Laparoscopic adjustable gastric banding surgery performed prior to renal transplantation

Koshy, A., Coombes, J. S., Wilkinson, S. and Fassett, R. G. (2007). Laparoscopic adjustable gastric banding surgery performed prior to renal transplantation. In: Nephrology. 43rd Australian and New Zealand Society of Nephrology Annual Scientific Meeting, Gold Coast, Australia, (A27-A27). 8–12 September 2007. doi:10.1111/j.1440-1797.2007.00847.x


Author Koshy, A.
Coombes, J. S.
Wilkinson, S.
Fassett, R. G.
Title of paper Laparoscopic adjustable gastric banding surgery performed prior to renal transplantation
Conference name 43rd Australian and New Zealand Society of Nephrology Annual Scientific Meeting
Conference location Gold Coast, Australia
Conference dates 8–12 September 2007
Proceedings title Nephrology   Check publisher's open access policy
Place of Publication Carlton, Victoria
Publisher Blackwell Science
Publication Year 2007
Sub-type Oral presentation
DOI 10.1111/j.1440-1797.2007.00847.x
ISSN 1320-5358
1440-1797
Volume 12
Issue Supplement 2
Start page A27
End page A27
Total pages 1
Language eng
Formatted Abstract/Summary
Obesity has been shown to increase the risk of hypertension, diabetes and chronic
kidney disease. Clinical trials have shown that obese kidney transplant patients
experience higher rates of post transplant diabetes, delayed graft function and
local wound complications. There is hence reluctance to accept obese patients
with End Stage Kidney Disease (ESKD) onto kidney transplant programs. Since
diet, exercise and medication are often unreliable weight loss options for patients
with ESKD, laparoscopic adjustable gastric banding (LAGB) should be considered
as a realistic alternative to achieve the desired weight reduction. We
report two patients who have undergone LAGB prior to successful kidney
transplantation.
Cases: Two obese male patients with ESKD from diabetic nephropathy underwent
LAGB to enable sufficient weight reduction to be considered for kidney
transplantation. The first patient was 105 kg, BMI 35.1 kg/m2 falling to
30.4 kg/m2 over 17 months after LAGB. Subsequent successful uncomplicated
cadaveric kidney transplantation was performed. The second patient was 118 kg,
BMI 42.8 kg/m2 falling to 33 kg/m2 over 30 months after LAGB. He subsequently
underwent uncomplicated live donor kidney transplantation.
Conclusion: LAGB can be successfully used to enable obese patients with ESKD
to lose sufficient weight to enable them to receive either cadaveric or live donor
kidney transplantation.
Subjects 11 Medical and Health Sciences
Q-Index Code EX
Q-Index Status Provisional Code
Institutional Status UQ
Additional Notes Abstract number: 1106

Document type: Conference Paper
Collection: School of Human Movement and Nutrition Sciences Publications
 
Versions
Version Filter Type
Citation counts: Scopus Citation Count Cited 0 times in Scopus Article
Google Scholar Search Google Scholar
Created: Tue, 04 May 2010, 16:06:05 EST by Laura McTaggart on behalf of Faculty Of Health Sciences