Laparoscopic gastric bypass after cardiac transplantation.

c i d a Organ transplantation requires potent antirejection medcation that often results in significant weight gain [1]. vidence has shown that morbidly obese patients who unergo organ transplantation have significantly worse patient nd graft survival compared with morbidly obese patients ithout transplantation [2]. Permanent weight reduction in ransplanted morbidly obese patients is expected to cure/ mprove associated diseases and reduce the risk factors for atient and graft survival. The nonoperative treatment of evere obesity rarely achieves permanent weight reduction 3]. Bariatric surgery should be considered even in translant patients with multiple risk factors, when the long-term enefits of weight reduction are greater than the perioperaive risk. Bariatric surgery has been previously reported for evere obesity after organ transplantation [4,5], including aparoscopic gastric banding after heart transplantation [6]. e report the world’s first laparoscopic gastric bypass after eart transplantation.