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Bariatric surgery and renal function: a precarious balance between benefit and harm.

Abstract

Medical treatment of obesity and lifestyle modification have limited effectiveness in treating it in morbidly obese individuals. Importantly, bariatric surgery is regarded as the only therapy that is effective in maintaining significant weight loss in morbidly obese individuals. Despite the fact that bariatric surgery-induced weight loss is associated with a significant decrease in morbidity and mortality and improvement in renal function, bariatric surgery has recently been shown to be associated with a significant risk of nephrolithiasis. The main risk factor for nephrolithiasis is increased excretion of urinary oxalate. In this review, we discuss the association between bariatric surgery, an increased risk of renal stone formation and oxalate nephropathy.

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  • Authors+Show Affiliations

    ,

    Chemical Pathology Department, Southampton University Hospitals NHS Trust, Southampton, UK.

    Source

    MeSH

    Adiponectin
    Bariatric Surgery
    Calcium Oxalate
    Humans
    Hyperoxaluria
    Interleukin-18
    Kidney
    Kidney Calculi
    Obesity, Morbid

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    20566568

    Citation

    Ahmed, Mohamed H., and Christopher D. Byrne. "Bariatric Surgery and Renal Function: a Precarious Balance Between Benefit and Harm." Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association, vol. 25, no. 10, 2010, pp. 3142-7.
    Ahmed MH, Byrne CD. Bariatric surgery and renal function: a precarious balance between benefit and harm. Nephrol Dial Transplant. 2010;25(10):3142-7.
    Ahmed, M. H., & Byrne, C. D. (2010). Bariatric surgery and renal function: a precarious balance between benefit and harm. Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association, 25(10), pp. 3142-7. doi:10.1093/ndt/gfq347.
    Ahmed MH, Byrne CD. Bariatric Surgery and Renal Function: a Precarious Balance Between Benefit and Harm. Nephrol Dial Transplant. 2010;25(10):3142-7. PubMed PMID: 20566568.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Bariatric surgery and renal function: a precarious balance between benefit and harm. AU - Ahmed,Mohamed H, AU - Byrne,Christopher D, Y1 - 2010/06/21/ PY - 2010/6/23/entrez PY - 2010/6/23/pubmed PY - 2011/1/14/medline SP - 3142 EP - 7 JF - Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association JO - Nephrol. Dial. Transplant. VL - 25 IS - 10 N2 - Medical treatment of obesity and lifestyle modification have limited effectiveness in treating it in morbidly obese individuals. Importantly, bariatric surgery is regarded as the only therapy that is effective in maintaining significant weight loss in morbidly obese individuals. Despite the fact that bariatric surgery-induced weight loss is associated with a significant decrease in morbidity and mortality and improvement in renal function, bariatric surgery has recently been shown to be associated with a significant risk of nephrolithiasis. The main risk factor for nephrolithiasis is increased excretion of urinary oxalate. In this review, we discuss the association between bariatric surgery, an increased risk of renal stone formation and oxalate nephropathy. SN - 1460-2385 UR - https://www.unboundmedicine.com/medline/citation/20566568/Bariatric_surgery_and_renal_function:_a_precarious_balance_between_benefit_and_harm_ L2 - https://academic.oup.com/ndt/article-lookup/doi/10.1093/ndt/gfq347 DB - PRIME DP - Unbound Medicine ER -