| Demographics: Patient RMSR Male 29 years old Weight - 172.4 Kg Height - 1.75 m BMI - 56.29 Kg/m2 Android obesity History of progressive obesity for 12 years Preference for pasta and meat. Binge eater No alcoholism or smoking No physical activity Several previous attempts to lose weight, with nutritional guidelines, Endocrinological follow-up, and use of medications (Sibutramine, Liraglutide, Semaglutide), without sustainable results Comorbidities: Hypertension for 5 years—Losartan 100 mg daily Recent diabetes (2 years)—Sitagliptin/Metformin 50/1000 - HbA1C (6.7%) Sleep apnea Steatohepatitis Knees arthropathy No previous surgeries Family History: Morbidly obese: father, paternal uncle and brother Hypertension—father Diabetes—mother No family history of cancer Preoperative Upper Digestive Endoscopy: Mild pangastritis Histopathology—chronic inactive gastritis/H. pylori-negative Other information: Pre op workup ok, with due care Multidisciplinary team counseling Proposed surgery—SADI-S Surgery performed on 09/02/2022, without intercurrences. Surgical time-85 min Length of hospital stay-24 hours Uneventful post operative Fourth Postoperative Month: 42 kg loss %TWL-24.41% No medications for diabetes since hospital discharge No antihypertensive since the second month of PO |