[Patient care pathway before bariatric surgery].

Area of Science:

• Bariatric Surgery
• Patient Care Pathways
• Obesity Management

Background:

• French guidelines from Haute Autorité de Santé (since 2009) mandate a preoperative period for bariatric surgery.
• This period is crucial for patient preparation and multidisciplinary evaluation.

Purpose of the Study:

• To outline the essential components of the preoperative patient care pathway for bariatric surgery.
• To emphasize the importance of the preoperative phase for patient well-being and surgical success.

Main Methods:

• Multidisciplinary team assessment including BMI verification (≥40 kg/m² or ≥35 kg/m² with comorbidities).
• Investigation of contraindications, particularly psychological factors.
• Therapeutic education programs to address reasons for excess weight.
• Medical examinations for comorbidity detection and morphological assessment.
• Obtaining informed patient consent and multidisciplinary indication confirmation.

Main Results:

• A minimum 6-month preoperative period is required.
• Thorough evaluation ensures appropriate patient selection and preparation.
• The preoperative course significantly impacts patient experience and postoperative outcomes.

Conclusions:

• The structured preoperative pathway is vital for bariatric surgery success.
• Comprehensive assessment, patient education, and informed consent are key components.
• Effective preoperative management contributes to positive patient experiences and improved postoperative follow-up.