Safety and efficacy of laparoscopic sleeve gastrectomy post simultaneous kidney and pancreas transplant.

Abstract

Few reports in the literature explore the efficacy of bariatric surgery in patients post simultaneous kidney and pancreas transplant (SKPT). This case report entails a patient who had SKPT because of end-stage renal disease and type I diabetes. The transplant failed, and the patient gained weight. The report explains the approach and the outcome of laparoscopic sleeve gastrectomy in this patient as a preparation for a re-transplant. The patient was having grade 2 obesity, insulin-dependent, on hemodialysis, and had obstructive sleep apnea on bilevel positive airway pressure. A multidisciplinary team approach was implemented, and the procedure was completed with no immediate postoperative complications. The patient lost ~10 kg and was able to stop insulin.