The patient is a 42-year-old female who is admitted for bariatric surgery for morbid obesity with alveolar hypoventilation. The patient, who has been obese since childhood, currently weighs 150 pounds more than her ideal body weight. The patient’s BMI is 48.4. In the past 20 years, she has been treated for essential hypertension, hyperlipidemia, obstructive sleep apnea, insulin resistance, and primary osteoarthritis of the hips and knees. She has had repeated failures of other therapeutic approaches and various diets to lose weight and has been cleared by a psychiatrist who could find no psychotherapy that would make her ineligible for this procedure. The patient underwent a Roux-en-Y gastric bypass (gastroenterostomy) procedure, consisting of the creation of a small gastric pouch connected to the jejunum. The procedure and postoperative course were uneventful, and the patient was discharged the following day. During this hospital stay, hypertension, hyperlipidemia, insulin resistance, and osteoarthritis of multiple joints were also treated.
Please provide:
Principal Diagnosis:
Secondary Diagnoses (7):
Principal Procedure:
Secondary Procedure(s):