Bariatric surgery can help patients with ESRD with weight loss, then be able to undergo kidney transplantation. However, it also increases risk of enteric hyperoxaluria and oxalate nephropathy, There have been reported cases on oxalate nephropathy and allograft injury in kidney transplant patients. At the same time, bariatric surgery has demonstrated benefits of cardio-metabolic profiles and glycemic controls which might be good for kidney function. Therefore, my question is the overall effect of bariatric surgery on long term renal allograft, is it good or bad?
Thank you in advance!
Wisit
There is not enough prospective data on this topic to be able to make a firm recommendation at this point in time. Although there may be different risks for oxalate nephropathy related to what type of bariatric surgery is undertaken to begin with.
We tend to recommend bariatric surgery (gastric sleeve), to appropriately selected potential renal allograft recipients with a BMI >35 in order that they may qualify for transplantation once they have achieved the requisite weight loss. Some of them have kept the weight off post transplantation and some have not! Clearly it is desirable for patients to keep their weight down such that the other adverse metabolic sequelae of obesity such as Type 2 diabetes and post transplant diabetes mellitus can also be optimally managed.
Thank you very much, Dr. Deborah Jean Verran! I really appreciated your input!
Wisit
It is an interesting question, especially if the many beneficial effects of bariatric surgery regarding "healing" of diabetes are concerned. I also look for such a paper and I am fond that at least personal experience is already available. Also many thanks to Dr. Verran!
I am sorry , I think there is not enough informatiin to answer your question and also for the role of the intragastrc balloon in this setting. It could be the aim of future essay studies.thank you very much for your question
While dealing with this field for years, unfortunately, I had no contact so far!
Now I thank you very rare question-issue in this area and I'd be happy to follow your communication with colleagues that I might gain some information!
Very useful was my answer colleague Dr. Deborah Jean Verran
on what she would like to thank!
regards