A 50-year-old male with a previous history of morbid obesity and a BMI of 50 kg/m2 (145 kg) plus high blood pressure and OSA (treated with CPAP) underwent a laparoscopic sleeve gastrectomy three years ago. He lost 55kg, reaching a BMI of 32 Kg/m2 with resolution of OSA. Then he progressively regained 10 kg and currently has a BMI of 37 Kg/m2. There is no hiatal hernia or reflux, and he still requires treatment for high blood pressure. He is seeking counseling for revisional bariatric surgery. Which would be your approach?
Strategy for revisional bariatric surgery
Posted in Debates on 16 August 2016