Letter to the Editor

Bariatric Surgery for Diabetic Nephropathy

Authors: Paul G. Cohen, MD

Abstract

To the Editor:


The excellent review article by Chauhan et al on the metabolic, renal, and nutritional consequences of bariatric surgery focuses on the severely obese patient.1 The authors comment about the occurrence of hyperoxaluria, which may lead to kidney stone formation and renal failure. Several recent articles should assuage their concerns.

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References

1. Chauhan V, Vaid M, Gupta M, et al. Metabolic, renal, and nutritional consequences of bariatric surgery: implications for the clinician. South Med J 2010;103:775–785.
 
2. Semins MJ, Asplin JR, Steele K, et al. The effect of restrictive bariatric surgery on urinary stone risk. Urology 2010;76:826–829.
 
3. Bueter M, Dubb SS, Gill A, et al. Renal cytokines improve early after bariatric surgery. Br J Surg 2010;97:1838–1844.
 
4. Navaneethan SD, Yehnert H. Bariatric surgery and progression of chronic kidney disease. Surg Obes Relat Dis 2009;5:662–665.
 
5. Sugerman HJ. Effects of intra-abdominal pressure in severe obesity. Surg Clin North Am 2001;81:1063–1075.
 
6. Cohen PG, Estes JW, Grissamore JM, et al. Acute anuria and hypertension after left renal vein ligation: reversal after decompression of renal venous system. South Med J 1984;77:925–926.