Impact of Bariatric Surgery on Renal Function

Dewantoro, Dickson; Fultang, Joshua; Lowe, Katie; Chinaka, Ugochukwu; Bakhshi, Andisheh; Ali, Abdulmajid

doi:10.7759/cureus.18534

Cited by 2 publications

(1 citation statement)

References 12 publications

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“…Using either a restrictive, malabsorptive, or a combination of the two processes, bariatric surgery involves the manipulation of the gastrointestinal (GI) tract to achieve quantifiable weight loss [ 1 ]. These procedures include gastric banding, sleeve gastrectomy (SG), biliopancreatic diversion, duodenal switch, and Roux-en-Y gastric bypass (RYGB) [ 1 , 3 ]. Bariatric surgery does not only affect the stomach and intestines, the gallbladder is inadvertently affected as well.…”

Section: Introductionmentioning

confidence: 99%

Biliary Hyperkinesia and Its Association With Bariatric Surgery: A Case Report and Review of Management Strategies

Holder¹,

Nwagwu²,

Ghouse³

et al. 2023

Cureus

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In a post-bariatric surgery patient with suspected biliary dyskinesia, what does an ejection fraction (EF) of 87% on hepatobiliary iminodiacetic acid (HIDA) scan indicate to a healthcare provider? Conventionally, in post-bariatric patients, the gallbladder becomes hypofunctional; however, in this case, the gallbladder activity increased exponentially. Of note, there are no previously documented cases of developing an overactive gallbladder after undergoing a bariatric surgery procedure. This report aims to explore the possible associations between bariatric surgery and the development of gallbladder hyperkinesis in the early postoperative period, the diagnostic tool used to discover the source of our patient's ailment, as well as the rationality behind a surgical procedure that led to an excellent response, namely, laparoscopic cholecystectomy.

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Section: Introductionmentioning

confidence: 99%

Biliary Hyperkinesia and Its Association With Bariatric Surgery: A Case Report and Review of Management Strategies

Holder¹,

Nwagwu²,

Ghouse³

et al. 2023

Cureus

View full text Add to dashboard Cite

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Effects of bariatric surgery on renal function and associated factors with bivariate analysis: a cohort study

Bezerra¹,

Santos²,

Brandt³

2022

F1000Res

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Background: Obesity is a global pandemic, caused by genetic, biological and social factors, increasing the risk of many chronic diseases, including kidney disease. Bariatric surgery can control associated comorbidities and also improve renal function. Thus, the aim of this study was to evaluate the effect of bariatric surgery on renal function and associated factors, through bivariate analysis. Methods: A cohort, prospective, analytical study was carried out in the Department of surgery and obesity, in Campina Grande - Paraíba, Brazil. Thirty-five obese patients were evaluated in the preoperative period of bariatric surgery and after one year of bariatric surgery. Sociodemographic and anthropometric data were collected, body mass index was calculated, and renal function was estimated through the glomerular filtration rate. Results: Predominantly female (71.4%) and white (77.1%) patients were observed. Regarding the type of bariatric surgery, most patients (65.7%) underwent the sleeve technique. There was no significant difference between the mean levels of cystatin C pre and post bariatric surgery. There was a significant improvement in the mean glomerular filtration rates in the postoperative period (p=0.09). In further analysis of the association between the variables: type of bariatric surgery, diabetes or hypertension outcomes, no association was observed with the outcome improvement in glomerular filtration rate, without statistical significance, respectively (p = 0.312; p =0.217; p = 0.476). Similarly, there was no statistically significant difference between the variable loss of body mass index, under the effect of bariatric surgery, in relation to the outcome of the glomerular filtration rate (p = 0.904). Conclusion: After analyzing the association between outcome of glomerular filtration rate and the studied variables, no association was observed between these variables, under the effect of bariatric surgery, with improvement in glomerular filtration rate. Thus, bariatric surgery is associated with improvement of renal function independently.

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Impact of Bariatric Surgery on Renal Function

Abstract: IntroductionBariatric surgery offers superior benefits for weight loss, quality of life and a spectrum of metabolic diseases. Despite these benefits, studies so far have shown varying results on its effect on renal function.

Cited by 2 publications

References 12 publications

Biliary Hyperkinesia and Its Association With Bariatric Surgery: A Case Report and Review of Management Strategies

Biliary Hyperkinesia and Its Association With Bariatric Surgery: A Case Report and Review of Management Strategies

Effects of bariatric surgery on renal function and associated factors with bivariate analysis: a cohort study

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