Complete pre-operative work-up
Surgeries/Bariatric/Pre-operative work-up

Complete pre-operative work-up

A complete multidisciplinary medical assessment before bariatric surgery, to operate under the safest possible conditions.

What is it?

The pre-operative work-up is a fundamental step in the bariatric surgery pathway. It confirms the indication for surgery, guides the choice of the technique best suited to each patient and prepares the operation under optimal safety conditions. This work-up is multidisciplinary: it combines complete blood tests, a cardiac and respiratory assessment (with screening for sleep apnoea if necessary), a digestive endoscopy to check the condition of the stomach, and specialist consultations with the surgeon, the nutritionist, the psychologist and the anaesthetist. Beyond the tests, this preparation period allows the patient to fully understand the planned procedure, its expected benefits and the commitments it involves, particularly regarding diet and follow-up. It is also the time to begin the first changes in habits that will make the post-operative period easier. At Clinique Pasteur Tunis, the entire pre-operative work-up can be carried out on site, thanks to the facility's comprehensive technical resources, with coordinated appointments that simplify the pathway, including for patients coming from abroad.
Complete pre-operative work-up

When is it indicated?

Any patient who is a candidate for bariatric surgery

This work-up is a mandatory and reassuring step in the pathway: it applies to everyone considering obesity surgery, before any operation is scheduled.

Confirmation of the indication for surgery by the multidisciplinary team

The results of the work-up allow all the specialists to confirm that surgery really is the best option for the patient.

Choice of the most suitable surgical technique

Every patient is different: the tests help choose, among the various bariatric techniques, the one that best matches their profile.

Screening for conditions associated with obesity

The work-up looks for conditions often linked to excess weight, such as diabetes or sleep apnoea, so they can be managed before the operation.

Preparation of the anaesthesia under the best conditions

Knowing precisely the condition of the heart, lungs and body allows the anaesthetist to adapt their technique and make the procedure safer.

Preparation

1Bring all your medical documents and results of previous tests
2List of current medications
3Fast for blood samples and endoscopy as instructed
4Plan for several appointments, grouped together as much as possible

Procedure

1

Initial consultation with the bariatric surgeon

2

Complete blood work-up

3

Cardiac and respiratory assessment

4

Upper digestive endoscopy

5

Nutritional consultation and assessment of eating habits

6

Psychological interview

7

Anaesthesia consultation

8

Case review and approval of the indication by the team

Duration

Can be completed over a few days depending on appointment scheduling

Aftercare & Recovery

At the end of the work-up, the multidisciplinary team approves the indication and proposes the technique best suited to the patient's profile. A surgery date is then scheduled, with personalised preparation instructions.

Risks and side effects

Safe tests, most of them non-invasive
The digestive endoscopy is performed under sedation for optimal comfort

These risks remain rare. Your surgeon will inform you in detail before the procedure.

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At a glance

Duration: Can be completed over a few days depending on appointment scheduling
Preparation: Required
Dedicated specialist team