveness; KIDNEY transplantation; PATIENT selection; LYMPHOCELE; CASE-control method
- Publication
Obesity Surgery, 2022, Vol 32, Issue 12, p4066
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-022-06308-1