ArticleObesity surgery2025
Impact of GFR on Mortality Risk After Biliopancreatic Diversion: Challenges and Pitfalls for the Clinician.
Article in Obesity surgery, 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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9 authors.
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Abstract
backgroundAssessing kidney function in bariatric patients remains challenging, as both obesity and malnutrition act as confounding factors. Although short-term cardiovascular and renal benefits of biliopancreatic diversion (BPD) have been documented, the long-term effects of estimated glomerular filtration rate (eGFR) improvement remain unclear.
methodsTo compare different eGFR formulas based on creatinine and to evaluate the relationship between short- and long-term eGFR changes and mortality risk in patients undergoing BPD.
results284 patients were enrolled. Mean pre-surgery BMI, creatinine, and eGFR were 47.0 ± 9.3, 0.87 ± 0.21 mg/dl, and 75.3 ± 15.9 mL/min/1.73m
conclusionsEstimating GFR in bariatric surgery remains challenging. The findings illustrate a time-dependent impact of eGFR improvement on mortality risk following biliopancreatic diversion, highlighting the importance of personalized postoperative monitoring and nutritional management.
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