A615 Staging the Super Super Obese : Second Stage Surgery for the Super Obese Patient with Metabolic Syndrome with Long Limb OAGBP

30 year old woman from Texas USA whom 3 years earlier 03/2016 underwent a sleeve gastrectomy , patient was superobese BMI 78 with DM2 , Sleep Apnea , HBP and Dyslipidemia , BMI dropped to 60.2 with resolution of DMII . 03/2019 comes back to have second stage / conversion surgery after losing 150 pounds and regaining 30 from a baseline weight of 495 pounds . She underwent preop upper endoscopy and meal test for the second surgery , we offered her a long limb OAGBP . In both surgeries a Pre Op protocol was displayed that included nutritional support , medical appointments with various subspecialists , tight control of DMII , HBP , dyslipidemia and use of CPAP as well as a 3 weeks preop diet .
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research