Reversibility of oxalate nephropathy in a kidney transplant recipient with prior gastric bypass surgery | Zendy

Christian Goul Sørensen | Zendy; Christian Lodberg Hvas | Zendy; I.M. Thomsen | Zendy; Bente Jespersen | Zendy

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Reversibility of oxalate nephropathy in a kidney transplant recipient with prior gastric bypass surgery

Author(s) -

Christian Goul Sørensen,

Christian Lodberg Hvas,

I.M. Thomsen,

Bente Jespersen

Publication year - 2020

Publication title -

clinical kidney journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.033

H-Index - 40

eISSN - 2048-8513

pISSN - 2048-8505

DOI - 10.1093/ckj/sfaa254

Subject(s) - medicine , dialysis , nephropathy , oxalate , calcium oxalate , kidney , renal function , gastric bypass surgery , surgery , hemodialysis , transplantation , urology , kidney transplantation , kidney stones , peritoneal dialysis , gastroenterology , obesity , gastric bypass , diabetes mellitus , endocrinology , weight loss , calcium , chemistry , organic chemistry

Bariatric surgery is an acknowledged treatment for obesity and related comorbidities with beneficial effects on kidney function. However, bariatric surgery can also lead to secondary hyperoxaluria and oxalate nephropathy, resulting in end-stage kidney disease in both native and transplanted kidneys. We present a 66-year-old man who was in need of dialysis 3 months after kidney transplantation due to recurrent oxalate nephropathy. Intensified haemodialysis together with increased liquid intake, dietary restrictions of oxalate and fat and supplementation with calcium citrate and a bile acid binder were applied. Graft function improved and the patient did not require dialysis during the following 8 months.

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