[Roux-en-Y gastric bypass in a candidate for kidney transplant]

Area of Science:

• Nephrology
• Bariatric Surgery
• Transplantation Medicine

Background:

• Obesity (BMI 38 kg/m2) is a significant barrier to kidney transplantation, increasing risks for complications, graft function, and survival.
• Patients with end-stage kidney disease (ESKD) often face transplantation challenges due to comorbidities like hypertension and diabetes.

Observation:

• A case of an obese patient with ESKD, hypertension, and diabetes was excluded from kidney transplantation solely based on BMI.
• The patient had chronic glomerulonephritis and was undergoing hemodialysis treatment.

Findings:

• The patient underwent Roux-en-Y gastric bypass surgery.
• This intervention was performed as a preparatory step to enable future kidney transplantation eligibility.

Implications:

• Bariatric surgery can be a viable strategy to manage obesity in patients with ESKD, potentially improving their candidacy for kidney transplantation.
• Addressing obesity through surgical intervention may enhance outcomes for kidney transplant recipients and expand access to this critical procedure.