Feasibility and impact of laparoscopic sleeve gastrectomy after renal transplantation on comorbidities, graft function and quality of life.

Abstract Background The aim of this study is to clarify the feasibility and effect of laparoscopic sleeve gastrectomy (LSG) on comorbidities, graft function and quality of life in patients under went renal transplantation (RT) Methods This is a retrospective review of 5 patients who underwent laparoscopic sleeve gastrectomy (LSG) after kidney transplantation. Patients demographic data, anthropometric parameters, effect on comorbidities, postoperative course, immunosuppressive medications, cause of renal transplantation (RT), renal function, survival of graft, and post-sleeve gastrectomy quality of life in obese patients with history of renal transplantation (RT) were assessed using BAROS–Moorhead–Ardelt survey Results From September 2015 to September, 2019, 5 renal transplant patients underwent underwent laparoscopic sleeve gastrectomy (LSG); 60% were female and 40 were male with an average body mass index (BMI) before surgery of 41.28 ± 5.8 kg/m2 (range 36–55). Associated comorbidities: 100% of the patients had hypertension (HTN) and dyslipidemia (DSL), Whereas 3 patients (60%) had type 2 diabetes mellitus (T2D) and 1 patient had gout (20%). The average time between renal transplantation (RT) and laparoscopic sleeve gastrectomy (LSG) was 5.6 ± 5 years (range 3–9). Average operative duration was 61 ± 16.5 min (range 50–70), and there were neither postoperative morbidity nor mortality. At 17.9 ± 13.6 months (range 7–48) of follow-up period, body mass index (BMI) was 28.8 ± 6.3 kg/m2 (range 25–42). Regarding patients with hypertension (HTN) and dyslipidemia (DSL), improvement in blood pressure, triglyceride and cholesterol levels was observed and all cases were able to decrease their medications. Regarding diabetic patients, insulin was stopped in all patients and replaced with oral hypoglycemic medication only (linagliptin). Renal graft function and proteinuria level decreased in all cases (100%). All patients claimed to have excellent quality of life. Conclusion LSG showed excellent outcomes regarding weight reduction, improvement and resolution of comorbidities, kidney function and quality of life in this high risk group of patients.

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Feasibility and impact of laparoscopic sleeve gastrectomy after renal transplantation on comorbidities, graft function and quality of life.

10.21203/rs.3.rs-17898/v2 ◽

2020 ◽

Author(s):

Naif Alenazi ◽

Khaled S Ahmad ◽

Ilham A Elsamahy ◽

Mohamed S Essa

Keyword(s):

Quality Of Life ◽

Sleeve Gastrectomy ◽

Renal Transplantation ◽

Laparoscopic Sleeve Gastrectomy ◽

Demographic Data ◽

Graft Function ◽

High Risk Group ◽

Diabetic Patients ◽

Anthropometric Parameters

Abstract Background: The aim of this study is to clarify the feasibility and effect of laparoscopic sleeve gastrectomy (LSG) on comorbidities, graft function and quality of life in patients who underwent renal transplantation (RT) Methods: This is a retrospective review of 5 patients who underwent LSG after RT. Demographic data, anthropometric parameters, the effect on comorbidities, postoperative course, immunosuppressive medications, causes of RT, renal function, the survival of graft, and quality of life after SG in obese patients with a history of RT were assessed using BAROS–Moorhead–Ardelt survey Results From September 2015 to September 2019, 5 renal transplant patients underwent LSG; 60% were female, and 40 were male. Median body mass index (BMI) decreased from 42.17 kg/m2 (range 36–55) before surgery to 28.16 kg/m2 (range 25–42) after surgery. Improvement in blood pressure, triglyceride, and cholesterol levels was observed, and all cases were able to decrease their medications. Insulin was stopped and replaced with linagliptin in all diabetic patients. Graft function improved, and proteinuria level decreased in all cases (100%). All patients reported to have an excellent quality of life.Conclusion: LSG showed excellent outcomes in this high-risk group of patients regarding comorbidities, graft function and quality of life

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A Cohort Study on the Outcomes of Laparoscopic Roux-en-Y Gastric Bypass and Laparoscopic Sleeve Gastrectomy Regarding the Change in Body Mass Index, Remission of Comorbidities and Quality of Life After 12-Month Follow-up

SN Comprehensive Clinical Medicine ◽

10.1007/s42399-018-0026-3 ◽

2018 ◽

Vol 1 (3) ◽

pp. 147-153

Author(s):

Daniela M. Sueth ◽

Augusto C. A. Tinoco ◽

Wendel M. Pompilho ◽

Jaylla F. F. O. Raeli ◽

Gersana T. R. Zambrotti ◽

...

Keyword(s):

Quality Of Life ◽

Body Mass Index ◽

Gastric Bypass ◽

Cohort Study ◽

Sleeve Gastrectomy ◽

Laparoscopic Sleeve Gastrectomy ◽

Body Mass ◽

Remission Of Comorbidities

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Differences in exercise capacity and health-related quality of life according to the body mass index in patients with COPD

Pulmonology ◽

10.1016/j.pulmoe.2021.07.002 ◽

2021 ◽

Author(s):

Jhonatan Betancourt-Peña ◽

Juan Carlos Ávila-Valencia ◽

Diana Milena Diaz-Vidal ◽

Vicente Benavides-Córdoba

Keyword(s):

Quality Of Life ◽

Body Mass Index ◽

Exercise Capacity ◽

Body Mass ◽

The Body ◽

Health Related Quality ◽

Related Quality ◽

Health Related

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Active Time in Cooperative Activities, Quality of Life and Body Mass Index in Individuals with Intellectual Disabilities. A Model of Structural Equations

Sustainability ◽

10.3390/su13042341 ◽

2021 ◽

Vol 13 (4) ◽

pp. 2341

Author(s):

Gabriel González-Valero ◽

Josep Vidal-Conti ◽

Félix Zurita-Ortega ◽

Pere Palou-Sampol

Keyword(s):

Quality Of Life ◽

Body Mass Index ◽

Cooperative Learning ◽

Intellectual Disabilities ◽

Body Mass ◽

Structural Equations ◽

Overweight And Obesity ◽

Active Time ◽

Individuals With Intellectual Disabilities

Current research shows that individuals with intellectual disabilities do not engage in enough physical activity to acquire health benefits. However, cooperative learning has been shown to be an effective tool for inclusion and for improving healthy physical habits. The aim of this study is to contrast an explanatory model which incorporates quality of life, active time in cooperative activities, body mass index and age, as well as to analyze, using multi-group structural equations, the existing associations according to the sex of subjects with intellectual disabilities. The convenience sampling used allowed the collection of data from a total of 156 subjects in Granada (Spain), aged between 18–55 years. In terms of gender, the sample was homogeneous, representing 52.6% (n = 82) for women and 47.4% (n = 74) for men. The active time during the cooperative learning was recorded with the Xiaomi Mi Band 2 activity band, for the quality of life scale (GENCAT) was used, and the body mass index was calculated through its standardized equation. Age was directly associated with body mass index in both sexes. Likewise, age was positively related to the active time of women. Quality of life was directly associated with active time and body mass index was inversely related to active time. This study shows the importance of active time during work and cooperative learning in individuals with intellectual disabilities, as it is associated with an improvement in the quality of life and a reduction in the problems of sedentarism, overweight, and obesity.

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