Endoscopic gastric reduction Endoscopic gastric reduction Endoscopic gastric reduction

If you are considering surgical treatment of obesity, make an appointment with our surgeon. During the first appointment the physician will assess the degree of obesity, take medical history of co-morbidities and obesity complications.

You will receive information on possible treatment options and be pre-qualified for the selected surgery. You will also receive a diagnostics plan preparing you for the surgery.

We want to gather as much information as possible about your health condition so that further treatment is as safe and personalized as possible. We schedule a diagnostic appointment and a planned surgery date.

We offer our patients a full diagnostic package which includes all necessary tests and specialist consultations required to perform the surgery. Typical diagnostic scheme:

• nutritionist consultation,
• psychologist consultation
• cardiologist consultation (with echocardiography examination)
• pulmonologist consultation (with spirometry examination)
• endocrinologist consultation
• gastroenterologist consultation with gastroscopic examination performed under general anaesthesia
• abdominal ultrasound
• chest x-ray
• comprehensive blood chemistry panel

The diagnostics is coordinated by an experienced specialist and your attending surgeon.

We begin treatment prior to the surgery, in the diagnostic phase. The nutritionist prepares a nutrition plan, which will help you prepare for the post-surgery changes, achieve initial weight loss and reduce liver steatosis. This specialist also provides you with nutrition education including the principles of proper nutrition to be followed before and after surgery. Simultaneously, the psychologist will equip you with the psychological means of coping with the transformation that awaits you.

You follow a nutrition plan. The attending physician, nutritionist and psychologist stay in permanent touch with you, providing you with support and advice.

You will be admitted to the Surgical Ward after a period of a few weeks following the completion of diagnostics. The patients usually stay in our hospital for 4 days:

• Day 1. Hospital admission, preparation of necessary documentation. Performing the most-recent blood chemistry tests. Discussing and signing the consent for surgery with the surgeon.  Anaesthesiologist consultation.
• Day 2. The surgery is performed between 8:30 and 15:00, depending on the surgery plan. After surgery, the patient spends the rest of the day and night in the recovery room under the care of skilled medical and nursing staff. You will start drinking small amounts of water on your surgery day.
• Day 3. The beginning of convalescence. We will assess your health condition and convalescence progress based on surgeon’s assessment and blood chemistry tests. Another nutritionist consultation during which you will receive recommendations for the recovery period (4-6 weeks).
• Day 4. We will assess your health condition and convalescence progress once again based on surgeon’s assessment and blood chemistry tests. Oral diet inclusion. Discharge.

After the end of the surgical treatment we stay in permanent touch with our patients via phone or e-mail. In addition to this, we will also meet on the follow-up appointments.

• The first appointment will be scheduled one month after the surgery: convalescence and initial weight loss assessment. Review of follow-up laboratory tests, i.a. vitamin level, blood morphology and other blood chemistry tests.
• The follow-up nutritionist consultation is also scheduled approximately one month after the surgery (most often also with the surgeon consultation).
• We will meet approximately every 3 months in the first year. During the follow-up appointments we will monitor your health condition and ensure you make a safe recovery.