Outcome of Renal Transplant gets compromised if patient is over-weight

Lady from Bangladesh deemed fit for Renal Transplant after undergoing Bariatric Surgery at Rabindranath Tagore International Institute of Cardiac Sciences


Kolkata, 2nd December, 2015: Rabindranath Tagore International Institute of Cardiac Sciences (RTIICS) announced the successful weight loss surgery of a 53 years old lady from Bangladesh who was initially declared unfit for renal transplant. Mrs. Razia Begum was presented at RTIICS with chronic kidney disease (Stage 5) and was on maintenance haemodialysis at that time. A renal transplant was recommended as the only option to save her life. During optimization for Renal Transplant, she was deemed unfit for transplant due to her morbid obesity by the transplant team. Therefore she was referred to the department of Bariatric Surgery at RTIICS and underwent a weight-loss surgery. Post the surgery, the patient lost 15 kilos within 2 weeks and has now been declared fit for a renal transplant.

As the dietary restriction and medication to lose weight did not work, the patient was referred to the Bariatric Surgery department for a formal assessment. In her assessment it was found that her BMI was as high as 38 kg/m2, while the optimal BMI is within the range of 21 kg/m2 to 25 kg/m2. Efforts to lose weight through dietary restrictions and medications had failed. After evaluation by the team, it was decided that the patient would benefit from a Laparoscopic Sleeve Gastrectomy (LSG), which would aid in her weight reduction. She was then counseled for bariatric surgery, which included psychological counseling along with a review of her medical history. After being on strict diet and exercise, she was admitted a day prior to the surgery and dialysis was done.

Commenting on this case, Dr. Shubhayu Banerjee, Consultant – Advanced Laparoscopic, Gastro Intestinal and Bariatric Surgeon said, “Renal transplantation is a life saving option for most patients with end‐stage renal disease. However, availability of kidney donor is limited and therefore, selection of patients who are likely to have a positive outcome remains an important issue. Basis this, obesity is often considered a hindrance to successful outcome especially those with morbid obesity. To add on, morbid obesity, has added risks as in case of this patient, who was also suffering from asthma and hypertension”. Commenting on why weight-loss is important for a renal transplant patient, he said, “There is not much study on this. But the chances of transplant rejection and related complications are quite high. The outcome of renal transplant is compromised if the patient is overweight. Hence this patient underwent a bariatric procedure to get her renal transplant done”.

Shape clinic is a dedicated center for Bariatric Surgery available across units of Narayana Health in Eastern India covering Jamshedpur in Jharkhand and Guwahati in Assam. Shape Obesity & Metabolic Clinic is led by Experienced Laparoscopic Surgeons. It has been accepted that one of the most important factors behind leading a healthy life and keeping diseases at check is to maintain the right BMI (Body Mass Index).

In reference to the surgery, Dr. Sanjay Kumar Dubey, Consultant – General, Laparoscopic and Bariatric Surgeon at RTIICS, said, “Sleeve Gasterectomy is one of the most popular and effective surgical technique where a considerable portion of stomach is blocked causing restriction in calorie intake, with least interference to the normal gut physiology, thus achieving desirable weight and addressing the associated co-morbid conditions. “

‘SHAPE – The weight loss clinic’ at Rabindranath Tagore International Institute of Cardiac Sciences (RTIICS) addresses the facts, causes, health risks and the treatment options for Obesity. The Shape Clinic at RTIICS is operational from Monday to Saturday from 9 am to 4 pm. The clinic within the hospital is supported by team of doctors from different specialties to ensure the desired outcomes. This implies the services of the bariatric surgeon are clubbed with other multi-disciplinary services such as Psychiatry, Plastic Surgery, Endocrinology, Gastroenterology, Pulmonology, Diet & Nutrition as well as Physiotherapy.

Commenting on the same, Deepak Venugopalan, Zonal Director – East, Narayana Health said, “The average amount of weight loss through medical treatment is relatively small and there is a tendency to regain weight.  Weight-loss surgery is increasingly being viewed as the effective means to manage weight and keep the co-morbidities of being obese at bay.”   Commenting on the launch of Shape Clinic he said, “We have seen that there is a rise in the number of people showing interest in weight loss surgery as an effective means to a healthier life.  Keeping the same in perspective, we are reaching out through our other centers in Eastern India to ensure that this health service is available to those beyond the purview of only this city”.

Being overweight or obese greatly raises the risk for other co-morbid health problems such as heart ailments, hypertension, diabetes, osteoarthritis and sleep disorders. An obese person is typically susceptible to cholesterol, liver and gall bladder problems as well bringing down his or her overall quality of life. The Shape Clinic is an initiative that has been particularly taken to improve the quality of life for those who are affected by the co-morbidities associated with obesity.

Having lost 15 kilos of weight after the Laparoscopic Sleeve Gasterectomy – the most commonly performed Bariatric Surgery, Razia Begum now eagerly awaits her next and the most critical procedure to save her life – a Renal Transplant.


About Narayana Health:

With all super-speciality tertiary care facilities that the medical world offers, Narayana Health is now a one-stop healthcare destination for all.

From the first facility established in Bengaluru with approximately 225 operational beds in 2000, our Company has grown to 57 facilities (which includes 56 facilities in India and 1 facility in the Cayman Islands operated by our Company’s associate company, Health City Cayman Islands Ltd.) with 5600 operational beds as on September 28, 2015 and the potential to reach a capacity of up to 6,600 beds. As on September 28, 2015, our Company had a network of 23 hospitals (multispeciality and superspeciality healthcare facilities which provide tertiary care), 8 heart centres (superspeciality units which are set up in a third party hospital) and 25 primary care facilities (including clinics and information centres), across a total of 32 cities, towns and villages in India. For details, visit www.narayanahealth.org

About Narayana Health in Eastern India:

Our presence in eastern India is centred on RTIICS, a multispecialty hospital located in Kolkata with a strong presence in cardiology and cardiac surgery, as well as neurology and neurosurgery, and nephrology and urology. As of July 31, 2015, we operated 10 hospitals, including hospitals in the greater Kolkata area encompassing Howrah, Barasat and the Eastern Metropolitan Bypass, a multispecialty hospital in Jamshedpur, Jharkhand, a superspecialty hospital in Guwahati, Assam and a hospital each in Durgapur and Berhampore, West Bengal and a heart centre in Durgapur, West Bengal, totalling to 1,993 operational beds, with a capacity of 2,270 beds.

About Rabindranath Tagore Institute of Cardiac Sciences:


Rabindranath Tagore International Institute of Cardiac Sciences (RTIICS) Kolkata is a 613 bed NABH accredited multi-specialty hospital located on Eastern Metropolitan Bypass at Mukundapur. We believe RTIICS is one of the leading cardiac care hospitals in eastern India, operating as a multispecialty hospital with cardiac sciences, renal sciences (including kidney transplants), neurosciences, and gastroenterology. The facility’s primary catchment areas are Kolkata city and peripheral districts in the state of West Bengal.