The standard indications for surgery are a body mass index of 40 and over or 35 and over with metabolic comorbidities such as high blood pressure, diabetes or hypercholesterolemia. The clinical particularities are multiple and the decision is individualized to each patient by meeting with the surgeon.
Considerations are numerous and have to be individualized for each patient. Find out more by consulting the "surgeries" section of our website to prepare yourself well for the meeting with the surgeon.
The waiting time will be as short as possible by considering all factors related to the particularities of the patient and the resources available within our establishment at the time of the operation request.
You can ask your doctor to prescribe a sleep apnea diagnostic test such as nocturnal pulse oximetry so that this test is already carried out when you meet with the preoperative clinic team.
The result is variable depending on each patient and the procedure selected. Refer to the “surgeries” section for average excess weight loss per procedure.
The answer to this question varies for each patient. It can be a weight loss goal such as losing 50% or more of your excess weight but above all maintaining this loss in the long term while taking your supplements to maintain a healthy lifestyle. It may also involve improving the quality of life, mobility and comorbidities associated with obesity.
The preoperative restrictive liquid diet aims to reduce the size of the liver, which is generally larger in patients living with obesity. This makes it easier to mobilize the liver necessary for the smooth running of the laparoscopic procedure (minimizes invasiveness). Compliance is essential to the smooth running of the operation and its success by minimizing the risk of complications and the impossibility of completing the intervention. The duration of the diet varies according to the body mass index of the patient.
The higher the body mass index (BMI), the more difficult it is to perform the procedure and the reduced space in the patient's abdomen. To improve the conditions at the time of surgery, the diet is generally 2 weeks for BMIs of less than 50, 3 weeks between 50 and 60 and 4 weeks above 60. These durations can be adjusted according to the particularities of each patient.
Recommended supplements vary by procedure. You will need to take at least one multivitamin and one vitD/calcium supplement for life. Iron, vitamin B12 and other vitamins may be recommended with malabsorptive surgery options such as the gastric or the biliopancreatic diversion.
A sleeve causes an average loss of 55% of excess weight, a bypass 65% and a biliopancreatic bypass between 70 and 80%. Excess weight is calculated by subtracting the maximum weight from the ideal weight of a patient.
Yes! Refer to this document (FR) and do not hesitate to contact us.