Lady 47 Y old 142 kg /1.63 m, BMI 53,4, diabetes mellitus on insuline, high cholesterol scheduled for a two stage BPD/DS had a sleeve gastrectomy in May 2006. At one year, weight was 90 kg, BMI 33 no more diabetic but still with high cholesterol, She underwent an additional DS in May 2006. At 7 post DS, weight is 63, BMI 23.7, no more comorbid condition, but she needs vitamine D injections, calcium and iron oral supplementations. More information on this strategic approach in Collection on laparoscopy in bariatric 2010 published by Endo Press Tuttlingen.
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