Weight Loss Surgery Questions

We need to assess your fitness for surgery and your nutritional status. Certain basic tests, such as a full blood examination (FBE) are performed as part of your initial assessment. In addition, many patients suffer from gastric symptoms so may require a gastroscopy or barium swallow prior to surgery. Other tests, such as pulmonary function testing, chest x-ray, echocardiogram, sleep studies, or cardiological evaluation. Most of our patients will then also have an assessment by one of our physicians, especially those who have a BMI over 45, are over 45 years old, have a history of diabetes, cardiac or lung diseases or sleep apnoea. All our patients are offered a consultation with our psychologist psychologist. Almost all our patients need to see the dietitians prior to surgery, and also after surgery.

An accurate assessment of your health is needed before surgery to minimise the chance of complications and improve general outcomes, and this will be determined by your surgeon.

Patients who have significant gastrointestinal symptoms such as upper abdominal pain, heartburn, belching sour fluid, etc., may have underlying problems such as a hiatal hernia, gastroesophageal reflux or peptic ulcer.

Select a general practitioner if you don't already have one, and establish a relationship with him or her. Work with your doctor to ensure that your routine health maintenance testing is current. For example, women may have a pap smear, and if over 40 years of age, a breast exam. And for men, this may include a prostate specific antigen test (PSA).
Make a list of all the diets you have tried (a diet history) and bring it to your doctor.
Bring any pertinent medical data to your appointment with the bariatric (weight loss) surgeon - this would include reports of special tests or hospital discharge summary if you have been in the hospital.
Bring a list of your medications with dose and schedule.

Laparoscopic Bariatric Surgery

No. Laparoscopic operations carry the same risk as the procedure performed as an open operation. The benefits of laparoscopic surgeries are typically less discomfort, shorter hospital stay, earlier return to work and reduced scarring.

Every attempt is made to control pain after surgery to make it possible for you to move about quickly and become active. This helps avoid problems and speeds recovery. Often several drugs are used together to help manage your post-surgery pain.

As long as it takes to be self-sufficient. Although it can vary, the hospital stay (including the day of surgery) can be between 1- 8 days depending on the procedure. This will be determined by your surgeon/doctor.

Patients may have a small tube to allow drainage of any accumulated fluids from the abdomen post-operatively. This is a safety measure, and it is usually removed a few days after the surgery. Generally, it produces more than minor discomfort.

Some doctors will provide a Patient Controlled Analgesia (PCA) or a self-administered pain management system, to help control pain. Others prefer to use an infusion pump that provides a local anesthetic in the surgical site to control pain without the side effects of narcotics.

Almost immediately after surgery doctors will require you to get up and move about. Patients are asked to walk or stand at the bedside on the night of surgery, take several walks the next day and thereafter. On leaving the hospital, you may be able to care for all your personal needs, but will need help with shopping, lifting and with transportation.

For your own safety, you should not drive until you have stopped taking narcotic medications. Consult your doctor as to when you are able to drive.

Because a Deep Vein Thrombosis originates on the operating table, therapy begins before a patient goes to the operating room. Generally, patients are treated with sequential leg compression stockings and given a blood thinner prior to surgery. Both of these therapies continue throughout your hospitalization. The third major preventive measure involves getting the patient moving and out of bed as soon as possible after the operation to restore normal blood flow in the legs.

Personal toiletries and clothing for your stay that are easy to put on and take off.