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Side  effects

Obese patients with chronic kidney disease who receive bariatric surgery succeed in losing weight; however, the risk for side effects and surgical complications is high according to a new study, Kidney Week 2013: the American Society of Nephrology in its 46th Annual Meeting.

The most common side effects were acute kidney injury, occurring in 4% of patients, followed by leak (3%), acidosis and high potassium (3%), postoperative chest infection (3%), vitamin B12 or iron deficiency (3%), fistula or graft.

Reasons for kidney removal may include:

  • A damaged kidney
  • A kidney that no longer functions properly
  • Kidney Cancer
  • Kidney donation

Impairment of the excretory function of the kidney results in an elevation in levels of blood urea nitrogen (BUN), creatinine, and various proteins metabolic products. Impairment in the kidney function results in a decrease in the production of erythropoietin (causing anemia) and active vitamin D-3, causing hypocalcemia, platelet dysfunction (promoting bleeding).

At OCC, our surgical team performs a complete physical history, full blood panel including metabolic and kidney function test to all surgical candidates in order to evaluate their medical risk factors. The great technique, state of the art laparoscopic surgery and safe anesthesia, helps our patients to recover fast and prevent medical complications, specially in chronic kidney disease patients.

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OCC’s epidemiologist is closely monitoring the COVID-19 status and is actively issuing updates as they are available. The Centers for Disease Control and the World Health Organization are the most trusted sources online.  While the CDC has announced new mask protocols for vaccinated individuals, there will be no changes for our office protocols for patients, guests, and staff members as the announcement does not apply to hospitals or medical facilities. Masks are still a requirement for all patients, guests and staff at our facility.

As we reinitiate weight loss surgery, we are constantly adapting and installing new and updated safety measures.

Weight loss surgery is medically necessary.

Bariatric Surgery and the clash of two pandemics.   

Major metabolic and bariatric surgery Societies and colleges globally are now calling for the safe resumption of bariatric and metabolic surgery before the COVID-19 pandemic is declared over. 

The sooner bariatric surgery can be safely performed, the quicker obesity, type 2 diabetes, and other diseases can be reduced or resolved as they are not only chronic they are also progressive.  Obesity is also linked to more than 40 diseases including type 2 diabetes, hypertension, heart disease, stroke, sleep apnea, osteoarthritis, and at least 13 different types of cancer.

A recent statement from the ASMBS says “Before COVID-19 began, it was clear that patients with obesity were ‘safer through surgery.’ In the era of COVID-19, ‘safer through surgery’ for patients with obesity may prove to be even more important than before.” Obesity and Metabolic syndrome have been identified as an independent risk factor for adverse outcomes including death among COVID-19 patients.

See here for full COVID-19 update. 

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