{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T20:56:39Z","timestamp":1790110599005,"version":"4.0.1"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T00:00:00Z","timestamp":1782518400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T00:00:00Z","timestamp":1782518400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["OBES SURG"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Obesity limits access to kidney transplantation (KT) and worsens outcomes in patients with end-stage renal disease (ESRD). Sleeve gastrectomy (SG) is increasingly used to facilitate transplant eligibility; however, the safety of simultaneous SG and KT (SG\u2009+\u2009KT) remains poorly defined at a multi-institutional level. This study evaluates 30-day perioperative outcomes of SG\u2009+\u2009KT using the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis of the MBSAQIP database (2020\u20132023) was performed. Adult patients undergoing SG were identified with simultaneous KT and captured using CPT codes. Demographics, comorbidities, operative characteristics, and 30-day outcomes were compared between SG-only and SG\u2009+\u2009KT cohorts. Multivariable logistic regression was used to identify independent predictors of serious complications and 30-day mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 582,860 patients undergoing SG, 22 (0.004%) underwent simultaneous KT. SG\u2009+\u2009KT patients were older, predominantly male, and had significantly higher rates of diabetes, hypertension, renal insufficiency, and dialysis dependence (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), with similar body mass index compared to SG alone. SG\u2009+\u2009KT was associated with longer operative time, increased length of stay, and higher rates of bleeding, readmission within 30-days and serious complications (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009\u2264\u20090.001). Thirty-day mortality was significantly higher following SG\u2009+\u2009KT (9.1% vs. 0.1%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). On multivariable analysis, simultaneous KT was the strongest independent predictor of serious complications (OR 7.97; 95% CI 2.27\u201327.93;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001) and mortality (OR 33.99; 95% CI 3.99\u2013289.03;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Simultaneous sleeve gastrectomy and kidney transplantation is exceedingly rare and associated with markedly increased 30-day morbidity and mortality compared with sleeve gastrectomy alone, highlighting the need for careful patient selection and multidisciplinary risk assessment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11695-026-08815-x","type":"journal-article","created":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T11:42:46Z","timestamp":1782560566000},"page":"4035-4041","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["30-Day Outcomes of Simultaneous Sleeve Gastrectomy and Kidney Transplantation: An Analysis from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Database"],"prefix":"10.1007","volume":"36","author":[{"given":"Doua","family":"Elamin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentin","family":"Mocanu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00e9lissa V.","family":"Wills","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Strong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salvador","family":"Navarrete","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricard","family":"Corcelles","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Kroh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerry","family":"Dang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,27]]},"reference":[{"issue":"25","key":"8815_CR1","doi-asserted-by":"publisher","first-page":"2440","DOI":"10.1056\/NEJMsa1909301","volume":"381","author":"ZJ Ward","year":"2019","unstructured":"Ward ZJ, Bleich SN, Cradock AL, et al. Projected U.S. state-level prevalence of adult obesity and severe obesity. N Engl J Med. 2019;381(25):2440\u201350. https:\/\/doi.org\/10.1056\/NEJMsa1909301.","journal-title":"N Engl J Med"},{"issue":"9","key":"8815_CR2","doi-asserted-by":"publisher","first-page":"1563","DOI":"10.4239\/wjd.v12.i9.1563","volume":"12","author":"M Veroux","year":"2021","unstructured":"Veroux M, Mattone E, Cavallo M, et al. Obesity and bariatric surgery in kidney transplantation: a clinical review. World J Diabetes. 2021;12(9):1563\u201375. https:\/\/doi.org\/10.4239\/wjd.v12.i9.1563.","journal-title":"World J Diabetes"},{"issue":"3","key":"8815_CR3","doi-asserted-by":"publisher","first-page":"400","DOI":"10.1053\/j.ajkd.2018.02.362","volume":"72","author":"HR Yun","year":"2018","unstructured":"Yun HR, Kim H, Park JT, Chang TI, et al. Obesity, metabolic abnormality, and progression of CKD. 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