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What to Expect Before your Procedure

At any of our convenient clinic locations in Honolulu, West Oahu, Kona or Hilo, our team of weight loss specialists can help you understand what to expect before your bariatric surgical procedure.

Pre-bariatric Surgery Evaluation and Education

Each patient at the Queen’s Comprehensive Weight Management Program (CWMP) has an extensive medical, nutritional and psychological evaluation by our multidisciplinary team of professionals. The team works closely with you to assist in making the necessary lifestyle and behavioral changes to be successful with a surgical approach to weight loss.

  • Initial Consultation: The initial consultation and evaluation visit includes back-to-back appointments with the bariatrician, dietitian and psychologist, including psychological testing.
  • Nutrition Evaluation and Education: A nutrition evaluation is done to assess your current nutrition knowledge and eating habits. Nutrition education teaches skills that allow you to make healthier food choices to achieve a balanced diet. Education covers basic food groups, portion control, label reading and the post-op diet, which include the types of foods that will not be tolerated after surgery and those that must be eliminated from your daily diet.
  • Psychological Evaluation: The psychological evaluation, including psychological testing, allows our psychologist to determine whether there are any psychological or social issues that would preclude a patient from being an appropriate surgical candidate. The psychologist also utilizes cognitive behavioral therapy to assist you in gaining insight into your eating patterns and coping mechanisms, and facilitate and reinforce positive behavior change.
  • Functional Assessment: The bariatrician conducts a functional assessment and determines your ability to participate in an exercise program. Referrals to physical therapy are made, when appropriate. All patients must be able to walk 5,000 steps a day or perform an equitable alternative exercise, such as water-based exercise, prior to surgery.
  • Pre-Op Treatment Plan: The bariatrician provides oversight of the patient’s pre-op treatment plan and medically supervised exercise program. Your doctor will work together with you on your obesity-related medical issues to optimize your situation for anesthesia and surgery. The following tests and standard criteria guidelines may be used to determine an individual patient’s readiness for surgery:
    • Initial laboratory screening tests: chest X-ray, EKG, complete blood count with platelets, comprehensive metabolic profile (fasting), lipid profile, HA1C (if diabetic), urine HcG (for child-bearing women), thyroid stimulating hormone, ferritin and iron studies, vitamin D and parathyroid hormone, nicotine and drug screen, as indicated, and H-Pylori as indicated.
    • The American College of Sports Medicine Cardiac Screening criteria are utilized to determine cardiac risk and recommended cardiac studies.
    • Epworth Sleepiness Scale is utilized to screen for possible Obstructive Sleep Apnea and the need for a sleep study.
    • Consultation is requested as needed from a Cardiologist, Pulmonologist, Oncologist, Neurologist, Endocrinologist or other specialist.
    • Pre-op visit with a bariatrician for preoperative history and physical examination.
    • Pre-op visit with the surgeon to sign consent forms.
    • Consultation with one of our bariatric surgeons is scheduled after the patient has completed the pre-op evaluation and education program.

Following your weight loss surgery, you should experience a significant amount of weight loss. In addition, other weight-related medical conditions will likely improve. It is important to note that surgery is not a quick fix. Whatever type of surgery you have, weight reduction will be ongoing, and you will be required to make lifelong changes in your lifestyle and diet to remain successful.

Our team will continue to help for long-term success. You will have frequent medical checkups to monitor your health in the first several months after weight loss surgery; these may include laboratory testing, blood work and various exams. Long-term follow-up is essential to maintaining your outcomes. Our team at the Queen’s Comprehensive Weight Management Program is here to help, every step of the way.