Bariatric Surgery in a Patient on Peritoneal Dialysis

Imam, Talha H; Wang, J.; Khayat, Fawsi S.

doi:10.3747/pdi.2012.00272

Cited by 9 publications

(11 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Valle et al were the first to report a case series of pre-transplant laparoscopic metabolic surgery in 5 people on peritoneal dialysis in 2012 (163). Imam et al reported a case of laparoscopic VSG in a 27-year old male on peritoneal dialysis for 3.6 years which did not require perioperative interruption of peritoneal dialysis (164). No perioperative surgical complications occurred and the patient was able to resume his pre-operative dialysis regimen after 4 weeks.…”

Section: Does the Feasibility Of Metabolic Surgery Differ With Dialysmentioning

confidence: 99%

Metabolic Surgery to Treat Obesity in Diabetic Kidney Disease, Chronic Kidney Disease, and End-Stage Kidney Disease; What Are the Unanswered Questions?

et al. 2020

View full text Add to dashboard Cite

Obesity is a major factor in contemporary clinical practice in nephrology. Obesity accelerates the progression of both diabetic and non-diabetic chronic kidney disease and, in renal transplantation, both recipient and donor obesity increase the risk of allograft complications. Obesity is thus a major driver of renal disease progression and a barrier to deceased and living donor kidney transplantation. Large observational studies have highlighted that metabolic surgery reduces the incidence of albuminuria, slows chronic kidney disease progression, and reduces the incidence of end-stage kidney disease over extended follow-up in people with and without type 2 diabetes. The surgical treatment of obesity and its metabolic sequelae has therefore the potential to improve management of diabetic and non-diabetic chronic kidney disease and aid in the slowing of renal decline toward end-stage kidney disease. In the context of patients with end-stage kidney disease, although complications of metabolic surgery are higher, absolute event rates are low and it remains a safe intervention in this population. Pre-transplant metabolic surgery increases access to kidney transplantation in people with obesity and end-stage kidney disease. Metabolic surgery also improves management of metabolic complications post-kidney transplantation, including new-onset diabetes. Procedure selection may be critical to mitigate the risks of oxalate nephropathy and disruption to immunosuppressant pharmacokinetics. Metabolic surgery may also have a role in the treatment of donor obesity, which could increase the living kidney donor pool with potential downstream impact on kidney paired exchange programmes. The present paper provides a comprehensive coverage of the literature concerning renal outcomes in clinical studies of metabolic surgery and integrates findings from relevant mechanistic pre-clinical studies. In so doing the key unanswered questions for the field are brought to the fore for discussion.

show abstract

Section: Does the Feasibility Of Metabolic Surgery Differ With Dialysmentioning

confidence: 99%

Metabolic Surgery to Treat Obesity in Diabetic Kidney Disease, Chronic Kidney Disease, and End-Stage Kidney Disease; What Are the Unanswered Questions?

et al. 2020

View full text Add to dashboard Cite

show abstract

“…The publication by Valle et al 4 demonstrated the immediate postoperative continuation of PD, observing 1 patient who underwent laparoscopic gastric banding and 4 who underwent laparoscopic Roux-en-Y gastric bypass. The 2013 letter by Imam et al 5 also illustrated this point in a patient who had a laparoscopic sleeve gastrectomy. Laparoscopic sleeve gastrectomy, laparoscopic Roux-en-Y, and laparoscopic gastric banding are 3 widely popular and effective weight loss surgeries.…”

Section: Discussionmentioning

confidence: 95%

“…The 2013 letter by Imam et al. 5 also illustrated this point in a patient who had a laparoscopic sleeve gastrectomy. Laparoscopic sleeve gastrectomy, laparoscopic Roux-en-Y, and laparoscopic gastric banding are 3 widely popular and effective weight loss surgeries.…”

Section: Discussionmentioning

confidence: 95%

“…Valle et al 4 in 2012 summarized 5 morbidly obese patients who successfully underwent either laparoscopic gastric banding or laparoscopic Roux-en-Y with postoperative reinitiation of PD. The second report was a letter to the editor by Imam et al 5 that discussed a successfully performed laparoscopic sleeve gastrectomy; the patient eventually resumed a presurgical PD regimen after surgery. To our knowledge, there has been no other report of a patient successfully maintained on PD immediately after bariatric surgery without requiring a temporary transition to HD.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Laparoscopic Sleeve Gastrectomy in a Patient on Peritoneal Dialysis

Nguyen

Naljayan

Yazdi

et al. 2020

Kidney International Reports

View full text Add to dashboard Cite

“…Bariatric surgery has been successfully performed in PD patients without interruption of PD, depending on the procedure 49,50 . Elective sleeve gastrectomy has been performed laparoscopically with resumption of low‐volume supine exchanges on postoperative day 2 in one case report, 49 followed by gradual increases in his final fill after 2 weeks and resumption of the presurgery regimen after 4 weeks. Valle et al, described successful resumption of PD within 48 hours of laparoscopic Roux en Y gastric bypass in three patients 50 .…”

Section: Management Of Pd When Other Abdominal Procedures Are Performedmentioning

confidence: 99%

When end‐stage kidney disease complicates abdominal surgery

Lew

Collins

2020

Seminars in Dialysis

View full text Add to dashboard Cite

Patients receiving peritoneal dialysis (PD) encounter an increased risk for infection, bleeding, and PD fluid leakage after abdominal surgery. These complications may affect the future use of PD. Appropriate patient preparation may mitigate complications. Certain complications or procedures allow patients to remain on PD while others require transition to hemodialysis. We review the etiology and management of infection, bleeding, and PD fluid leakage associated with abdominal surgery as well as the relationship of specific abdominal procedures to continuing PD.

show abstract

Bariatric Surgery in a Patient on Peritoneal Dialysis

Abstract: COrreSPONDeNCe gastrectomy. We believe that our patient's case will help convince surgeons and nephrologists to continue PD in such patients, as is already being reported in other types of abdominal surgeries (14,15).

Cited by 9 publications

References 15 publications

Metabolic Surgery to Treat Obesity in Diabetic Kidney Disease, Chronic Kidney Disease, and End-Stage Kidney Disease; What Are the Unanswered Questions?

Metabolic Surgery to Treat Obesity in Diabetic Kidney Disease, Chronic Kidney Disease, and End-Stage Kidney Disease; What Are the Unanswered Questions?

Laparoscopic Sleeve Gastrectomy in a Patient on Peritoneal Dialysis

When end‐stage kidney disease complicates abdominal surgery

Contact Info

Product

Resources

About