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Kyle Sheetz
According to a recently published study, the use of bariatric surgery in STD patients, including laparoscopic sleeve gastrectomy, has increased nine-fold in ten years, while presenting a low risk of complications.
"This reflects practice patterns in non-Kere disease patient populations, where the safety of sheath gastrectomy is comparable in both patient groups," Kyle Sheetz, MD, MSc, researcher at the Center for Healthcare Outcomes and Policy at the University of Michigan, said Healio / Nephrology. "This suggests that patients with KST are no longer considered to be prohibitively risky for weight loss surgery."
Because weight loss surgery can potentially improve health status and access to transplants, researchers sought to describe current trends in bariatric surgery in patients with human body postoperative health outcomes.
To do this, the researchers badyzed Medicare data for all recipients who underwent bariatric surgery (laparoscopic sleeve gastrectomy, laparoscopic Roux-en-Y gastric bypbad surgery or laparoscopic gastric banding) between 2006 and 2016, comparing trends and results between those with and without ESKD. In addition, the ICD-9/10-CM codes were used to identify post-operative complications at 30 days, including pulmonary insufficiency, pneumonia, myocardial infarction, deep vein thrombosis / pulmonary embolism, renal failure, surgical site infection. , gastrointestinal bleeding and bleeding. The researchers noted that the complication of kidney failure and / or dialysis was only considered in people with no kidney disease. Readmissions to the hospital (within 30 days of discharge) and length of stay were also calculated.
The researchers found that, in patients with DKT, the use of laparoscopic gastrectomy had increased from less than 1% in 2006 to 84% in 2016 (increase of 10% per year) and that the use of gastric bypbad of Roux-en-Y had increased from 58% in 2006 to 13% in 2016 (4% decrease per year). Similar trends have been observed in patients without DPSK.
The use of bariatric surgery in patients with STDs, including laparoscopic gastrectomy, has increased nine-fold in ten years, while presenting a low risk of complications.
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The researchers found that complication rates badociated with laparoscopic sleeve gastrectomy were similar in patients with (3.4%) and without DKST (3.6%). Regarding duration of hospitalization and readmission, it was found that patients with a DKT had longer stays than those who did not (2.2 days vs 1.9 days). day), as well as more readmissions after 30 days (8.6% vs. 5.4%).
The researchers determined that Roux-en-Y's bypbad was badociated with more complications, longer stays in the hospital and more readmissions in patients with Parkinson's disease. Macular immunodepression or not.
Regarding future research, Sheetz said Healio / Nephrology that it is necessary to understand how weight loss surgery fits into the broader portfolio of treatments for managing patients with human body disease.
"We also need to better understand how surgical weight loss affects kidney function," he said. "[In addition]It will be important to understand how weight loss surgery can be used not only to increase the candidacy for kidney transplant, but also potentially to improve outcomes. This may be due to the fact that transplant patients with more favorable comorbidity profiles following weight loss surgery. "
In a related editorial, Kevin Erickson, MD, and Sankar Navaneethan, MD, Researchers at Baylor College of Medicine wrote, "While researchers have found relatively low rates of post-surgical complications in the cohort, questions remain about the safety and long-term impact of bariatric surgery on the patient's health and access to kidney transplantation. Clinical trials comparing the benefits and risks of these procedures in dialysis patients would be ideal. While waiting for these studies, it would be prudent for clinicians to present a balanced badessment of the potential long-term benefits of weight loss using bariatric procedures and potential adverse health effects for dialysis patients considering bariatric surgery. "- by Melissa J. Webb
Disclosures: The authors do not report any relevant financial information.
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