US and Australian patients receive bariatric surgery and bilingual follow-up in Changsha
The Third Xiangya Hospital describes multidisciplinary assessment, surgery for two international patients and remote follow-up that continues after they return home.
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The Third Xiangya Hospital of Central South University reported bariatric and metabolic surgery for two patients from the United States and Australia. Its June 27, 2026 update describes preoperative preparation, specialist coordination and Chinese–English remote follow-up for patients returning overseas.
Assessment before surgery
The American man had lived with obesity for 25 years and abnormal blood glucose for six. At admission he weighed 119.8 kilograms, with a BMI of 37.4. He also had hypertension, fatty liver, obstructive sleep apnoea, a hiatal hernia and gastroesophageal reflux.
The bariatric team worked with nutrition, anaesthesiology, the health management centre and case managers to assess the combined risks. Nutritional preparation and exercise interventions were used to improve his condition before surgery.
A three-month review through continuing care
In February 2026, the team performed laparoscopic sleeve gastrectomy together with hiatal hernia repair. His recovery was stable, with no major perioperative complications reported.
After discharge, the department used its bilingual platform for remote follow-up and health management. At three months, his weight was 112.7 kilograms and BMI 35.2. Blood pressure was 117/78 mmHg, and the hospital reported that he had stopped antihypertensive medication. It also described improved mobility, sleep and quality of life.
Australian patient enters long-term follow-up
The second man, from Australia, was 173.5 centimetres tall and weighed 110 kilograms, with a BMI of 36.6. His conditions included metabolic syndrome, insulin resistance, sleep apnoea, moderate-to-severe fatty liver, bilateral carotid atherosclerosis, enlargement of both atria and mild heart-valve regurgitation.
A multidisciplinary consultation assessed his metabolic condition, cardiovascular risks and perioperative safety. After preparation, he underwent bariatric and metabolic surgery and was discharged on June 20 following a satisfactory early recovery.
He then entered long-term follow-up. The department’s international patient arrangements combine bilingual communication, remote reviews and case management so that health monitoring can continue after patients return to their home countries.