Abstract
Introduction. The aim of this paper was to presents long-term results of a laparoscopic gastric sleeve resection in a ?super super? obese patient and a follow-up period of eight years. Case Outline. A patient with Body Mass Index (BMI) of 70 kg/m2 and Stage 3 obesity according to ?King?s Obesity Staging Criteria? (KOSC), with metabolic syndrome and cardiovascular risk of over 20%, and a pronounced severe obstructive sleep apnea, underwent a laparoscopic gastric sleeve resection (LGS). After two years, the patient reached BMI of 28.4 kg/m2 and eight years after the surgery has BMI of 34.3 kg/m2, and %EBMIL (% Excess BMI Loss) of 79.3%. According to the KOCS, he falls under Stage 0. Conclusion. LGS resection may be performed as a stand-alone procedure in ?super super? obese patients, with excellent long-term results.
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