Bariatric Weight-Loss Surgery

What Medical Tests Do I Have to Go Through Before Bariatric Surgery?

Dr. Jason F. Moy
Dr. Brian T. Chin
Daniel Roman
October 19, 2023
What Medical Tests Do I Have to Go Through Before Bariatric Surgery?

Embarking on a journey toward significant weight loss through bariatric surgery can be both exciting and life-changing. However, it is crucial to recognize that this transformative procedure requires careful evaluation and preparation. 

Before undergoing bariatric surgery, medical professionals conduct a series of essential medical tests to assess your overall health, determine your suitability for the surgery, and ensure a safe and successful outcome.

In this blog post, we will provide you with a comprehensive overview of the medical tests typically required before undergoing bariatric surgery. From initial consultations to detailed evaluations and diagnostic procedures, understanding these tests will help you navigate the process with confidence and prepare yourself physically and mentally for the journey ahead.

Initial Consultation and Evaluation

During the initial consultation and evaluation stage of your bariatric surgery journey, you will meet with a healthcare professional who specializes in weight loss surgery. This important step allows you to discuss your weight loss goals, learn about the bariatric surgery process, and assess your candidacy for the procedure. Here's what you can expect during this crucial phase:

Introduction to the Bariatric Surgery Process:

Your initial consultation is an opportunity to familiarize yourself with the various aspects of bariatric surgery. Your doctor will explain the different types of procedures available, such as gastric bypass, sleeve gastrectomy, or adjustable gastric banding, and help you understand how each one works to achieve weight loss. They will discuss the potential benefits, risks, and long-term outcomes associated with bariatric surgery, allowing you to make an informed decision about whether it is the right choice for you.

Review of Medical History and Current Health Status:

To determine your suitability for bariatric surgery, your doctor will conduct a comprehensive review of your medical history. They will inquire about any pre-existing conditions, previous surgeries, or medications you are currently taking. Additionally, they will evaluate your weight loss attempts, including diet and exercise regimens, to understand your previous experiences with managing your weight.

Discussion of Weight Loss Goals and Expectations:

During this consultation, it is important to openly discuss your weight loss goals and expectations. You can share your desired weight loss target and the improvements you hope to achieve in your overall health and quality of life. The healthcare professional will provide realistic expectations and explain how bariatric surgery can help you attain sustainable weight loss. They will emphasize the importance of adopting a healthy lifestyle and making long-term dietary and behavioral changes to maintain your weight loss over time.

Assessment of Psychosocial Factors:

Your emotional well-being and mental health play a crucial role in the success of bariatric surgery. The healthcare professional may discuss any emotional or psychological factors that may impact your weight loss journey, such as stress, emotional eating, or a history of disordered eating. They may refer you to a mental health professional for a comprehensive psychological evaluation to ensure you have the necessary support in place before and after the surgery.

Remember, the initial consultation and evaluation serve as a foundation for your bariatric surgery journey. It is essential, to be honest and open during this process to enable the healthcare professional to make the best recommendations for your individual circumstances. 

Comprehensive Physical Examination

Apart from the above factors, you will also undergo a comprehensive physical examination and various laboratory tests to assess your overall health and determine your eligibility for the procedure. Here's what these evaluations entail:

Comprehensive Physical Examination: A healthcare professional will conduct a thorough physical examination to evaluate your overall health and assess your ability to undergo surgery. This includes measuring vital signs, calculating your body mass index (BMI), and assessing your cardiovascular, respiratory, and musculoskeletal systems.

Laboratory Tests: Several laboratory tests will be performed to assess your health status and identify any underlying conditions that may impact the surgery or your post-operative recovery. These tests typically include:

  • Complete Blood Count (CBC) which measures red and white blood cell counts, hemoglobin, and platelet levels to identify any blood disorders or anemia.
  • Comprehensive Metabolic Panel (CMP) which evaluates liver and kidney function, electrolyte levels, blood glucose, and protein levels to assess your metabolic health.
  • Lipid Profile which measures cholesterol and triglyceride levels to assess cardiovascular health.
  • Thyroid Function Test which measures thyroid hormone levels to assess thyroid function and detect any disorders affecting metabolism.
  • Coagulation Studies which will assess blood clotting ability to ensure safe surgery and reduce the risk of excessive bleeding.

These examinations and tests provide a comprehensive understanding of your overall health and help the healthcare team tailor the surgical approach to your specific needs. By undergoing these evaluations, you can ensure that you are physically prepared for bariatric surgery and reduce potential risks during and after the procedure.

Imaging and Diagnostic Tests

Imaging and diagnostic tests are another essential part of the evaluation process before bariatric surgery. These tests provide detailed information about your internal organs and help identify any underlying conditions that may affect the surgical procedure or your post-operative recovery. Common imaging and diagnostic tests include:

Chest X-ray: This test evaluates the health of your lungs and helps identify any respiratory issues that may impact your surgery.

Abdominal Ultrasound or CT Scan: These imaging tests provide a detailed view of your abdominal organs, such as the liver, gallbladder, and pancreas, to assess their condition and identify any abnormalities.

Echocardiogram: This non-invasive test uses sound waves to assess the structure and function of your heart. It helps detect any cardiac abnormalities that may influence the surgical procedure or require special considerations during the surgery.

Sleep Study (Polysomnography): If you are suspected of having sleep apnea or other sleep disorders, a sleep study may be conducted to diagnose and address these conditions before surgery.

Upper Gastrointestinal (GI) Endoscopy: This procedure involves inserting a flexible tube with a camera into your stomach and esophagus to examine the structures and identify any abnormalities that may affect the surgical procedure or require additional interventions.

At BASS Bariatric Center, we understand that undergoing bariatric surgery is a life-changing decision that requires careful evaluation and preparation. The comprehensive assessments we offer, including initial consultations, physical examinations, laboratory tests, imaging studies, psychological evaluations, and nutritional counseling, are designed to ensure your safety, success, and long-term well-being.

If you're considering bariatric surgery, we encourage you to take the first step by scheduling a consultation with our experienced healthcare professionals. Our team will guide you through the entire process, addressing your concerns, answering your questions, and providing personalized care tailored to your unique needs.

About The Author

Daniel Roman, Content Writer

Daniel Roman is a Digital Content Writer at BASS Medical Group. He received his Masters in Journalism from UC Berkeley in 2021. Daniel has published multiple newspaper articles covering public health issues. His latest was a magazine cover story on pandemics and diseases that he co-wrote with Dr. Elena Conis, a historian of medicine, public health, and the environment.

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