Before surgery

During the initial consultation, the surgeon defines:

• The Body Mass Index (BMI) (weight / height²)
• The ideal weight to be achieved in order to fix a specific target
• Previous diets
• Medical history
• Any comorbidity factors (hypertension, diabetes, sleep apnoea, osteoarthritis, coronary heart disease, etc.)

The surgeon explains :

• The risks of morbid obesity
• The various techniques of bariatric surgery (traditional gastric band, sleeve, bypass)
• The major advantages and few disadvantages of the Le Goff Technique (GPSP) compared to sleeve and bypass surgery
• The importance of psychological follow-up
• The importance of nutritional follow-up
• The importance of taking up or intensifying a regular physical activity
• The extreme importance of respecting the treatment agreement

The surgeon also prescribes a pre-operative medical check-up for the patient.

Complete medical check-up :

• Consultation with the anaesthetist in the Le Goff team who prescribes the pre-operative check-up
• Consultation with the psychiatrist-psychoanalyst
• Consultation with the team’s nutritionist
• Fibroscopy by a gastroenterologist to examine the whole stomach and any associated diseases
• X-ray of the stomach (upper gastrointestinal series) showing the morphology of the stomach
• Abdominal ultrasound to determine the size of the liver and the existence of any gall stones
• Lower Limb venous Doppler to examine for venous insufficiency
• Prescription for compression stockings
• Consultation with a cardiologist to check for heart disease
• Consultation with a pulmonologist for lung function testing and to check for sleep apnoea

During the second and third consultation :

• The results of the check-up are discussed
• A team meeting is held with the nutritionist, the psychiatrist-psychoanalyst and the surgeon to OK the operation