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Pancreas transplantation after bariatric surgery
Author(s) -
Porubsky Marian,
Powelson John A.,
Selzer Don J.,
Mujtaba Muhammad A.,
Taber Tim,
Carnes Katerine L.,
Fridell Jonathan A.
Publication year - 2011
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1111/j.1399-0012.2011.01559.x
Subject(s) - medicine , weight loss , pancreas transplantation , surgery , perioperative , transplantation , gastric bypass , adjustable gastric band , population , weight loss surgery , obesity , morbidly obese , general surgery , kidney transplantation , environmental health
Porubsky M, Powelson JA, Selzer DJ, Mujtaba MA, Taber T, Carnes KL, Fridell JA. Pancreas transplantation after bariatric surgery.
Clin Transplant 2012: 26: E1–E6.
© 2011 John Wiley & Sons A/S. Abstract: Obese transplant candidates are at increased risk for perioperative and postoperative complications. In many transplant programs, morbid obesity is considered to be an exclusion criterion for transplantation. The only potential option that would grant these patients access to transplant is weight loss. Non‐operative weight loss strategies such as behavioral modifications, exercise, diet, or medication have only very limited success in achieving long‐term weight loss. In contrast, bariatric surgery was shown to achieve not only more excessive weight loss, but more importantly, this weight loss can be sustained for longer periods of time. Therefore, bariatric surgery presents an attractive option for weight loss for morbidly obese transplant candidates. We report our experience with four patients who underwent bariatric surgery prior to successful pancreas transplantation. Even though gastric bypass and laparoscopic adjustable gastric band present as equivalent alternatives for weight reduction, we believe that in the population of morbidly obese diabetic patients who are possible candidates for pancreas transplantation, laparoscopic adjustable gastric band placement is the more suitable procedure.