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conferenceseries.com
Volume 3, Issue 3 (Suppl) J Kidney, an open access journal
ISSN:2472-1220 Kidney & Nephrology 2017
August 28-30, 2017
August 28-30, 2017 Philadelphia, USA
15th Annual Congress on
Kidney: Nephrology & Therapeutics
Bariatric surgery for obese live kidney donors: An analysis of risks and benefits
Jorge Ortiz
University of Toledo, USA
Background &Aim: Obesity can be a barrier to live donor selection and there are reports of obese live kidney donors (OLKDs)
undergoing bariatric surgery prior to donation. While this practice has potential promise, the risks associated with it are
unclear. Thus, our aim was to evaluate the advantages and disadvantages of this practice.
Design: Risks and benefits were ascertained from the literature. Analysis of costs and benefits was performed to provide
objective data for each scenario.
Results: Live kidney donation is associated with superior outcomes compared to deceased donation. However, live donors are
at risk of complications that could be exacerbated by obesity. Higher donor body mass index (BMI) has been associated with
inferior recipient outcomes. Bariatric surgery (BS) results in decreased mortality and can induce sustained weight loss. Our
cost-benefit analysis revealed a benefit-to-cost ratio of 3.64 for BS prior to live donation by OLKDs. We found ratios of 3.19
and 0.97 for live donation with an obese donor and a deceased donor, respectively.
Conclusions: Our results suggest that BS for an OLKD has the potential to increase the number of live donors and improve
outcomes. However, more data is required; thus we recommend a registry of patients who have undergone both procedures.
Biography
Jorge Ortiz has completed his Residency in General Surgery at North Shore University Hospital. He did his Fellowship at the University of Miami Jackson Memorial
Hospital. He is currently an Associate Professor of Surgery at the University of Toledo, College of Medicine and Life Sciences. He has published dozens of papers
in reputed journals.
Jorge Ortiz, J Kidney 2017, 3:3 (Suppl)
DOI: 10.4172/2472-1220-C1-002