Bariatric surgery and kidney disease outcomes in severely obese youth.

Adolescent Bariatric Surgery Child Diabetes Mellitus, Type 2 / complications Diabetic Nephropathies / etiology Humans Obesity, Morbid / complications Outcome Assessment, Health Care Pediatric Obesity / complications Renal Insufficiency, Chronic / complications
Bariatric surgery Kidney diease Pediatric obesity Type 2 diabetes Weight loss surgery

Journal

Seminars in pediatric surgery
ISSN: 1532-9453
Titre abrégé: Semin Pediatr Surg
Pays: United States
ID NLM: 9216162

Informations de publication

Date de publication:
Feb 2020
Historique:
entrez: 3 4 2020
pubmed: 3 4 2020
medline: 19 12 2020
Statut: ppublish

Résumé

Bariatric surgery, an emerging treatment for severely obese youth with and without T2D, provides marked improvement in insulin resistance, beta-cell function, and central adiposity. Further, preliminary data suggest that bariatric surgery also results in significant improvement in markers of obesity-related nephropathy and DKD, beyond that which can be achieved with current medical interventions. Yet, the mechanisms whereby bariatric surgery attenuates kidney disease remain unclear. This review summarizes the data on the effects of bariatric surgery on obesity-related nephropathy and DKD in youth with and without T2D, in addition to potential mechanisms underlying the nephroprotective effects of weight loss surgery and how these may differ in Roux-en-Y gastric bypass vs. vertical sleeve gastrectomy. Finally, we discuss potential future non-surgical therapies to mitigate kidney disease.

Identifiants

DOI: 10.1016/j.sempedsurg.2020.150883 PMID: 32238288 PMC: PMC7125208
pubmed: 32238288
pii: S1055-8586(20)30003-2
doi: 10.1016/j.sempedsurg.2020.150883
pmc: PMC7125208
mid: NIHMS1552012
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

150883

Subventions

Organisme : NIDDK NIH HHS
ID : K23 DK116720
Pays : United States

Informations de copyright

Copyright © 2020. Published by Elsevier Inc.

Déclaration de conflit d'intérêts

Declaration of Competing Interest PB has acted as a consultant for Bayer, Bristol-Myers Squibb, Boehringer Ingelheim, Sanofi, Novo Nordisk and Horizon Pharma. PB serves on a clinical development board for Boehringer Ingelheim and the advisory board of XORTX. DHvR has acted as a consultant and received honoraria from Boehringer Ingelheim and Eli Lilly, Merck, Novo Nordisk, and Sanofi and has received research operating funds from AstraZeneca, Boehringer Ingelheim-Eli Lilly Diabetes Alliance, MSD, and Novo Nordisk.

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Auteurs

Petter Bjornstad (P)

Section of Endocrinology, Department of Pediatrics, Division of Renal Diseases and Hypertension, Department of Medicine, University of Colorado School of Medicine, United States. Electronic address: petter.m.bjornstad@cuanschutz.edu.

Edward Nehus (E)

Section of Nephrology, Department of Pediatrics, University of Cincinnati College of Medicine, United States.

Daniel van Raalte (D)

Diabetes Center, Department of Internal Medicine, Amsterdam University Medical Center, location VUMC, Amsterdam, the Netherlands.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adolescent › Bariatric surgery and kidney disease outcomes...
questionsmedicales.fr › Procédures de chirurgie opératoire › Chirurgie bariatrique › Bariatric surgery and kidney disease outcomes...
questionsmedicales.fr › Personnes › Tranches d'âge › Enfant › Bariatric surgery and kidney disease outcomes...
questionsmedicales.fr › Maladies endocriniennes › Diabète › Diabète de type 2 › Bariatric surgery and kidney disease outcomes...
questionsmedicales.fr › Maladies endocriniennes › Diabète › Complications du diabète › Néphropathies diabétiques › Bariatric surgery and kidney disease outcomes...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Bariatric surgery and kidney disease outcomes...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Obésité › Obésité morbide › Bariatric surgery and kidney disease outcomes...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Évaluation des résultats et des processus en soins de santé › Évaluation de résultat (soins) › Bariatric surgery and kidney disease outcomes...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Obésité › Obésité pédiatrique › Bariatric surgery and kidney disease outcomes...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Caractéristiques de la maladie › Maladie chronique › Insuffisance rénale chronique › Bariatric surgery and kidney disease outcomes...