Bariatric surgery as bridging therapy to kidney transplantation

• DOI: 10.1007/s00467-025-06661-0
• Publication Date: 2025-03-18T16:24:27Z
• Authors: Anke Raaijmakers; Belinda Dooley; Blake Sandery; Swasti Chaturvedi; Renee Le Jambre; David Links; Sean E. Kennedy
• Keywords: Nephrology

Abstract The prevalence of obesity in adolescents is rising, including those with kidney failure. Obesity increases the risk complications during dialysis and may be associated poorer outcomes after transplantation. Bariatric surgery has been found safe effective adults on dialysis. This Clinical Insights about a 14-year-old female failure obesity. She was initially managed peritoneal but subsequently gained further weight. Multiple interventions for weight loss were unsuccessful, switch to haemodialysis. patient underwent laparoscopic sleeve gastrectomy extensive multidisciplinary assessment. lost > 30 kg over 6 months (BMI decreased from 48 32 kg/m 2 ) which made it possible her activated deceased donor transplant waiting list. Managing gain patients important, especially obese adolescents. should considered early where morbid major impediment listing