Your Preoperative Evaluation
Does Everyone Get the Same Preoperative
Everyone's preoperative workup is slightly different,
because we customize it to meet the needs of each individual.
However, you can count on having all of the following
evaluations and tests (at least):
Part 1: Surgical Consultation
The first step in the preoperative evaluation
process is to meet your surgeon. This step is described
in depth in Meet Your
Part 2: Nutritionist Consultation
It is important to understand how your diet
needs to change both before and after bariatric surgery.
Our team's nutritionist will meet with you to help you
understand these important changes. Before surgery,
weight loss will help to shrink the size of your liver
and make your operation safer! After surgery, maintaining
a high-protein but low fat diet will optimize your weight
loss and postoperative nutrition. Your nutritionist
will be available to answer your questions as they come
up during the evaluation process.
If you would like to learn more about
our nutritionist or make an appointment, click
Part 3: Psychiatrist or Psychologist
Your insurance company will expect a clearance
letter from a psychiatrist or psychologist. We are happy
to refer you to one with extensive expertise in bariatric
surgery preoperative evaluations.
Part 4: Upper Endoscopy (by
Gastroenterologist, or GI doctor)
It is important to make sure there are no problems
in the stomach, such as polyps, tumors, ulcers, or bacteria
that cause ulcers prior to surgery. The gastroenterologist
will perform an upper endoscopy to ensure that none
of these is present in your stomach prior to surgery.
If you have heart, lung, or other major medical
problems, it may be necessary to undergo some additional
||Q. I live outside the
New York Metropolitan area. How much of the preop
workup can be done locally?
A. You can arrange a significant portion
of the above workup to be done in your local area.
You can have your primary care doctor arrange
for your to endoscopy locally. The blood, urine,
and other tests may also be performed locally.
Obviously, the preop meeting with the surgeon
needs to be done in our New York office, so you
need to make at least one or two trips here before
your surgery! You will also need to meet in person
with one of the nutritionists here at the Mount
Sinai Program for Surgical Weight Loss.