tailieunhanh - Báo cáo y học: " Laparoscopic adjustable gastric band in an obese unrelated living donor prior to kidney transplantation: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Laparoscopic adjustable gastric band in an obese unrelated living donor prior to kidney transplantation: a case report | Koshy et al. Journal of Medical Case Reports 2010 4 107 http content 4 1 107 CASE REPORTS CASE REPORT Open Access Laparoscopic adjustable gastric band in an obese unrelated living donor prior to kidney transplantation a case report Anoop N Koshy1 Stephen Wilkinson2 Jeffs Coombes3 and Robert G Fassett 3 4 5 Abstract Introduction Obese living donors who undergo donor nephrectomy have higher rates of intra-operative and postoperative complications. Many centres exclude obese donors from living donor transplant programs. Diet exercise and medication are often ineffective weight loss interventions for donors hence bariatric surgery should be considered. Case presentation We report the case of a 53-year-old Caucasian woman who underwent laparoscopically adjustable gastric banding. The procedure enabled her to lose sufficient weight to gain eligibility for kidney donation. After losing weight she had an uncomplicated laparoscopic donor nephrectomy surgery and the recipient underwent successful kidney transplantation. Conclusion Laparoscopically adjustable gastric banding should be considered for obese potential living kidney donors whenever transplantation units restrict access to donor nephrectomy based on the increased surgical risk for donors. Introduction Obese living donors are often excluded from surgery because of the associated increased risk of local wound complications and blood loss 1 2 . Consequently obese patients are categorized as high-risk and hence excluded from donor nephrectomy surgery by many centers even though equivalent mortality non-wound related complications and recipient renal outcomes have been recorded across different body mass index BMI groups 3 4 . Laparoscopic adjustable gastric banding LAGB surgery involves the placement of a silicone band around the proximal part of the stomach through laparoscopy which reduces the volume of food that a patient can ingest. Many obese patients are unable to .

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