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    Wyświetlanie 1-3 z 3
    Tytuł:
    Bariatric surgery in morbidly obese patients with chronic renal failure, prepared for kidney transplantation – case reports
    Autorzy:
    Proczko, Monika
    Kaska, Łukasz
    Kobiela, Jarek
    Stefaniak, Tomasz
    Zadrożny, Dariusz
    Śledziński, Zbigniew
    Powiązania:
    https://bibliotekanauki.pl/articles/1396227.pdf
    Data publikacji:
    2013-07-01
    Wydawca:
    Index Copernicus International
    Tematy:
    chronic kidney disease
    kidney transplant
    morbid obesity
    Roux-en-Y gastric by-pass (RYGB)
    Opis:
    Recent years, obesity is a growing health problem also in patients with chronic renal failure and end it’s end stage. This situation has a negative impact both on the extension of the waiting period for transplantation, and the survival rate of the transplanted organ and the recipient. Weight loss through lifestyle modification before transplantation is ambiguous. Its well known fact of rapid body mass gain after transplantation, and finnaly the results of transplantation are not better than those of patients who have not reduced body weight. The paper presents preliminary experience associated with bariatric operations of three chronic dialysed patients with morbid obesity BMI> 35 kg/m2, all patients had been treated by Roux-en-Y gastric by-pass (RYGB). All operated patients were classified as potential recipients were listed by Poltransplant. One of them three months after RYGB surgery underwent without complications a renal transplantation. Preliminary experiences based on operating these three caese confirmed the complete safety of this type of approach in patients with end-stage chronic kidney disease (CKD).
    Źródło:
    Polish Journal of Surgery; 2013, 85, 7; 407-411
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Serum Cystatin C in Relation to Fat Mass Loss After Bariatric Surgery
    Autorzy:
    Śledziński, Tomasz
    Proczko-Markuszewska, Monika
    Kaska, Łukasz
    Stefaniak, Tomasz
    Świerczyński, Julian
    Powiązania:
    https://bibliotekanauki.pl/articles/1396727.pdf
    Data publikacji:
    2012-04-01
    Wydawca:
    Index Copernicus International
    Tematy:
    bariatric surgery
    cystatin C
    fat mass
    obesity
    weight loss
    Opis:
    Serum cystatin C concentration, generally accepted as renal function marker, is associated with cardiovascular risk and metabolic syndrome. Recent studies indicate that cystatin C increases in human obesity and that adipose tissue contributes to enhanced serum cystatin C concentration in obese subjects.The aim of the study was to assess whether a reduction in body and fat mass after bariatric surgery has any impact on serum cystatin C concentrations.Material and methods. Serum from 27 obese patients were tested before and 6 months after bariatric surgery. Twenty healthy subjects with normal body weight served as controls. Serum cystatin C concentrations were assayed by ELISA.Results. Serum cystatin C concentrations were significantly higher in obese patients compared with non-obese subjects. Decrease of body and fat mass after bariatric surgery resulted in improvement of several parameters associated with cardiovascular risk and metabolic syndrome, like serum lipids, blood pressure and insulin sensitivity. Surprisingly the mean postoperative serum cystatin C concentration was not significantly different from that before surgery. Serum creatinine and GFR also remained unchanged.Conclusion. The results presented here suggest that serum cystatin C concentration is not tightly associated with body and fat mass loss in obese patients after bariatric surgery.
    Źródło:
    Polish Journal of Surgery; 2012, 84, 4; 202-207
    0032-373X
    2299-2847
    Pojawia się w:
    Polish Journal of Surgery
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Obesity in work-up of kidney transplant candidates – review of clinical practice guidelines
    Autorzy:
    Dobrzycka, Małgorzata
    Spychalski, Piotr
    Łącka, Monika
    Proczko-Stepaniak, Monika
    Dębska-Ślizień, Alicja
    Kaska, Łukasz
    Kobiela, Jarosław
    Powiązania:
    https://bibliotekanauki.pl/articles/1196784.pdf
    Data publikacji:
    2020-11-16
    Wydawca:
    Gdański Uniwersytet Medyczny
    Tematy:
    obesity
    end-stage kidney disease
    bariatric surgery
    Opis:
    Background: Incidence of morbid obesity is rising worldwide. Current clinical practice guidelines for the pre-transplant evaluation of end-stage kidney disease (ESKD) patients lack clear recommendations on morbid obesity. Material and methods: The aim of this review was to summarize the current guidelines on the role and treatment of obesity in kidney transplant recipients. Eight current national and international clinical practice guidelines were identified in a comprehensive literature search. Results: All guidelines underline early detection of obesity and obesity-related comorbidities in ESKD patients. Only two guidelines explored the role of weight-loss surgery, however due to the lack of sufficient evidence no formal recommendation of surgical procedure was given. Conclusions: Diagnosis and treatment of obesity remains underappreciated in the current guidelines, most of which do not include pharmacological and surgical interventions. High-quality evidence is warranted to assess the role of weight-loss including surgery in ESKD patients and to update the recommendations in future guidelines.
    Źródło:
    European Journal of Translational and Clinical Medicine; 2020, 3, 2; 72-79
    2657-3148
    2657-3156
    Pojawia się w:
    European Journal of Translational and Clinical Medicine
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-3 z 3

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