Congratulations to The Kidney Group’s Dr. Gabriel Valle and Barbara Kissane, RN, BSN, CNS on having their article (in conjunction with Dr. Nestor De La Cruz from The University of Miami’s Department of Bariatric Surgery) published in The Annals Of Peritoneal Dialysis. Their technique of Gastric Bypass Surgery in Peritoneal Dialysis patients undergoing Gastric Bypass to qualify for Kidney Transplantation without interruption of their Peritoneal Dialysis had NEVER been done before.Congratulations to them and the entire Kidney Group team!
Gabriel A. Valle,1 Barbara E. Kissane,1 Nestor de la Cruz– Muñoz2
During the past several decades, the conventional management of peritoneal dialysis (PD) patients undergoing elective abdominal surgery required a transition to hemodialysis on a temporary basis. In recent years, that protocol has been challenged by various authors who successfully repaired hernias in such subjects without interruption of their PD modality. However, that new approach was reserved for abdominal wall procedures and was not used for intra-abdominal surgery.
The rapid evolution of laparoscopic surgery and the development and refinement of minimally invasive surgical techniques have revolutionized the field of surgery by providing superior outcomes for an ever-increasing list of indications including morbid obesity. The present study, the first of its kind involving elective intra-abdominal surgery, sought to determine the safety of uninterrupted PD therapy in morbidly obese patients with stage 6 chronic kidney disease undergoing laparoscopic bariatric surgery as a precursor to transplantation.
