The Role of Bariatric Surgery in Abdominal Organ Transplantation-the Next Big Challenge?

被引：48
作者：
Dziodzio, Tomasz [1 ]
Biebl, Matthias [1 ]
Oellinger, Robert [1 ]
Pratschke, Johann [1 ]
Denecke, Christian [1 ]
机构：
[1] Charite Univ Med Berlin, Dept Surg, Campus Virchow & Mitte,Augustenburger Pl 1, D-13352 Berlin, Germany
来源：
OBESITY SURGERY | 2017年 / 27卷 / 10期
关键词：
Obesity; Organ transplantation; Kidney transplantation; Liver transplantation; Bariatric surgery; BODY-MASS INDEX; LAPAROSCOPIC SLEEVE GASTRECTOMY; MORBIDLY OBESE-PATIENTS; FATTY LIVER-DISEASE; Y GASTRIC BYPASS; KIDNEY-TRANSPLANTATION; RENAL-TRANSPLANTATION; UNITED-STATES; CARDIOVASCULAR EVENTS; METABOLIC SYNDROME;
D O I：
10.1007/s11695-017-2854-8
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Obesity is linked to inferior transplant outcome. Bariatric surgery (BS) is an established treatment of morbid obesity. We provide an overview on BS in the field of kidney (KT) and liver transplantation (LT). In end-stage renal disease (ESRD) and KT patients, BS seems safe and feasible. Complication rates were slightly higher compared to the non-transplant population, whereas weight loss and improvement of comorbidities were comparable. Sleeve gastrectomy (SG) was the preferred procedure before KT and superior to gastric bypass (GB) in regard to mortality and morbidity. If conducted after KT, both procedures showed comparable results. BS before LT was associated with high complication rates, in particular after GB. Albeit distinct complications, SG conducted after LT showed the best results. Immunosuppression (IS) changes after BS were rare.
引用
收藏
页码：2696 / 2706
页数：11
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