학술논문

High Risk of Acute Kidney Failure in Kidney Transplant Recipients Early after Bariatric Surgery
Document Type
Report
Source
Obesity Facts. February, 2024, Vol. 17 Issue 1, p98, 5 p.
Subject
France
Language
English
Abstract
Bariatric surgery is routinely proposed to patients suffering from obesity including kidney transplant recipients. In this specific population, bariatric surgery has a positive impact in long-term outcomes in terms of patient and graft survival. We report here the cases of 4 patients with five post-kidney transplantation bariatric surgeries who experimented acute renal injury early after surgery. Creatinine rising occurred between day 14 and day 20 after surgery. In all cases, it was due to dehydration leading to a pre-renal acute renal failure. The specific care of kidney transplanted patients is discussed: single kidney associated with pre-existing altered kidney function associated with concomitant use of nephrotoxic drugs. Specific education intervention before surgery associated with careful early management of hydration after surgery is mandatory for these patients. Keywords: Kidney transplant, Bariatric surgery, Acute renal failure
Author(s): Karine Moreau [a]; Lionel Couzi [a,b]; Hannah Kaminskia [a,b]; Pierre Merville [a,b]; Maud Monsaingeon-Henry [c]; Emilie Pupier [c]; Caroline Gronnier [d]; Blandine Gatta-Cherifi (corresponding author) [c,e] Introduction The prevalence [...]