رجل عمره ٥٥ سنة وزنه ١٢٨ كغ، عنده سكري وضغط ودهون مرتفعة وانقطاع نفس نومي. حاول الحمية والرياضة سنتين بدون نجاح، ويسأل عن جراحة السمنة. أي معلومة صحيحة؟

A 55-year-old man weighing 128 kg with diabetes, hypertension, dyslipidaemia and sleep apnoea has tried diet and exercise for two years without success and asks about bariatric surgery. Which information is correct?

1. He needs no nutritional follow-up afterwards
2. He may benefit, with lifelong nutrition follow-up
3. He can eat large meals as usual afterwards
4. It has no real effect on diabetes or blood pressure

Answer: B) He may benefit, with lifelong nutrition follow-up. Bariatric surgery markedly improves diabetes and other conditions but needs changed eating, follow-up and lifelong supplements (B12, iron, calcium, vitamin D).