Bariatric Embolization Before Sleeve Gastrectomy for Super Obese Patients

Inclusion Criteria: * Willing, able and mentally competent to provide written informed consent. * Body mass index (BMI) \>50kg/m². * 3 risk factors (De Maria et al) among: hypertension, male gender, age\>45, risk of pulmonary embolism * Vascular anatomy (including celiac, hepatic, and gastric arteries) that in the opinion of the interventional radiologist amenable to Bariatric Embolization, as assessed on 3D CT angiography. * Adequate hematological, hepatic and renal function as follows: Hematological Neutrophils \> 1.5 x 109/L Platelets \> 100 x 109/L INR \<1.5 Hepatic Bilirubin ≤ 2.0 mg/dL Albumin ≥ 2.5 g/L Renal Estimated GFR \> 60ml/min.1.73m2 * Aged 18 years or older. * Patient who is going to be operated by sleeve gastrectomy Exclusion Criteria: * Prior history of gastric pancreatic, hepatic, and/or splenic surgery * Prior radiation to the upper abdomen * Prior embolization to the stomach, spleen or liver * Portal venous hypertension * Prior or current history of peptic ulcer disease * Significant risk factors for peptic ulcer disease including daily NSAID use and smoking. * Active H. Pylori infection * Weight greater than 240 kg * Known aortic pathology such as aneurysm or dissection renal insufficiency as evidenced by an estimated glomerular filtration rate of \< 60 milliliters per minute * Major comorbidity such as cancer, significant cardiovascular disease, diabetes, or peripheral arterial disease. Pregnancy * ASA Class 4 or 5 (very high risk surgical candida…