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- W2144671504 abstract "Organ transplantation requires potent antirejection medication that often results in significant weight gain [ [1] El-Agroudy A.E. Wafa E.W. Gheith O.E. et al. Weight gain after renal transplantation is a risk factor for patient and graft outcome. Transplantation. 2004; 77: 1381-1385 Crossref PubMed Scopus (118) Google Scholar ]. Evidence has shown that morbidly obese patients who undergo organ transplantation have significantly worse patient and graft survival compared with morbidly obese patients without transplantation [ [2] Meier-Kriesche H.U. Arndorfer J.A. Kaplan B. The impact of body mass index on renal transplant outcomes: a significant independent risk factor for graft failure and patient death. Transplantation. 2002; 73: 70-74 Crossref PubMed Scopus (463) Google Scholar ]. Permanent weight reduction in transplanted morbidly obese patients is expected to cure/improve associated diseases and reduce the risk factors for patient and graft survival. The nonoperative treatment of severe obesity rarely achieves permanent weight reduction [ [3] Livingston E.H. Obesity and its surgical management. Am J Surg. 2002; 184: 103-113 Abstract Full Text Full Text PDF PubMed Scopus (143) Google Scholar ]. Bariatric surgery should be considered even in transplant patients with multiple risk factors, when the long-term benefits of weight reduction are greater than the perioperative risk. Bariatric surgery has been previously reported for severe obesity after organ transplantation [ 4 Tichansky D.S. Madan A.K. Laparoscopic Roux-en-Y gastric bypass is safe and feasible after orthotopic liver transplantation. Obes Surg. 2005; 15: 1481-1486 Crossref PubMed Scopus (59) Google Scholar , 5 Alexander J.W. Goodman H.R. Gersin K. et al. Gastric bypass in morbidly obese patients with chronic renal failure and kidney transplant. Transplantation. 2004; 78: 469-474 Crossref PubMed Scopus (84) Google Scholar ], including laparoscopic gastric banding after heart transplantation [ [6] Ablassmaier B. Klaua S. Jacobi C.A. Muller J.M. Laparoscopic gastric banding after heart transplantation. Obes Surg. 2002; 12: 412-415 Crossref PubMed Scopus (19) Google Scholar ]. We report the world's first laparoscopic gastric bypass after heart transplantation." @default.
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- W2144671504 date "2008-09-01" @default.
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- W2144671504 title "Laparoscopic gastric bypass after cardiac transplantation" @default.
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- W2144671504 doi "https://doi.org/10.1016/j.soard.2008.03.247" @default.
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