Bariatric surgery and progression of chronic kidney disease

作者: Sankar D. Navaneethan , Hans Yehnert

DOI: 10.1016/J.SOARD.2009.01.006

关键词:

摘要: Abstract Background Obesity is an independent predictor for the development and progression of chronic kidney disease (CKD). The effect weight reduction on in patients with pre-existing CKD unclear. Methods We conducted a retrospective study at U.S. university hospital stage 3 (glomerular filtration rate [GFR] 30–59 mL/min/1.73 m 2 ) who had undergone bariatric surgery. renal function included was recorded 2-year period after surgery to analyze loss or improvement function. estimated GFR calculated using Modification Diet Renal Disease 4-variable formula. Patients developed acute failure postoperative were excluded. Results A total 25 included. Their average body mass index 49.8 kg/m , mean 47.9 serum creatinine 1.4 mg/dL. decreased 38.4 (paired t test, P ( Conclusion might improve Larger long-term studies are warranted further proteinuria hard end-points such as end-stage disease.

参考文章(23)
S. B. Solerte, M. Fioravanti, N. Schifino, E. Ferrari, Effects of diet-therapy on urinary protein excretion albuminuria and renal haemodynamic function in obese diabetic patients with overt nephropathy International Journal of Obesity. ,vol. 13, pp. 203- 211 ,(1989)
Rebecca P. Gelber, Tobias Kurth, Annamaria T. Kausz, JoAnn E. Manson, Julie E. Buring, Andrew S. Levey, J. Michael Gaziano, Association between body mass index and CKD in apparently healthy men. American Journal of Kidney Diseases. ,vol. 46, pp. 871- 880 ,(2005) , 10.1053/J.AJKD.2005.08.015
H. SUGERMAN, A. WINDSOR, M. BESSOS, L. WOLFE, Intra‐abdominal pressure, sagittal abdominal diameter and obesity comorbidity Journal of Internal Medicine. ,vol. 241, pp. 71- 79 ,(1997) , 10.1046/J.1365-2796.1997.89104000.X
Caroline S Fox, Martin G Larson, Eric P Leip, Bruce Culleton, Peter WF Wilson, Daniel Levy, Predictors of New-Onset Kidney Disease in a Community-Based Population JAMA. ,vol. 291, pp. 844- 850 ,(2004) , 10.1001/JAMA.291.7.844
J. Wesley Alexander, Hope R. Goodman, Lisa R. Martin Hawver, Michael A. Cardi, Improvement and stabilization of chronic kidney disease after gastric bypass Surgery for Obesity and Related Diseases. ,vol. 5, pp. 237- 241 ,(2009) , 10.1016/J.SOARD.2008.08.016
Enrique Morales, MaAngeles Valero, Miguel León, Eduardo Hernández, Manuel Praga, Beneficial effects of weight loss in overweight patients with chronic proteinuric nephropathies. American Journal of Kidney Diseases. ,vol. 41, pp. 319- 327 ,(2003) , 10.1053/AJKD.2003.50039
James M. Doty, Bob H. Saggi, Harvey J. Sugerman, Charles R. Blocher, Richard Pin, Itaf Fakhry, Todd W. B. Gehr, Domenic A. Sica, Effect of increased renal venous pressure on renal function. Journal of Trauma-injury Infection and Critical Care. ,vol. 47, pp. 1000- 1003 ,(1999) , 10.1097/00005373-199912000-00002
Geoffrey L. Bloomfield, Charles R. Blocher, Itaf F. Fakhry, Domenic A. Sica, Harvey J. Sugerman, Elevated intra-abdominal pressure increases plasma renin activity and aldosterone levels. Journal of Trauma-injury Infection and Critical Care. ,vol. 42, pp. 997- 1005 ,(1997) , 10.1097/00005373-199706000-00002
Josef Coresh, Elizabeth Selvin, Lesley A Stevens, Jane Manzi, John W Kusek, Paul Eggers, Frederick Van Lente, Andrew S Levey, None, Prevalence of Chronic Kidney Disease in the United States JAMA. ,vol. 298, pp. 2038- 2047 ,(2007) , 10.1001/JAMA.298.17.2038
John E. Hall, Errol D. Crook, Daniel W. Jones, Marion R. Wofford, Patricia M. Dubbert, Mechanisms of Obesity-Associated Cardiovascular and Renal Disease The American Journal of the Medical Sciences. ,vol. 324, pp. 127- 137 ,(2002) , 10.1097/00000441-200209000-00003