Obesity and bariatric surgery in kidney transplantation: A clinical review

Figure 1 Proposed algorithm for the management of obesity in patients with chronic kidney disease, candidates to kidney transplantation and in kidney transplant recipients. Bariatric surgery could have a benefit in lowering the decline in renal function in patients with chronic kidney disease stages 2-3, so that it could be anticipated even in absence of significant metabolic comorbidities. In referral centers, combined laparoscopic/robotic sleeve gastrectomy with kidney transplantation could be proposed in selected patients. BMI: Body mass index.