ORIGINAL RESEARCH article
Front. Transplant.
Sec. Abdominal Transplantation
Volume 4 - 2025 | doi: 10.3389/frtra.2025.1627504
Decision Regret and Long-Term Weight Evolution Following Laparoscopic Sleeve Gastrectomy as Bridge to Kidney Transplantation
Provisionally accepted
- 1Département de chirurgie, Faculté de médicine, Université de Montréal, Montréal, Québec, Canada
- 2Hôpital Maisonneuve-Rosemont, Montreal, Canada
- 3Hôpital du Sacré-Cœur de Montréal, Montreal, Canada
Select one of your emails
You have multiple emails registered with Frontiers:
Notify me on publication
Please enter your email address:
If you already have an account, please login
You don't have a Frontiers account ? You can register here
Introduction: Laparoscopic sleeve gastrectomy (LSG) is effective for rapid weight loss in kidney transplant (KT) candidates. This study aims to evaluate satisfaction or regret with the decision to undergo LSG in preparation for KT and the long-term durability of this approach to weight loss. Methods: From 2012 to 2019, all patients who underwent LSG prior to waitlisting for KT were included. The Decision Regret Scale (DRS) was assessed regarding the decision to undergo LSG before KT. The long-term weight evolution was also collected. Findings: Forty-six subjects completed the DRS survey at a median follow-up of 8 years post-LSG: 67% reported absolutely no regret, 22% mild regret, and 11% moderate to strong regret. Successful surgical weight loss was achieved in 36 patients and was significantly associated with lower levels of regret (p = 0.005). Body mass index reductions after LSG were highly significant compared to baseline values at all time points over 10 years (p=0.0001) and remained significantly lower for up to 7 years post-KT. Thirty-two patients received KT, yet this had no significant association with decision regret. Conclusion: Laparoscopic sleeve gastrectomy as a pre-transplantation weight loss strategy is associated with very low levels of regret, regardless of the KT status. LSG has demonstrated long-term, durable weight loss.
Keywords: Laparoscopic sleeve gastrectomy, Bariatric Surgery, Kidney transplant, Obesity, End-stagerenal disease, Decision regret score
Received: 12 May 2025; Accepted: 16 Sep 2025.
Copyright: © 2025 Yang, Brazeau-Porrello, Hajjar, Badrudin, Pescarus and Chan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Gabriel Chan, gabriel.chan@umontreal.ca
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.