Successful Laparoscopic Bariatric Surgery in Peritoneal Dialysis Patients Without Interruption of Their CKD6 Treatment Modality
Gaetano A. Valle, Brian E. Kissane, Nestor de la Cruz-Muñoz
- Patients on peritoneal dialysis with severe obesity often face a frustrating situation of being denied both transplant and weight loss surgery. This study proved bariatric surgery can be safely performed without interrupting dialysis.
- Dr. de la Cruz-Muñoz developed specific technique modifications to protect the dialysis catheter and peritoneal membrane during surgery.
- All patients successfully resumed peritoneal dialysis after surgery without complications or needing to switch to hemodialysis.
- This study is part of a two-paper series on bariatric surgery in patients with advanced kidney disease, complementing a 2018 study on gastric bypass as a bridge to transplant.
- Very few bariatric surgeons have published experience with peritoneal dialysis patients, demonstrating recognition across medical specialties.
- For patients on dialysis struggling with obesity, this study provides evidence that weight loss surgery is a safe option.
This study published in Advances in Peritoneal Dialysis demonstrated that laparoscopic bariatric surgery can be safely performed in patients on peritoneal dialysis for end-stage renal disease without interrupting their dialysis treatment modality. This case series described surgical technique modifications and outcomes in patients who underwent laparoscopic bariatric surgery, demonstrating that the procedure can be performed safely with patients resuming peritoneal dialysis postoperatively without complications. Dr. de la Cruz-Muñoz is the senior author and performed the bariatric surgical procedures.
Valle GA, Kissane BE, de la Cruz-Muñoz N. Successful Laparoscopic Bariatric Surgery in Peritoneal Dialysis Patients Without Interruption of Their CKD6 Treatment Modality. Advances in Peritoneal Dialysis. 2012;28:134-139. PMID: 23311230.
