Our Summary

This research paper was created by a team set up by the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO). The team was asked to look into the use of endoscopy, which is a procedure that lets doctors look inside your body, in relation to surgeries for obesity-related chronic diseases. There’s been a lot of debate about when and how to use endoscopy in these cases. The team’s findings and recommendations have been approved by IFSO’s Scientific Committee and Executive Board. The information they used comes from current clinical practice, expert opinions, and scientific research. The team plans to review and update their findings regularly.

FAQs

  1. What is the purpose of the research team set up by the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO)?
  2. What sources of information did the team use for their research on the use of endoscopy in obesity-related surgeries?
  3. How often does the research team plan to review and update their findings on the use of endoscopy in obesity-related surgeries?

Doctor’s Tip

One helpful tip a doctor might give a patient considering obesity surgery is to make sure to follow all pre-operative instructions provided by the medical team, including any dietary or lifestyle changes. It is important to be fully prepared for the surgery to ensure the best possible outcome. Additionally, post-operative care and follow-up appointments are crucial for monitoring progress and addressing any concerns that may arise. Remember to communicate openly with your healthcare provider throughout the entire process.

Suitable For

According to the research paper, patients who are typically recommended for obesity surgery include those with a body mass index (BMI) of 40 kg/m2 or higher, or a BMI of 35 kg/m2 or higher with obesity-related comorbidities such as type 2 diabetes, hypertension, sleep apnea, or joint problems. These patients have often tried other methods of weight loss, such as diet and exercise, without success.

In addition, patients who have a BMI of 30-34.9 kg/m2 with obesity-related comorbidities may also be considered for surgery if they have not been able to lose weight through other means and their health is significantly impacted by their obesity.

It is important for patients to undergo a thorough evaluation by a multidisciplinary team, including a bariatric surgeon, nutritionist, psychologist, and other specialists, to determine if they are suitable candidates for obesity surgery. The team will consider factors such as the patient’s overall health, willingness to commit to lifestyle changes, and potential risks and benefits of the surgery.

Overall, obesity surgery is recommended for patients who have not been able to achieve significant weight loss through other methods and who are at high risk for obesity-related complications.

Timeline

Before obesity surgery:

  1. Consultation with a healthcare provider to discuss weight loss options and determine if surgery is the best option.
  2. Evaluation by a multidisciplinary team including a surgeon, nutritionist, psychologist, and other specialists to assess the patient’s physical and mental health.
  3. Pre-operative preparation which may include dietary changes, physical activity, and counseling to help the patient prepare for surgery.
  4. Pre-surgical testing to ensure the patient is physically fit for surgery.
  5. Informed consent process where the patient is fully informed about the risks and benefits of the surgery and gives their consent to proceed.

After obesity surgery:

  1. Immediate post-operative period in the hospital where the patient is monitored for complications and given pain management.
  2. Transition to a liquid diet followed by gradual reintroduction of solid foods under the supervision of a dietitian.
  3. Regular follow-up appointments with the healthcare team to monitor weight loss progress, nutritional status, and overall health.
  4. Psychological support to help the patient adjust to the physical and emotional changes post-surgery.
  5. Long-term lifestyle modifications including healthy eating habits and regular exercise to maintain weight loss and prevent regain.

Overall, the timeline of a patient’s journey before and after obesity surgery involves thorough evaluation, preparation, surgery, recovery, and long-term follow-up to ensure successful weight loss and improved health outcomes.

What to Ask Your Doctor

  1. What are the different types of obesity surgery options available and which one would be most suitable for me?

  2. What are the potential risks and complications associated with obesity surgery?

  3. What is the expected recovery time and post-operative care needed after the surgery?

  4. How will my diet and lifestyle need to change after the surgery?

  5. What are the expected long-term outcomes and success rates of obesity surgery?

  6. Will I need to take any medications or supplements after the surgery?

  7. How often will I need to follow up with my doctor after the surgery?

  8. Are there any specific guidelines or restrictions I should be aware of before undergoing obesity surgery?

  9. How will obesity surgery impact any other medical conditions I may have?

  10. What support resources are available to help me both before and after the surgery?

Reference

Authors: Brown WA, Johari Halim Shah Y, Balalis G, Bashir A, Ramos A, Kow L, Herrera M, Shikora S, Campos GM, Himpens J, Higa K. Journal: Obes Surg. 2020 Aug;30(8):3135-3153. doi: 10.1007/s11695-020-04720-z. PMID: 32472360