Do you recommend non-bypass bariatric surgeries over intestinal bypass procedures for kidney transplant-eligible candidates to prevent oxalate nephropathy, given the higher risk of kidney oxalate deposition with intestinal bypass?

Yes, my preference is for non-bypass bariatric surgery in my patients with severe obesity and sleeve gastrectomy is preferred. However, the GLP-1 agonists have really had an impact on weight loss in transplant patients and transplant candidates alike.

There was a nice editorial by Lorden and Parajul...

Though traditional Roux en-Y bypass surgery is quite effective, the risk of increased oxalate can be a barrier to proceeding with transplantation. We often recommend that patients be evaluated for gastric sleeve surgery to promote weight loss in order to meet the BMI requirements for transplant (and...