<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 37-year-old man presents to the physician. He has been overweight since childhood. He has not succeeded in losing weight despite following different diet and exercise programs over the past several years. He has had diabetes mellitus for 2 years and severe gastroesophageal reflux disease for 9 years. His medications include metformin, aspirin, and pantoprazole. His blood pressure is 14294 mm Hg, pulse is 76min, and respiratory rate is 14min. His BMI is 36.5 kgm2. Laboratory studies show:Hemoglobin A1C 6.6Serum Fasting glucose 132 mgdLWhich of the following is the most appropriate surgical management?? A: Biliopancreatic diversion and duodenal switch BPD-DS, B: Laparoscopic adjustable gastric banding, C: Laparoscopic Roux-en-Y gastric bypass, D: Laparoscopic sleeve gastrectomy, E: No surgical management at this time,  <response>: This is a question about choosing the most appropriate surgical management for a 37-year-old obese man with longstanding obesity, diabetes, gastroesophageal reflux disease GERD, and hypertension. The key findings in the stem are:- Long history of severe obesity unresponsive to dietexercise- Diabetes HbA1c 6.6 and GERD for many years - BMI 36.5 kgm2- Fasting glucose 132 mgdLThe choices include different types of bariatricweight loss surgery, as well as an option for no surgery. To choose the best option, we need to consider the patients profile and each procedures indications, risksbenefits, and potential to improve his comorbid conditions. The goal is durable weight loss with resolution of obesity-related diseases.C: Laparoscopic Roux-en-Y gastric bypass 