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Missouri Bariatric Services Understanding Obesity Calculate BMI Evaluation Methods Eligibility Criteria Our Services Our Team Preparing for Surgery The Surgery Post-Operative Steps Psychological Support Seminars Support Groups Exercise Nutrition FAQ Related Links Newsletter

Preparing for Surgery

When the patient has made the decision to proceed with a full evaluation, the Missouri Bariatric Services surgeons and the NIH recommend a number of pre-operative consultations be completed prior to consideration of surgery. These include the formal patient lecture as outlined in this web site and an opportunity to talk with and be examined by the surgeon.

Another part of the pre-operative preparation is the primary care physician clearance. Other consultations include psychiatric and psychological evaluations. These are conducted to apprise the surgeon of any circumstances that might endanger the postoperative recovery or the success of the operation. Some of the issues considered include realistic expectations with respect to the surgery, psychological readiness, risk of post-operative depression, ability to appreciate and carry out required post-operative lifestyle changes, and acceptance of long-term follow-up and exercise programs.

A nutritional consult is also conducted, and we request attendance at an exercise lecture to establish the most appropriate and safe pattern of exercise to be carried out after the surgery.

Gallbladder disease associated with clinically severe obesity is not uncommon before or after a bypass operation. If there is any evidence of gallbladder disease at the time of surgery, the surgeon may remove the gallbladder. If there is no evidenced disease, the gallbladder will be left in place. Approximately 20 to 30 percent of patients will have gallbladder problems following gastric bypass surgery. To reduce this risk, the drug Actigall can be taken for the first six months following surgery. Some studies have shown taking Actigall reduces the incidence of gallbladder problems to approximately 5 to 10 percent.

A nurse at the hospital will go over admitting information and there will be an opportunity to meet with an anesthesiologist to go over any questions regarding anesthesia.