Am I ready for Bariatric Surgery
The impact of medical problems related to the decision for bariatric
Medical problems, such as serious heart or lung problems, can increase
the risk of any surgery. On the other hand, if they are problems that
are related to your weight, they also increase the need for surgery.
Severe medical problems may help you and your surgeon determine which
bariatric procedure at Port Huron Hospital is right for you.
Considering the risks
All surgical procedures have risks, but when the patient is morbidly
obese the risks are typically higher.
Depending upon your individual circumstances, your risks may be
higher or lower than average.
Potential risks of surgery and specifically for the bariatric
procedure you are considering should be discussed with your
surgeon so you can make an informed choice.
Preparing for surgery
Pre-surgery weight loss. In some situations,
your surgeon may require that you lose weight before your
surgery. Generally the reason for this is to reduce overall
risks of surgery.
Smoking cessation. Patients will be expected to
Health assessment. An accurate assessment of
your health is needed before surgery and the best way to avoid
It is important to know if your thyroid function
is adequate since hypothyroidism can lead to
sudden death post-operatively. If you are
diabetic, special steps must be taken to control
your blood sugar. Because surgery increases
cardiac stress, your heart will be thoroughly
evaluated. These tests will determine if you
have liver malfunction, breathing difficulties,
excess fluid in the tissues, abnormalities of
the salts or minerals in body fluids, or
abnormal blood fat levels
Certain basic tests are done prior to surgery
including a complete blood count (CBC),
urinalysis, and a chemistry panel, which gives a
readout of about 20 blood chemistry values.
Often a glucose tolerance test is done to
evaluate for diabetes, which is very common in
overweight persons. All patients have a
psychiatric evaluation, an electrocardiogram and
some may have a chest x-ray. Other tests, such
as pulmonary function testing, echocardiogram,
sleep studies, GI evaluation, cardiology
evaluation, or gallbladder ultrasound may be
requested when indicated.
In addition, your insurance company may require
a psychiatric evaluation. Most psychiatrists
will evaluate your understanding and knowledge
of the risks and complications associated with
weight loss surgery and your ability to follow
the basic recovery plan.
General Bariatric Surgery Information:
Port Huron Hospital HealthAccess
1.800.228.1484 (Michigan Callers)
Current Bariatric Patient Contact
Bariatric Center of Michigan
Wismer 3rd Floor Clinic
1221 Pine Grove Avenue
Port Huron, MI 48060