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Obesity Surgery

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08.08.2017 | Review Article

The Role of Bariatric Surgery in Abdominal Organ Transplantation—the Next Big Challenge?

verfasst von: Tomasz Dziodzio, Matthias Biebl, Robert Öllinger, Johann Pratschke, Christian Denecke

Erschienen in: Obesity Surgery | Ausgabe 10/2017

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Abstract

Obesity is linked to inferior transplant outcome. Bariatric surgery (BS) is an established treatment of morbid obesity. We provide an overview on BS in the field of kidney (KT) and liver transplantation (LT). In end-stage renal disease (ESRD) and KT patients, BS seems safe and feasible. Complication rates were slightly higher compared to the non-transplant population, whereas weight loss and improvement of comorbidities were comparable. Sleeve gastrectomy (SG) was the preferred procedure before KT and superior to gastric bypass (GB) in regard to mortality and morbidity. If conducted after KT, both procedures showed comparable results. BS before LT was associated with high complication rates, in particular after GB. Albeit distinct complications, SG conducted after LT showed the best results. Immunosuppression (IS) changes after BS were rare.

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Titel: The Role of Bariatric Surgery in Abdominal Organ Transplantation—the Next Big Challenge?
verfasst von: Tomasz Dziodzio
Matthias Biebl
Robert Öllinger
Johann Pratschke
Christian Denecke
Publikationsdatum: 08.08.2017
Verlag: Springer US
Erschienen in: Obesity Surgery / Ausgabe 10/2017
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-017-2854-8

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Aktuelle BDC Leitlinien-Webinare

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

S2e-Leitlinie „Distale Radiusfraktur“

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“