Are you a candidate for surgery?
In 1991, the National Institute of Health Consensus Panel on Gastric Surgery for Severe Obesity defined the population who would benefit from bariatric surgery. At COCP, we use the same criteria to determine which patients should undergo metabolic and weight loss surgery.
Bariatric surgery could be offered when (but not excluded to):
- BMI ≥40 kg/m2
- BMI ≥35 kg/m2 with a significant medical co-morbidity condition
- BMI 30-35 Kg/m2 with Diabetes Mellitus Type II
- Failure of previous diet therapy
- Psychiatrically stable patient without alcohol dependence or illegal drug abuse
- Patient is knowledgeable about the operation and its consequences
- Motivated individual
You are classified as overweight or obese according to your BMI. This Index will indicate the type of treatment that is relevant for you. A medical therapy, with or without surgical intervention can be proposed.
Research revealed that BMI is correlated significantly with body fat, morbidity, and mortality. In this case, sometimes surgery may be indicated and accepted for lower BMI (30-35 Kg/m2) especially with coexistent co-morbidities (Diabetes Mellitus Type II, Sleep Apnea).
At COCP, we take into consideration further criteria than the mentioned above, especially when dealing with adolescents, patients with uncontrolled Diabetes Type II, and for redo surgeries. BMI is no longer our only focal point of consideration.
At COCP, we believe that a pre-operative workup is important for the best post-operative result.
Motivation is the major key to success; “we will propose and you will decide”.
After a thorough first consultation, including a complete physical examination, a complete laboratory panel will be ordered with other necessary exams.
Pre-operatively, you will be examined by an endocrinologist, cardiologist, pneumologist, dietitian, anesthesiologist and a surgeon. Psychological and psychiatric evaluations are considered when needed, according to the patient’s case.
Your Ideal Surgery
The procedure will be based on your decision and personal role contribution to the program, and most importantly your dedication to the follow-up sessions.
Your decision to undergo an obesity surgery is serious and should be considered after exploring other options with your physician. In all cases the decision will involve the whole pre-operative team (surgeon and medical doctors, dieticians and psychologist) who will support you with your final decision.
If you are interested in undergoing surgery, your goals should be to live better, healthier and longer, not only to improve self-image and self-esteem. Keep in mind that “the goal of obesity surgery is not plastic, but to improve the quality of life”.
Last but not least, the success of bariatric surgery depends on your readiness and motivation. The more motivated you are to lose weight, the higher the success rate of the bariatric surgery. It’s all about a deep desire of changing life style habits (healthy food, physical activity…).
A close follow up with the COCP team is a must after surgery to monitor weight loss and health progress, and achieve the best results desired. Certain vitamins/minerals are to be taken after surgery and a specialized post-operative diet plan to be followed. Some pre-operative medications (for diabetes, hypertension…) should be monitored for dose adjustment or even discontinued post operation, if necessary.
The following are common diet phases in the Bariatric diet progression:
According to the nutritional deficiencies in the laboratory tests ordered 1 month after the surgery, some additional vitamins and minerals might be added.
The main vitamin supplements are: Vitamin B complex, Vitamin D, Iron, Calcium, Folic acid and others. They are used and continued up to one year after the surgery, especially in case of mal-absorptive procedures.