Pancreas transplantation after bariatric surgery

Marian Porubsky, John A. Powelson, Don Selzer, Muhammad A. Mujtaba, Tim Taber, Katerine L. Carnes, Jonathan A. Fridell

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Obese transplant candidates are at increased risk for perioperative and postoperative complications. In many transplant programs, morbid obesity is considered to be an exclusion criterion for transplantation. The only potential option that would grant these patients access to transplant is weight loss. Non-operative weight loss strategies such as behavioral modifications, exercise, diet, or medication have only very limited success in achieving long-term weight loss. In contrast, bariatric surgery was shown to achieve not only more excessive weight loss, but more importantly, this weight loss can be sustained for longer periods of time. Therefore, bariatric surgery presents an attractive option for weight loss for morbidly obese transplant candidates. We report our experience with four patients who underwent bariatric surgery prior to successful pancreas transplantation. Even though gastric bypass and laparoscopic adjustable gastric band present as equivalent alternatives for weight reduction, we believe that in the population of morbidly obese diabetic patients who are possible candidates for pancreas transplantation, laparoscopic adjustable gastric band placement is the more suitable procedure.

Original languageEnglish
JournalClinical Transplantation
Volume26
Issue number1
DOIs
StatePublished - Jan 2012

Fingerprint

Pancreas Transplantation
Bariatric Surgery
Weight Loss
Transplants
Stomach
Diet Therapy
Gastric Bypass
Morbid Obesity
Transplantation
Exercise
Population

Keywords

  • Bariatric surgery
  • Morbid obesity
  • Pancreas transplantation

ASJC Scopus subject areas

  • Transplantation

Cite this

Porubsky, M., Powelson, J. A., Selzer, D., Mujtaba, M. A., Taber, T., Carnes, K. L., & Fridell, J. A. (2012). Pancreas transplantation after bariatric surgery. Clinical Transplantation, 26(1). https://doi.org/10.1111/j.1399-0012.2011.01559.x

Pancreas transplantation after bariatric surgery. / Porubsky, Marian; Powelson, John A.; Selzer, Don; Mujtaba, Muhammad A.; Taber, Tim; Carnes, Katerine L.; Fridell, Jonathan A.

In: Clinical Transplantation, Vol. 26, No. 1, 01.2012.

Research output: Contribution to journalArticle

Porubsky, Marian ; Powelson, John A. ; Selzer, Don ; Mujtaba, Muhammad A. ; Taber, Tim ; Carnes, Katerine L. ; Fridell, Jonathan A. / Pancreas transplantation after bariatric surgery. In: Clinical Transplantation. 2012 ; Vol. 26, No. 1.
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