The impact of pre-transplant obesity on renal transplant outcomes.

摘要: The impact of obesity on graft survival after renal transplantation continues to be controversial. We have reviewed our experiences with living donor and cadaver in the current decade, focusing specifically transplant outcome. Preoperative body mass index (BMI, kg/m2) was calculated for all adult recipients between January 1990 December 1995 used classify patients as non-obese, moderately obese or morbidly obese. effect degree early late outcomes examined. Three hundred thirty-three had pre-transplant BMI < 30 (normal mild obesity), 68 30-40 (moderate 7 over 40 (morbid obesity). There no correlation other demographic factors. Wound infections delayed function occurred more commonly than recipients. Obese gained weight surgery were given lower doses per kilogram cyclosporine. was, however, significant either transplants. Although an increased risk transplantation, has discernible immunologic overall transplantation. moderate outcome is modest should not prevent these from receiving a transplant.