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Gastric sleeve surgery in hemodialysis: A case report
INTRODUCTION: Morbid obesity in chronic kidney disease patients on hemodialysis limits access to renal transplantation. We report here a case of a surgical procedure for weight reduction in a hemodialysis patient and adjustment of dry weight through bioelectrical impedance. CASE PRESENTATION: A 44-y...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6416668/ https://www.ncbi.nlm.nih.gov/pubmed/30875624 http://dx.doi.org/10.1016/j.ijscr.2019.02.041 |
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author | Contreras Villamizar, Kateir Mariel Afanador Rubio, Diana Carolina González González, Camilo Alberto García Padilla, Paola Karina Rodríguez Sánchez, Martha Patricia |
author_facet | Contreras Villamizar, Kateir Mariel Afanador Rubio, Diana Carolina González González, Camilo Alberto García Padilla, Paola Karina Rodríguez Sánchez, Martha Patricia |
author_sort | Contreras Villamizar, Kateir Mariel |
collection | PubMed |
description | INTRODUCTION: Morbid obesity in chronic kidney disease patients on hemodialysis limits access to renal transplantation. We report here a case of a surgical procedure for weight reduction in a hemodialysis patient and adjustment of dry weight through bioelectrical impedance. CASE PRESENTATION: A 44-year-old male with CKD on hemodialysis for 26 years. After 3 years on dialysis, he underwent a cadaveric kidney transplant. However, after 8 years of transplant, he loses the kidney graft and returns to dialysis treatment. The patient’s BMI increased to 42 kg/m(2) and he had difficult-to-control hypertension and severe sleep apnea. Behavioral, nutritional and pharmacologic measures were not sufficient to achieve an adequate weight control. Thus, a surgical procedure for weight reduction was considered. The patient underwent a laparoscopic gastric sleeve without any complications. Dry weight was adjusted through bioelectrical impedance before each hemodialysis session. The patient did not display hypotension, cramps, or fluid overload. After a 30 kg weight loss, the patient’s BMI was 28.3 kg/m(2), allowing registration on the kidney transplant waitlist. DISCUSSION: Obesity in CKD restricts access to kidney transplant waitlist. Bariatric surgery has proven to be safe and effective for sustained weight loss and it seems that the fact that a patient is dialysis dependent does not independently increase post-operatory complications. CONCLUSION: Surgical procedures for weight reduction in dialysis patients does not independently increase the risk for adverse outcomes after bariatric surgery. The estimation of DW through BIA is an effective method for avoiding complications generated by excessive or deficient ultrafiltration. |
format | Online Article Text |
id | pubmed-6416668 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-64166682019-03-25 Gastric sleeve surgery in hemodialysis: A case report Contreras Villamizar, Kateir Mariel Afanador Rubio, Diana Carolina González González, Camilo Alberto García Padilla, Paola Karina Rodríguez Sánchez, Martha Patricia Int J Surg Case Rep Article INTRODUCTION: Morbid obesity in chronic kidney disease patients on hemodialysis limits access to renal transplantation. We report here a case of a surgical procedure for weight reduction in a hemodialysis patient and adjustment of dry weight through bioelectrical impedance. CASE PRESENTATION: A 44-year-old male with CKD on hemodialysis for 26 years. After 3 years on dialysis, he underwent a cadaveric kidney transplant. However, after 8 years of transplant, he loses the kidney graft and returns to dialysis treatment. The patient’s BMI increased to 42 kg/m(2) and he had difficult-to-control hypertension and severe sleep apnea. Behavioral, nutritional and pharmacologic measures were not sufficient to achieve an adequate weight control. Thus, a surgical procedure for weight reduction was considered. The patient underwent a laparoscopic gastric sleeve without any complications. Dry weight was adjusted through bioelectrical impedance before each hemodialysis session. The patient did not display hypotension, cramps, or fluid overload. After a 30 kg weight loss, the patient’s BMI was 28.3 kg/m(2), allowing registration on the kidney transplant waitlist. DISCUSSION: Obesity in CKD restricts access to kidney transplant waitlist. Bariatric surgery has proven to be safe and effective for sustained weight loss and it seems that the fact that a patient is dialysis dependent does not independently increase post-operatory complications. CONCLUSION: Surgical procedures for weight reduction in dialysis patients does not independently increase the risk for adverse outcomes after bariatric surgery. The estimation of DW through BIA is an effective method for avoiding complications generated by excessive or deficient ultrafiltration. Elsevier 2019-03-05 /pmc/articles/PMC6416668/ /pubmed/30875624 http://dx.doi.org/10.1016/j.ijscr.2019.02.041 Text en © 2019 The Authors http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Contreras Villamizar, Kateir Mariel Afanador Rubio, Diana Carolina González González, Camilo Alberto García Padilla, Paola Karina Rodríguez Sánchez, Martha Patricia Gastric sleeve surgery in hemodialysis: A case report |
title | Gastric sleeve surgery in hemodialysis: A case report |
title_full | Gastric sleeve surgery in hemodialysis: A case report |
title_fullStr | Gastric sleeve surgery in hemodialysis: A case report |
title_full_unstemmed | Gastric sleeve surgery in hemodialysis: A case report |
title_short | Gastric sleeve surgery in hemodialysis: A case report |
title_sort | gastric sleeve surgery in hemodialysis: a case report |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6416668/ https://www.ncbi.nlm.nih.gov/pubmed/30875624 http://dx.doi.org/10.1016/j.ijscr.2019.02.041 |
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