Surgical video case: presentation of a 3 in 1 surgical procedure in a 38 y/ old male patient, weight 172 kg, BMI of 56.0. One anastomosis Gastric bypass, Hiatushernia repair and Cholecystectomy were performed at one stage. Recommendations are for repair of establieshed on pre-operative OGD Hiatus hernia during a Bariatric procedure. Gallstones should be removed before weight loss surgery. However, the gallbladder surgery can be done also in a safe manner during Bariatric surgery, due to preference of the patient. Total length of surgery 125 minutes. Patient has been discharged on postoperative day 2 with no complications.
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