11th congress of the french speaking society of transplantationKidney transplantation: OutcomesOutcomes of Renal Transplantation in Obese Recipients
Section snippets
Patients and Methods
We performed a retrospective study of 200 of 202 kidney transplantations performed in our center from January 2004 to December 2008, excluding two combined kidney and liver cases. All transplantations were performed by one four experienced staff surgeons, using standard techniques. Kidneys were placed either in the right or left iliac fossa via an extraperitoneal approach. A U-stich ureteroneocystostomy was performed in all cases9, 10 with double-J stents removed 2 months later. Transurethral
Results
Overall, recipient mean age was 47.1 years (range, 18.4 to 75.2 years; Table 1). There was a majority of men (67% versus 33%). Twenty-one (10.5%) recipients were obese (BMI ≥ 30kg/m2); (OP group) and 179, obese (NOP group). Among the patients, 11 (52.4%) presented as type I obesity (BMI 30 to 34.9 kg/m2), eight (38%) as type II obesity (BMI 35 to 39.9 kg/m2), and two (9.6%) as type III obesity (BMI ≥ 40kg/m2). The majority of recipients showed one or several comorbidities such as hypertension
Discussion
We observed that despite significantly greater pretransplantation comorbodities, renal transplantations in obese patients were not associated with higher rates of surgical complications or inferior and graft survivals as nonobese patients. Obese patients in our cohort, were more often older and diabetic. Obesity, which is responsible for the development of insulin-resistance, is a contributing factor for the appearance of diabetes mellitus. Obesity is a risk factor for the development and
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