Bariatric Surgery Outcomes in Patients with Previous Organ Transplant: Scoping Review and Analysis of the MBSAQIP

Background Obesity is a major risk factor for transplant. Laparoscopic bariatric surgery (LBS) offers transplant patient benefits including improved comorbidities, graft function, and longevity. We completed a scoping review and analyzed the Metabolic and Bariatric Surgery Accreditation and Quality...

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Bibliographic Details
Published in:Obesity surgery 2021-02, Vol.31 (2), p.508-516
Main Authors: Verhoeff, Kevin, Dang, Jerry T., Modasi, Aryan, Switzer, Noah, Birch, Daniel W., Karmali, Shahzeer
Format: Article
Language:English
Subjects:
Accreditation
Bariatric Surgery - adverse effects
Gastrectomy - adverse effects
Gastric Bypass - adverse effects
Gastrointestinal surgery
Humans
Laparoscopy
Medicine
Medicine & Public Health
Obesity, Morbid - surgery
Organ Transplantation
Original Contributions
Postoperative Complications - epidemiology
Quality Improvement
Surgery
Treatment Outcome
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Summary:Background Obesity is a major risk factor for transplant. Laparoscopic bariatric surgery (LBS) offers transplant patient benefits including improved comorbidities, graft function, and longevity. We completed a scoping review and analyzed the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) to determine the risk-benefit profile of LBS after transplant. We also compared laparoscopic sleeve gastrectomy (LSG) to laparoscopic Roux-en-Y gastric bypass (LRYGB) following transplant. Methods Univariate analysis determined between group differences with subgroup analysis comparing LSG versus LRYGB in transplant patients. Multivariable analysis assessed whether prior transplant was independently associated with major complications or mortality. Results A total of 469 (0.1%) patients had previous transplant and had more comorbidities and more often underwent LSG. Operative time (93.9 min vs 83 min, p  
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-020-05042-w