Solid Organ Transplantation and Bariatric Surgery

Chapter

Abstract

Obesity increases the risk for metabolic syndrome, diabetes, chronic kidney disease, cardiomyopathy, heart failure, fatty liver disease, and certain types of cancer while also causing increased health-care costs. Diabetes, often correlated with obesity, can result in chronic kidney disease and end-stage renal failure, while obesity itself can aggravate end-stage liver disease or cause nonalcoholic steatohepatitis (NASH). Bariatric surgery has demonstrated its safety and efficacy and may be beneficial for both pre- and posttransplant patients. Due to insufficient information in the literature about bariatric surgery in transplant patients, no definitive, ideal procedure exists. In this chapter, we evaluate features and outcomes of bariatric procedures (pre-, during, and posttransplant) in obese patients with solid organ (kidney, liver, and heart) transplantation. According to literature review and analysis, pure restrictive laparoscopic sleeve gastrectomy has demonstrated its superiority over the restrictive and malabsorptive Roux-en-Y gastric bypass operation in terms of safety, technical ease, and efficacy in transplant patients.

Keywords

Solid organ transplantation Kidney transplantation Liver transplantation Heart transplantation Bariatric surgery Sleeve gastrectomy Roux-en-Y gastric bypass 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of General SurgeryMayo Clinic FloridaJacksonvilleUSA

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