Preparation process for bariatric surgery
An extensive process is followed by the multi-disciplinary team to evaluate and treat candidates before bariatric surgery will be done.
The first step is the completion of documentation, whereafter the patient will usually meet with the psychologist for an evaluation. Where appropriate the psychologist will refer the patient to a psychiatrist for treatment. Family sessions are an essential part of this process.
The dietician then evaluates the patient’s dieting history, and initiates an eating plan taking into account cultural requirements and dietary preference of the patient. This is an essential step to foster some of the routines that the patient will have to adhere to after surgery, and is also essential for improving the patient’s physical health and nutritional education.
Next, the patient is seen by the specialist endocrinologist for a comprehensive evaluation and initiation of a treatment protocol before the patient’s eligibility for surgery is confirmed.
Prior to surgery, the patient consults with the surgeon, and various investigative tests are done as prescribed by the endocrinologist. These may include a gastroscopy, relevant blood tests, a lung function test and echocardiogram. If the patient has co-morbidities such as diabetes or hypertension, these also need to be understood and adequately treated before surgery can be approved. All possible complications will be personally discussed with the patient by the specialists during face to face consultation.