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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
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Sleeve Gastrectomy in Mice using Surgical Clips
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Bariatric surgery is associated with renal function improvement.

Carla N Holcomb1, Lauren E Goss2, Ammar Almehmi3

  • 1Section of Gastrointestinal Surgery, Department of Surgery, University of Alabama at Birmingham, 1922 7th Ave South, KB 217, Birmingham, AL, 35294, USA. cholcomb@uabmc.edu.

Surgical Endoscopy
|July 1, 2017
PubMed
Summary
This summary is machine-generated.

Bariatric surgery improves kidney function, with gains in glomerular filtration rate (GFR) observed post-operation. This improvement in renal function is independent of the amount of weight lost.

Keywords:
Bariatric surgeryRenal functionWeight losss

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Area of Science:

  • Nephrology
  • Bariatric Surgery
  • Metabolic Surgery

Background:

  • Bariatric surgery is known to improve blood pressure and glycemic control.
  • The impact of bariatric surgery on renal function remains incompletely understood.
  • This study aims to quantify changes in kidney function after bariatric procedures.

Purpose of the Study:

  • To evaluate the effect of bariatric surgery on renal function.
  • To compare changes in glomerular filtration rate (GFR) between laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic sleeve gastrectomy (LSG).

Main Methods:

  • Retrospective review of 149 patients undergoing LRYGB or LSG between 2012 and 2014.
  • Glomerular filtration rate (GFR) calculated using the CKD-EPI equation.
  • Body mass index (BMI) and percent weight loss (%WL) were assessed post-surgery.

Main Results:

  • Both LRYGB and LSG groups showed improved GFR post-surgery (101.0 ± 25.8 mL/min and 97.9 ± 25.8 mL/min, respectively).
  • 42% of patients with pre-operative GFR < 90 mL/min experienced GFR improvement to > 90 mL/min.
  • No significant relationship was found between the percentage of weight lost and GFR improvement.

Conclusions:

  • Bariatric surgery is associated with improved renal function approximately two years post-operation.
  • No significant difference in GFR improvement was observed between LRYGB and LSG.
  • The improvement in GFR suggests mechanisms beyond weight loss alone contribute to enhanced renal function.