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Check-up and pre-operative examinations
1. First contact and compilation of your file |
To create your medical file a logical order of steps must be followed.
The first person from our service that you will speak to is either the co-ordinator, or a surgeon from the team that you were referred to.
The task of the co-ordinator is to gather the medical data for the file and to explain to you the principal surgical procedures by means of sketches and video footage. Afterwards, she will be your contact person for the complete organisation of your operation and its follow-up.
If your first contact with the centre is through the surgeon, he will refer you to the co-ordinator during the first consultation.
The basic elements of the file are:
1.the obesity questionnaire: it can be either consulted on-line or printed
2. a blood test (taking blood)
3. a gastroscopy : examination of the stomach through endoscopy
4. a liver and gall bladder scan
5. a specialised dietary consultation
6. a specialised psychological consultation
| | Creating a file
.obesity questionnaire
.taking blood
.echography (scan)
.endoscopy
.dietary consultation
.psychological consultation |
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2. Pre-operative surgery consultation |
When all this basic information is gathered, you will meet with the surgeon for a consultation that enables the choice of operation adapted to your situation to be taken.
If other examinations are necessary, they will be prescribed: see below " in some cases ".
Other specific pre-operative examinations, which were not performed initially, will be also necessary in the event of surgery as not all patients that come to us will have an operation : see below "in all cases "
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| | | Pre-operative examinations | - in all cases :
* a cardiovascular examination and an electrocardiogram are necessary because
on the one hand the operation will take place under general anaesthetic, and on the other arterial hypertension is a frequent side effect in overweight people that needs to be treated before the operation. Your usual cardiologist or your GP can carry out this examination, if not the
co-ordinator will make an appointment for you.
* an anaesthetic examination carried out by the anaesthetist who will put you to sleep for the operation. | | Essentials :
.electrocardiogram ( EKG )
.anaesthetic examination |
- in some cases : other specialist opinions will be sought, in particular :
* endocrinological examination : if you suffer from diabetes or thyroid defects (cf. blood tests)
* pneumological examination : if you suffer from sleep apnea or other respiratory disorders (asthma, etc.)
* other specialities if necessary
| | If necessary :
.endocrinological examination
.pneumological examination
.other... |
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3. Finalisation of the file and informed consent ; Surgery planning
| When the file is finally completed and the operation has been decided, the co-ordinator will meet with you to provide information about your stay in the hospital.
All the practical details will be explained. The financial obligations are specified.
You will receive a brochure explaining the operation and the follow-up.
During this conversation a surgeon from the team is available for any other information you might require. | | | | | | INFORMED CONSENT | | AT THAT POINT IN TIME WE ASK YOU TO SIGN THE INFORMED CONSENT DOCUMENT. | | |
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