Hôpital Louis Mourier, Service d’hépato-gastro-entérologie, 178 rue des Renouillers, 92700 Colombes
CHU de Bordeaux, Hôpital Haut-Lévêque, Groupe Hospitalier Sud, Service d’endocrinologie, diabétologie et nutrition, Bâtiment USN, Avenue de Magellan, 33604 Pessac Cedex
The two most commonly performed bariatric surgical procedures in France, sleeve gastrectomy and the Roux Y-bypass, have undeniable health benefits in terms of quality of life and life extension. However, complications are numerous: immediate, late, mechanical or metabolic, they can be functional or life threatening - even at a distance from the surgery. This clinical case of cascading complications over a long period of time illustrates three intangible rules: precise preoperative selection of patients, their information, and their lifelong monitoring after surgery.