Evidence map›Paper›PMID 30043143›Full record

ArticleObesity surgery2018

Impact of Early Postbariatric Surgery Acute Kidney Injury on Long-Term Renal Function.

Zubaidah Nor Hanipah, Suriya Punchai, Toms Augustin, Stacy A Brethauer, Philip R Schauer, Ali Aminian

Abstract read
PubMed Publisher
In one paragraph

Article in Obesity surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.2field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 24 citations in OpenAlex.

  1. Review
  2. Article
  3. A Dynamic Online Nomogram for Predicting Postoperative Acute Kidney Injury After Sleeve Gastrectomy.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Article
  4. Prevalence and risk factors of acute kidney injury in adults with obesity undergoing bariatric surgery: a systematic review and meta-analysis.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2026
    Review
  5. Article
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  7. Article
  8. Article
  9. Article
  10. Review
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  13. Article
  14. Management of Obesity in Adults with CKD.Journal of the American Society of Nephrology : JASN · 2021
    Review
  15. IS BODY MASS INDEX AND OBESITY SURGERY MORTALITY SCORE IMPORTANT IN PERIOPERATIVE COMPLICATIONS OF LAPAROSCOPIC SLEEVE GASTRECTOMY BEFORE DISCHARGE?Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2021
    Article
  16. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 3 countries.

Zubaidah Nor HanipahDepartment of General Surgery, Cleveland Clinic, Bariatric and Metabolic Institute, 9500 Euclid Avenue/M61, Cleveland, OH, 44195, USA.
Suriya PunchaiDepartment of General Surgery, Cleveland Clinic, Bariatric and Metabolic Institute, 9500 Euclid Avenue/M61, Cleveland, OH, 44195, USA.
Toms AugustinDepartment of General Surgery, Cleveland Clinic, Bariatric and Metabolic Institute, 9500 Euclid Avenue/M61, Cleveland, OH, 44195, USA.
Stacy A BrethauerDepartment of General Surgery, Cleveland Clinic, Bariatric and Metabolic Institute, 9500 Euclid Avenue/M61, Cleveland, OH, 44195, USA.
Philip R SchauerDepartment of General Surgery, Cleveland Clinic, Bariatric and Metabolic Institute, 9500 Euclid Avenue/M61, Cleveland, OH, 44195, USA.
Ali AminianDepartment of General Surgery, Cleveland Clinic, Bariatric and Metabolic Institute, 9500 Euclid Avenue/M61, Cleveland, OH, 44195, USA. AMINIAA@ccf.org.ORCID 0000-0001-5756-9917
Cleveland Clinic · USUniversiti Putra Malaysia · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBariatric surgery can improve renal dysfunction associated with obesity and diabetes. However, acute kidney injury (AKI) can complicate the early postoperative course after bariatric surgery. The long-term consequences of early postoperative AKI on renal function are unknown.

methodsPatient undergoing bariatric surgery from 2008 to 2015 who developed AKI within 60 days after surgery were studied. Patients on dialysis before surgery were excluded.

resultsOut of 4722 patients, 42 patients (0.9%) developed early postoperative AKI after bariatric surgery of whom five had chronic kidney disease (CKD) preoperatively including CKD stage 3 (n = 2), stage 4 (n = 2), and stage 5 (n = 1). Etiologies of AKI included prerenal in 37 and renal in 5 patients. Nine patients (21%) underwent hemodialysis in early postoperative period for AKI. The median duration of follow-up was 28 months (interquartile range, 4-59). Of the 40 patients eligible for follow-up, 36 patients (90%) returned to their baseline renal function. However, four patients (10%) had worsening of renal function at follow-up.

conclusionsThe incidence of early postoperative AKI after bariatric surgery is about 1%. The most common causes of AKI after bariatric surgery are dehydration and infectious complications. In our series, 10% of patients who developed AKI in early postoperative period had worsening of renal function in long-term follow-up. In the absence of severe sepsis and severe underlying kidney dysfunction (CKD stages 4 and 5), full recovery is expected after postoperative AKI.

Indexed as

Acute Kidney InjuryBariatric SurgeryPostoperative ComplicationsHumansKidneyRenal DialysisRenal Insufficiency, ChronicRetrospective StudiesAcute kidney injuryBariatric surgeryComplicationGastric bypassObesityRenal failureSleeve gastrectomy

Identifiers

PMID30043143
OpenAlexW2884201237

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.