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Volume 53, Issue 1 , Pages 151-165 , January 2009

Obesity Management in Adults With CKD

Holly Kramer, MD, MPH
- Department of Preventive Medicine, Division of Nephrology and Hypertension, Loyola Medical Center, Maywood, IL
- Department of Medicine, Division of Nephrology and Hypertension, Loyola Medical Center, Maywood, IL
- Address correspondence to Holly Kramer, MD, MPH, Department of Preventive Medicine, Loyola University Medical Center, 2160 First Ave, Maywood, IL 60153
Katherine R. Tuttle, MD
- Providence Medical Research Center, Sacred Heart Medical Center, University of Washington School of Medicine, Spokane, WA
David Leehey, MD
- Department of Medicine, Division of Nephrology and Hypertension, Loyola Medical Center, Maywood, IL
Amy Luke, PhD
- Department of Preventive Medicine, Division of Nephrology and Hypertension, Loyola Medical Center, Maywood, IL
Ramon Durazo-Arvizu, PhD
- Department of Preventive Medicine, Division of Nephrology and Hypertension, Loyola Medical Center, Maywood, IL
David Shoham, PhD
- Department of Preventive Medicine, Division of Nephrology and Hypertension, Loyola Medical Center, Maywood, IL
Richard Cooper, MD
- Department of Preventive Medicine, Division of Nephrology and Hypertension, Loyola Medical Center, Maywood, IL
Srinvisan Beddhu, MD
- Medical Service, Salt Lake VA Healthcare System, Division of Nephrology and Hypertension, University of Utah School of Medicine, Salt Lake City, UT

Adipose tissue may be distributed preferentially in the (A) abdomen or (B) hip and buttock area. (C) Some adults may have normal body mass index in the setting of abdominal obesity.

Adipose tissue may be distributed preferentially in the (A) abdomen or (B) hip and buttock area. (C) Some adults may have normal body mass index in the setting of abdominal obesity.
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Graphic description of (A) Roux-en-Y gastric bypass procedure and (B) adjustable gastric banding. During a Roux-en-Y bypass procedure, staples are used to create a small stomach pouch that drains food

Graphic description of (A) Roux-en-Y gastric bypass procedure and (B) adjustable gastric banding. During a Roux-en-Y bypass procedure, staples are used to create a small stomach pouch that drains food directly into the lower intestine, limiting caloric absorption. Conversely, gastric banding reduces the functional size of the stomach by placing an adjustable band around the stomach neck. The stomal diameter may be changed by adjusting the inflatable silicone ring.
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