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
