{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T15:51:15Z","timestamp":1782489075131,"version":"3.54.5"},"reference-count":20,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,2,28]]},"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:p>The patient is a male in his 60s with morbid obesity and end-stage renal disease secondary to hypertension and diabetes. After a lifelong struggle with weight management, he was approved for bariatric surgery. Following completion of the bariatric clinic courses, he underwent laparoscopic Roux-en-Y gastric bypass. There were no intraoperative complications nor divergences from our routine practice. Postoperatively, the patient resumed peritoneal dialysis (PD) on postoperative day zero. He tolerated the operation and dialysis well, noting that the drained abdominal fluid remained serosanguinous for 5 days after surgery.<\/jats:p>\n                  <jats:p>While the traditional practice after intra-abdominal surgery is to temporarily transition to haemodialysis in patients who require dialysis, we demonstrate that immediate resumption of PD may be safe and efficacious. However, patients should be educated regarding the temporary change in colour of the drained intra-abdominal fluid. More robust data is required for further research and future practice guideline development.<\/jats:p>","DOI":"10.1136\/bcr-2025-269963","type":"journal-article","created":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T16:05:16Z","timestamp":1775145916000},"page":"e269963","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["En route to renal transplantation: peritoneal dialysis immediately after laparoscopic Roux-en-Y bariatric surgery may be safe"],"prefix":"10.1136","volume":"19","author":[{"given":"Chi","family":"Zhang","sequence":"first","affiliation":[{"name":"Mayo Clinic Arizona, Phoenix, Arizona, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nisha","family":"Rehman","sequence":"additional","affiliation":[{"name":"General Surgery, Mayo Clinic Arizona, Scottsdale, Arizona, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristi L","family":"Harold","sequence":"additional","affiliation":[{"name":"General Surgery, Mayo Clinic Arizona, Phoenix, Arizona, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Pearson","sequence":"additional","affiliation":[{"name":"Mayo Clinic Arizona, Phoenix, Arizona, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,4,2]]},"reference":[{"key":"2026062608151655000_19.4.e269963.1","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1016\/j.mayocp.2024.01.017","article-title":"Weight Loss Surgery Increases Kidney Transplant Rates in Patients With Renal Failure and Obesity","volume":"99","author":"Kukla","year":"2024","journal-title":"Mayo Clin Proc"},{"key":"2026062608151655000_19.4.e269963.2","doi-asserted-by":"crossref","DOI":"10.3389\/ti.2023.11455","article-title":"Breaking Barriers and Bridging Gaps: Advancing Diversity, Equity, and Inclusion in Kidney Transplant Care for Black and Hispanic Patients in the United States","volume":"36","author":"Zhang","year":"2023","journal-title":"Transpl Int"},{"key":"2026062608151655000_19.4.e269963.3","doi-asserted-by":"publisher","DOI":"10.1053\/j.ackd.2011.09.001"},{"key":"2026062608151655000_19.4.e269963.4","doi-asserted-by":"crossref","first-page":"s37","DOI":"10.1590\/1806-9282.66.s1.37","article-title":"Peritoneal Dialysis","volume":"66","author":"Andreoli","year":"2020","journal-title":"Rev Assoc Med Bras"},{"key":"2026062608151655000_19.4.e269963.5","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0165712","article-title":"Effect of the Obesity Epidemic on Kidney Transplantation: Obesity Is Independent of Diabetes as a Risk Factor for Adverse Renal Transplant Outcomes","volume":"11","author":"Kwan","year":"2016","journal-title":"PLoS One"},{"key":"2026062608151655000_19.4.e269963.6","doi-asserted-by":"crossref","unstructured":"Ethier I , Hayat A , Pei J , et al . 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