Pre-Operative Obesity Surgery FAQ

Obesity and overweight conditions can be addressed effectively with bariatric surgery. Most new patients may only have limited idea about what happens prior to the surgery, and what kind of preparations may be required.

An experienced bariatric surgeon will explain the pre-op aspects of the procedure during the initial consultation. Dr. Wiljon Beltre provides weight loss surgeries to patients in Orlando, Tampa, Maitland, Central Florida, and surrounding locations.


What to look for in a surgeon and a hospital for surgery?

The surgeon must have experience, commitment and a collaborative spirit. The care team’s expertise and knowledge about bariatric surgery and its coordination between specialties is important. This procedure is not just about losing weight. It is about achieving a healthy weight in a wholesome and sustainable manner.


What medical tests would be required prior to surgery?  

Basic medical tests such as a complete blood count, urinalysis, and a chemistry panel, which gives results of about 20 blood chemistry values will be required. Except for very young patients, every patient will have to get a chest X-ray and ECG. A bariatric surgeon may also require a gallbladder ultrasound test to determine gallstones. Other tests such as cardiology evaluation, sleep studies or psychiatric assessment may be requested as needed.


Why are these tests necessary?

These tests will provide an objective assessment of patient’s health and minimize the risk of complications during or after the surgery. Thyroid function should be adequate prior to surgery. Diabetics may be required to take specific steps to manage blood sugar. Heart evaluation is necessary before surgery because the procedure can increase cardiac stress. Liver function, breathing issues, fluids in the tissue, and blood fat levels must be evaluated.


Why is a gastrointestinal evaluation required?

If the patient presents significant gastrointestinal symptoms such as heartburn, belching, acid reflux, or upper abdominal pain, it may indicate underlying problems. Up to 15 percent of reflux patients may have early damage in the esophagus lining, putting them at a higher risk of esophagus cancer. Such conditions must be identified in order to create a suitable treatment program. Experienced bariatric surgeon Dr. Beltre receives patients from Orlando, Tampa, Maitland, Central Florida, and nearby areas.


Why is it critical to complete a sleep study?

Tendency of sleep apnea is detected with a sleep study. It involves abnormal stopping of breathing due to airway blockage during sleep. The condition has a higher mortality rate. Following the weight loss surgery, the patient will be sedated and will receive pain narcotics. These can further depress normal breathing and reflexes. Airway blockage can be riskier at this time. A sleep study will help a surgeon to prepare for possible sleep irregularities.


Why is a psychiatric evaluation needed?

Insurance companies commonly ask for a psychiatric evaluation report. The evaluation process is typically focused on the patient’s understanding and recognition of the risks and complications associated with a weight loss procedure. It also helps to determine the patient’s ability and commitment to follow the recovery plan diligently.


To find out more about the procedures & treatments performed by Orlando Bariatric Surgeon, Dr. Wiljon Beltre, at The Center for Metabolic and Obesity Surgery Call 321-499-6505 or Click Here to Schedule a Consultation.

Please note: If the weight is regained, conditions could return.

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