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Current Transplantation Reports

, Volume 5, Issue 4, pp 365–368 | Cite as

Commentary: Peri-Transplant Bariatric Surgery

  • Renana Yemini
  • Andrei Keidar
  • Eviatar Nesher
  • Eytan MorEmail author
Invited Commentary
  • 15 Downloads

Abstract

Morbid obesity often serves as a contraindication to organ transplantation. Furthermore, metabolic complications developed in the peri-operative period and long term after transplant are associated with high mortality. As bariatric surgery is an acceptable measure to treat morbid obesity, it may serve also the transplant population before and after transplant.Methods A review of the literature was done, combined with our own experience with bariatric surgery in kidney and liver transplant recipients before, during, and after transplantation.ResultsPreliminary data show that bariatric surgery seems to be feasible in morbidly obese patients in the setting of transplantation, though associated with high post-operative complication rate. Laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYBG) are both effective in the kidney transplant population while LSG is the preferred approach for liver transplant patients.ConclusionsAlthough bariatric surgery in the transplant population is not yet extensively studied and is mostly reported in small series, it seems a useful approach for the treatment of morbid obesity in these high-risk patients. Comparative data regarding optimal timing and type of bariatric procedure and long-term results are warranted.

Keywords

Peri-transplant Bariatric surgery Obesity Peri-operative complications 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  • Renana Yemini
    • 1
    • 2
    • 3
  • Andrei Keidar
    • 2
    • 3
  • Eviatar Nesher
    • 1
  • Eytan Mor
    • 1
    • 2
    • 3
    Email author
  1. 1.Department of Transplant Surgery, Beilinson Medical Center, Petach-Tikva, Israel, affiliated to the Sackler Faculty of MedicineTel-Aviv UniversityTel-AvivIsrael
  2. 2.Department of Surgery, Assuta Ashdod Hospital, Ashdod, Israel, affiliated to Ben-Gurion UniversityBeer-ShevaIsrael
  3. 3.Department of Surgery, Bariatric Clinic, Rabin Medical Center, Beilinson Hospital, Petach-Tikva, Israel, affiliated to the Sackler Faculty of MedicineTel-Aviv UniversityTel-AvivIsrael

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