Source:

Nursing2015

June 2009, Volume 39 Number 6 , p 8 - 8 [FREE]

Author

  • SUSAN GALLAGHER CAMDEN RN, CBN, MA, MSN, PhD

Abstract

function set_JnlFullText_Print() { metaTag = document.createElement('meta'); metaTag.setAttribute('name','OvidPageId'); metaTag.setAttribute('content','JnlFullText_Print'); head = document.getElementsByTagName('head')[0]; head.appendChild(metaTag); return; } if (window.addEventListener) { // DOM Level 2 Event Module (NS 6+) // Firefox throws an uncaught exception error executing this // code, even though it seems to work. Adding a do nothing // try/catch clause around it for now, since the exection itself // appears to be innocuous try { window.addEventListener('onload',set_JnlFullText_Print(),false); } catch(e) {} } else if (window.attachEvent) { // IE 5+ Event Model window.attachEvent('onload',set_JnlFullText_Print); } // For anything else, just don't add the event Print Close Shedding light on bariatric surgery risks DOI: 10.1097/01.NURSE.0000352320.74502.41 ISSN: 0360-4039 Accession: 00152193-200906000-00003 Author(s):

CAMDEN, SUSAN GALLAGHER RN, CBN, MA, MSN, PhD

Issue: ...

 

Author's response: Because of the nature of obesity, the impact of adiposity on the major organs including the kidneys, and numerous comorbid conditions, acute kidney injury can occur among obese patients having surgery. In one study that examined patients having weight loss surgery, as many as 8.5% of patients either developed or had a history of acute kidney injury. Risk factors included higher body mass index, hyperlipidemia, and use of angiotensin-converting enzyme inhibitors or angiotensin receptor blockers.1

 

A critical component to success is long-term follow-up: not just until the incisions are healed or even for a few years, but for life. This includes regularly scheduled lab tests, exams, and counseling, and requires a collaborative relationship between the patient's primary care provider and weight loss surgeon.

 

It's unrealistic to think that any medical or surgical procedure is without risk. The weight loss surgery team must clearly communicate the risks and benefits to each patient so that she can make an informed decision.

 

-SUSAN GALLAGHER CAMDEN, RN, CBN, MA, MSN, PhD

 

1. Thakar CV, Kharat V, Blanck S, Leonard AC. Acute kidney injury after bypass surgery. Clin J Am Soc Nephrol. 2007;2(3):426-430. [Context Link]

Author's response: Because of the nature of obesity, the impact of adiposity on the major organs including the kidneys, and numerous comorbid conditions, acute kidney injury can occur among obese patients having surgery. In one study that examined patients having weight loss surgery, as many as 8.5% of patients either developed or had a history of acute kidney injury. Risk factors included higher body mass index, hyperlipidemia, and use of angiotensin-converting enzyme inhibitors or angiotensin receptor blockers.1

A critical component to success is long-term follow-up: not just until the incisions are healed or even for a few years, but for life. This includes regularly scheduled lab tests, exams, and counseling, and requires a collaborative relationship between the patient's primary care provider and weight loss surgeon.

It's unrealistic to think that any medical or surgical procedure is without risk. The weight loss surgery team must clearly communicate the risks and benefits to each patient so that she can make an informed decision.

-SUSAN GALLAGHER CAMDEN, RN, CBN, MA, MSN, PhD

1. Thakar CV, Kharat V, Blanck S, Leonard AC. Acute kidney injury after bypass surgery. Clin J Am Soc Nephrol. 2007;2(3):426-430. [Context Link]