Bariatric surgery outcomes following organ transplantation: A review study

Table 2 Dose adjustment of immunosuppressive drugs following bariatric surgery in patients with a history of organ transplants

Organ	Type of bariatric surgery	Patients (n)	Immunosuppressant adjustment compared to patients without organ transplants	Ref.
Liver	LSG	12	No changes	Tsamalaidze et al[27]
		9		Lin et al[18]
	Bariatric surgery	56		Lazzati et al[34]
Kidney	Gastric bypass	2	Increased doses of sirolimus, tacrolimus, and mycophenolate mofetil	Rogers et al[35]
	Laparoscopic gastric bypass	5	No changes	Arias et al[11]
	LSG	10	Two patients with increased doses of tacrolimus and one decreased	Golomb et al[30]
		6	No changes	Gazzetta et al[31]
		5	Decreased dose of cyclosporine	Szomstein et al[7]
	Biliopancreatic diversion	1	No changes	López Deogracias et al[36]
Heart	Laparoscopic gastric banding, laparoscopic robotic-assisted RYGB, and LSG	3	No changes	Tsamalaidze et al[32], Ablassmaier et al[37]
Heart and kidney	Vertical banded gastroplasty	1	Changes based on serum level	Rex et al[33]

LSG: Laparoscopic sleeve gastrectomy; RYGB: Roux-en-Y gastric bypass.