CBR AM case studies

CBR AM · Put your knowledge to work in context.

The Certified Bariatric Registered - Ambulatory (CBR AM) credential is aimed at nurses, coordinators, dietitians, and advanced practice clinicians who work in outpatient bariatric programs rather than in the operating room or inpatient unit. It signals that a clinician can move a patient through the full ambulatory pathway: screening and preoperative workup, nutrition and behavior change counseling, comorbidity and medication management, postoperative surveillance and complication triage, and long-term weight-maintenance follow-up. The CBR AM case studies are 5 cases and about 2,623 words.

Eroded Gastric Band: One-Stage Conversion or Staged Approach?

A 44-year-old woman with a BMI of 41.2 kg/m² presents 12 years after laparoscopic adjustable gastric banding. She reports port-site pain, daily nausea, and reflux that has worsened over 3 months.

639 words, about 3 min 2

Tachycardia and Shoulder Pain After Sleeve Gastrectomy

A 39-year-old man is on postoperative day 3 after a laparoscopic sleeve gastrectomy (BMI 46 kg/m²). He was discharged on postoperative day 1 and returns with nausea, left shoulder pain, and inability to tolerate fluids.

500 words, about 3 min 3

Refractory Anemia Six Months After Roux-en-Y Gastric Bypass

A 34-year-old woman is 7 months after Roux-en-Y gastric bypass; her BMI has fallen from 44 to 27 kg/m². She reports fatigue, cold intolerance, and hair loss.

502 words, about 3 min 4

Weight Regain Three Years After Sleeve Gastrectomy

A 46-year-old woman is 3 years after laparoscopic sleeve gastrectomy. Her BMI nadir was 29 kg/m², and it is now 37.5 kg/m²; she regained 20 kg over 18 months.

509 words, about 3 min 5

Preoperative Optimization Before Bariatric Surgery in a High-Risk Patient

A 58-year-old man with a BMI of 54 kg/m² seeks bariatric surgery. He has type 2 diabetes on basal-bolus insulin with HbA1c 9.6%, obstructive sleep apnea on CPAP, stage 3b chronic kidney disease (eGFR 38 mL/min/1.73 m²), and atrial fibrillation on warfarin.

473 words, about 2 min