As part of his work up for surgery, John underwent a cardiac evaluation, which revealed he had coronary artery disease. This would not have been found if he had not decided to undergo weight loss surgery. He underwent a cardiac catheterization and stenting to unblock his coronaries, and once he was cleared from a cardiac standpoint, he scheduled a Laparoscopic Roux-en-Y Gastric Bypass.
During surgery, another problem arose -- the doctor found a liver lesion. It was removed, and since the intraoperative frozen sections were non-conclusive, he underwent the gastric bypass successfully. He was discharged home on hospital day three.
Unfortunately, the liver lesion on final pathology was diagnosed as liver cancer. Since the original resected specimen had positive margins, John was advised a repeat liver resection. Preoperative work up to see if the cancer spread was negative. Four months later and 50 pounds lighter, he underwent a laparoscopic left lateral segmentectomy of the liver. He was discharged on post-operative day three and recovered well from his surgery.
Thirteen months after his gastric bypass, John has lost 142 pounds and has a BMI of 31. He has stopped taking many of his medications since he has no need for them, and his dose of insulin is down to a bare minimum. Best of all, his heart is healthier and he’s cancer free.