ArticleSurgical endoscopy2025
How to manage peritoneal dialysis in patients undergoing bariatric surgery? A case series from a single academic center.
Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundBariatric surgery has gained significant attention as a potential approach for improving access to kidney transplantation (KT) in dialysis-dependent patients with severe obesity. However, there is lack of literature on how to manage peritoneal dialysis (PD) in patients with severe obesity undergoing bariatric surgery. This study aims to describe the protocol used in this specific patient population at a single academic center, focusing on the important role of the multidisciplinary team in managing this vulnerable group of patients.
methodsThis retrospective review included PD-dependent patients who had bariatric surgery at a single academic center between January 2017 and December 2024. Baseline demographics, body mass index (BMI), perioperative dialysis transitions, and postoperative outcomes were recorded.
resultsA total of 66 dialysis-dependent (stage 5D) patients underwent bariatric surgery during the study period, of which 11 patients (17%) were on PD preoperatively. Median age of the PD patients was 51 years, and 82% were males. The median baseline BMI for the PD patients was 41 kg/m
conclusionOur preliminary results show that PD-dependent patients with severe obesity can safely undergo SG as a bridge to or while awaiting KT, with no major early complications. Most patients resume PD within six weeks after surgery.
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