By Emma Rose McGlone, RCS-funded research fellow, PhD student and bariatric surgery registrar, department of metabolic medicine, Hammersmith Hospital. Author of ‘Is bariatric surgery in patients following renal transplantation safe and effective? A best evidence topic’
Many patients undergoing renal transplant are overweight or obese. This is not surprising given that the two most common causes of long-term renal failure in this country are type 2 diabetes and high blood pressure, conditions often associated with obesity. After transplant, many patients gain further weight: on average 8-14kg during the year after transplant. There are several reasons for this, including the immunosuppressant drugs, such as steroids, given to patients after transplant to prevent kidney rejection.