Before surgery

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.)
Chirurgie de l'obésité - Le Goff Technique

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 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
Chirurgie de l'obésité - Le Goff Technique