Objective:

To assess 30-day perioperative outcomes in patients undergoing simultaneous sleeve gastrectomy and kidney transplantation (SG + KT) using the MBSAQIP database.

Approach:

• Study Design: A retrospective analysis utilizing the MBSAQIP database from 2020 to 2023, focusing on standardized clinical data related to renal disease severity and perioperative risk factors.
• Patient Selection: Identified adult patients who underwent SG and KT using specific CPT codes, excluding non-elective and certain bariatric procedures.
• Outcome Measures: Primary outcomes included prevalence of SG + KT and differences between cohorts; secondary outcomes evaluated 30-day morbidity and mortality.
• Statistical Analysis: Used Wilcoxon rank-sum tests, t-tests, chi-square tests, and logistic regression to analyze data and identify predictors of complications and mortality.

Key Findings:

• A total of 582,860 patients underwent SG, with only 22 patients (0.004%) undergoing SG + KT.
• The study provides insights into the outcomes of simultaneous procedures, although detailed results are not fully presented in the provided context.

Interpretation:

The integration of metabolic and transplant surgery is gaining attention, necessitating further evaluation of outcomes on a broader scale.

Limitations:

• The study is limited to data from the MBSAQIP database, which may not capture all relevant outcomes.
• The small number of patients undergoing SG + KT limits the generalizability of the findings.

Conclusion:

The study aims to fill a gap in understanding the perioperative outcomes of simultaneous SG and KT.