Premium
Obesity, transplantation, and bariatric surgery: An evolving solution for a growing epidemic
Author(s) -
Diwan Tayyab S.,
Lee Tiffany C.,
Nagai Shunji,
Benedetti Enrico,
Posselt Andrew,
Bumgardner Ginny,
Noria Sabrena,
Whitson Bryan A.,
Ratner Lloyd,
Mason David,
Friedman Jon,
Woodside Kenneth J.,
Heimbach Julie
Publication year - 2020
Publication title -
american journal of transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.89
H-Index - 188
eISSN - 1600-6143
pISSN - 1600-6135
DOI - 10.1111/ajt.15784
Subject(s) - medicine , candidacy , perioperative , obesity , population , intensive care medicine , organ transplantation , transplantation , united network for organ sharing , disease , surgery , liver transplantation , environmental health , politics , political science , law
The increasing obesity epidemic has major implications in the realm of transplantation. Patients with obesity face barriers in access to transplant and unique challenges in perioperative and postoperative outcomes. Because of comorbidities associated with obesity, along with the underlying end‐stage organ disease leading to transplant candidacy, these patients may not even be referred for transplant evaluation, much less be waitlisted or actually undergo transplant. However, the use of bariatric surgery in this population can help optimize the transplant candidacy of patients with obesity and end‐stage organ disease and improve perioperative and postoperative outcomes. We review the impact of obesity on kidney, liver, and cardiothoracic transplant candidates and recipients and explore potential interventions to address obesity in these populations.