Publications by authors named "Sukhdeep Sahi"
Article Synopsis
- - The study evaluated the safety and effectiveness of semaglutide, a diabetes and weight loss medication, in patients with advanced chronic kidney disease (CKD) stages 4 and 5, as well as those on dialysis, due to limited existing research in this area.
- - Data from 76 patients (mostly males with a mean age of 66.8) was analyzed over approximately five years, showing significant weight loss (avg. drop of 4.9 kg) and decreased hemoglobin A1c levels (avg. drop from 8.0% to 7.1%).
- - While 63.1% reported no adverse effects, the most common issues leading to discontinuation were nausea, vomiting,
Article Synopsis
- - The study analyzes the outcomes of kidney transplant candidates with obesity who underwent sleeve gastrectomy (SG) to qualify for transplantation, showing significant weight loss post-surgery.
- - Among 54 patients who had SG, 37% were listed for a kidney transplant, and 20 received a transplant, compared to lower rates in a nonsurgical group (14% listed, 10% transplanted).
- - While SG resulted in effective weight loss and improved transplant rates, it also carried risks of complications and functional decline, indicating a need for further safety and efficacy research.
Article Synopsis
- * Proper selection of SG candidates and tailored post-surgery care are crucial to maintain the benefits of surgery while minimizing side effects like muscle loss, particularly since CKD patients have distinct nutritional and metabolic needs compared to the general bariatric population.
- * The paper emphasizes the importance of comprehensive psychosocial support and ongoing management of health conditions related to CKD during the waiting period for kidney transplantation and calls for future studies to explore effective treatments for this unique patient group.
Objectives: We evaluated the feasibility, safety, and long-term outcomes of pyelovesicostomy as an alternative surgical treatment for complex ureteral lesions after kidney transplant.
Materials And Methods: A single-center, retrospective, observational cohort study was conducted on 5 adult kidney transplant recipients who underwent pyelovesicostomy between January 2000 and June 2023. The collected data included patient demographics, surgery indication, time from transplant to pyelovesicostomy, procedure details, and kidney function at various time points after surgery.
Background: Obesity is increasingly common in kidney transplant candidates and may limit access to transplantation. Obesity and diabetes are associated with a high risk for post-transplant complications. The best approach to weight loss to facilitate active transplant listing is unknown, but bariatric surgery is rarely considered due to patient- and physician-related apprehension, among other factors.
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