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Review
. 2020 May;33(3):279-285.
doi: 10.1111/sdi.12876. Epub 2020 Apr 10.

Impact of obesity on dialysis and transplant and its management

Tayyab S Diwan  1 , Madison C Cuffy  1 , Ivan Linares-Cervantes  1 , Amit Govil  2
Affiliations
Review

Impact of obesity on dialysis and transplant and its management

Tayyab S Diwan et al. Semin Dial. 2020 May.

Abstract

Obesity is increasing to unprecedented levels, including in the end-stage kidney disease population, where upwards of 60% of kidney transplant patients are overweight or obese. Obesity poses additional challenges to the care of the dialysis patient, including difficulties in creating vascular access and inserting Tenckhoff catheters, higher rates of catheter malfunction and peritonitis, the need for longer and/or more frequent dialysis (or peritoneal dialysis [PD] exchanges) to achieve adequate clearance, increased metabolic complications particularly with PD, and obesity is a barrier to kidney transplantation. In this article, we review special considerations in performing PD, hemodialysis and transplant in the obese patient, as well as the evidence behind medical and surgical management of obesity in dialysis patients.

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References

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