The pre-surgical assessment before any bariatric (obesity) surgery is inspired by the recommendations of the « Haute Autorité de Santé » (HAS) in France and includes the following:
- The surgeon, during the initial consultation, specifies the characteristics of obesity (weight, height, age, occupation, pregnancies, heredity, comorbidities such as diabetes, hypertension, sleep apnea) and starts the procedure:
- The cardiologist researches high blood pressure and makes an echocardiogram to study the functioning of the heart before surgery.
- The gastroenterologist will perform a gastric endoscopy, usually under anesthetic sedation, checking the integrity of the stomach and the absence of a germ called Helicobacter Pylori to be treated before any intervention.
- The pulmonologist searches a frequent beginner syndrome of sleep apnea, especially in patients who complain of snoring, poor well sleeping.
- The nutritionist writes a history of obesity, its age, its terms, behavior and eating habits.
- The blood tests: count, blood sugar, triglycerides, cholesterol, TSH, cortisol, ferritin and vitamins, are essential for all specialists.
- The endocrinologist, given the blood tests, checks that obesity has no medical cause that can be responsible for overweight (thyroid disease) to be treated eventually.
- The psychiatrist searches psychiatric history, a suicidal tendency can be aggravated by the intervention or changes in body image.
ALL THESE ELEMENTS allow the required multidisciplinary team, during a meeting of all these specialists, to discuss and establish a written report on each case. This report will be sent to the social security center of which the patient depends.
This site is exclusively devoted to obesity surgery. Dr. Jean-Pierre Anfroy is the author, he receives no support for its financing and refuses any form of advertising. Last update: 10/04/17