Bariatric surgery is a life-changing procedure that can help individuals who struggle with obesity to achieve significant weight loss. However, before undergoing this type of surgery, it’s essential to prepare medically to ensure the best possible outcome and reduce the risk of complications. In this article, we will discuss the importance of medical preparation for bariatric surgery.
Introduction to Medical Preparation for Bariatric Surgery
Medical preparation for bariatric surgery involves several steps that are designed to optimize your health and improve your chances of success after the operation. These steps may include:
1. Nutritional counseling – To ensure you have adequate nutrient intake prior to surgery and understand how to maintain proper nutrition postoperatively.
2. Psychological evaluation – To assess your mental readiness for the lifestyle changes required following bariatric surgery.
3. Lab tests and clearances – To identify any underlying conditions or deficiencies that could affect your ability to heal from surgery.
4. Medications to avoid – Certain medications can increase the risk of bleeding during and after surgery, so it’s crucial to discontinue them as directed by your surgeon.
Medications to Avoid Before Bariatric Surgery
Certain medications can interfere with blood clotting, which can lead to increased bleeding during and after surgery. Therefore, patients should stop taking these drugs at least two weeks before their scheduled procedure. Common medications to avoid include:
1. Aspirin and other NSAIDS (nonsteroidal anti-inflammatory drugs) such as ibuprofen and naproxen.
2. Blood thinners like warfarin, Plavix, and Coumadin.
3. Some herbal supplements like ginkgo biloba, garlic, and ginseng.
Preparing for Anesthesia: What Bariatric Patients Need to Know
Anesthesia poses some unique challenges for bariatric patients due to their size and potential for respiratory issues. Here are some things bariatric patients need to know when preparing for anesthesia:
1. Discuss your medical history with your anesthesiologist – This includes any previous reactions to anesthesia or sedatives, allergies, and current medications.
2. Follow pre-op instructions regarding food and drink – You may be asked to fast for up to 8 hours before surgery to prevent complications related to stomach contents.
3. Arrange transportation home – You won’t be able to drive yourself home after surgery, so make sure someone else can take you.
The Importance of Pre-Surgery Lab Tests and Clearances
Lab tests and clearances are an important part of medical preparation for bariatric surgery because they can detect underlying health problems that could impact your recovery. Some common lab tests and clearances may include:
1. Complete blood count (CBC) – Checks for anemia, infection, and other blood abnormalities.
2. Basic metabolic panel (BMP) – Evaluates kidney function, electrolyte balance, and acid/base status.
3. Lipid profile – Measures cholesterol levels and heart disease risk.
4. Pulmonary function test – Assesses lung capacity and identifies any breathing difficulties.
Conclusion
Medical preparation for bariatric surgery is critical to ensuring a successful outcome and reducing the risk of complications. By following the guidelines outlined above, patients can maximize their chances of achieving optimal results from their weight loss journey.