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Bariatric Surgery and Transplantation

  • Giuseppe D’Amico
  • Kiara Tulla
  • Ivo TzvetanovEmail author
Chapter

Abstract

The epidemic incidence of obesity among the general population has significant impact on patients with different end-stage organ failure. On the one hand, obesity could be a major contributor for these organ dysfunctions; on the other hand, obesity prevents many patients from receiving organ transplantation. Because of the proven higher rate of complications and inferior short- and long-term results among patients with obesity, many transplant centers consider a patient’s BMI when evaluating candidacy for transplantation. Intentional weight loss as a result of application of bariatric surgery before or after organ transplantation carries significant potential to improve the likelihood many patients can receive lifesaving transplants. Furthermore, this change in patient biology could improve the long-term graft function along with patient survival.

Keywords

Liver transplantation Kidney transplantation Pancreas transplantation Organ transplantation Obesity Bariatric surgery Health disparities 

Notes

Glossary

AGB

Adjustable gastric banding

BMI

Body mass index

BS

Bariatric surgery

DS

Duodenal switch

EBWL

Excess weight-loss

ESRD

End-stage renal disease

KT

Kidney transplant

LGB

Laparoscopic gastric bypass

LSG

Laparoscopic sleeve gastrectomy

LT

Liver transplant

MS

Metabolic syndrome

MSWL

Medically supervised weight loss

PAK

Pancreas after kidney transplant

PT

Pancreas transplant

PTA

Pancreas transplant alone

RYGB

Roux-en-Y gastric bypass

SG

Sleeve gastrectomy

SPK

Simultaneous pancreas kidney transplant

T1DM

Type 1 diabetes mellitus

T2DM

Type 2 diabetes mellitus

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Giuseppe D’Amico
    • 1
  • Kiara Tulla
    • 1
  • Ivo Tzvetanov
    • 1
    Email author
  1. 1.Department of SurgeryUniversity of Illinois at ChicagoChicagoUSA

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