Morbid Obesity (bmi 44 in Surgery — 35yo Man | General Surgery | SMLE Q#11147
SMLE Question #11147
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 35-year-old man with morbid obesity (BMI 44 kg/m²) seeks evaluation for bariatric surgery after failure of supervised diet and exercise programs. He has no significant medical history and no prior abdominal surgery. He denies dysphagia, reflux symptoms, vomiting, or gastrointestinal bleeding. The surgeon wants to assess for hiatal hernia and other upper gastrointestinal pathology that could affect procedure selection. Which preoperative investigation is most useful?
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