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Road Map to Bariatric Surgery and Beyond

Congratulations on your decision to pursue bariatric surgery!

Attend one of our Free Weight Loss Information Seminars
Please join us for an information session to learn how weight-loss surgeries can help you or someone you care about.  In the sessions, Dr. Mark Salcone will provide details on the options for Weight Loss Surgery and on the benefits of Lourdes personalized approach. You will also have the option to be scheduled for your first one on one consult with the surgeon at this information session.

The full schedule of seminars can be found here.  

Complete Paperwork/Verify Insurance Information
You will need to fully complete the office paperwork packet prior to your initial consult with your surgeon. Packets are given out at the information sessions.

You will need to call your insurance company prior to your first appointment to determine if Bariatric surgery is a covered benefit. Some insurance policies may require 3 – 6 months of supervised diet and exercise programs with your Primary Care Provider, as well as a Letter of Support.  We will review your policy and requirements with you during your visit.

The codes for the operative procedures are:

  • Roux-en Y Gastric Bypass:  CPT code 43644
  • Sleeve Gastrectomy:             CPT code 43775
  • Lap-Band:                               CPT code 43770

During your initial consultation we pride ourselves on providing personalized treatment

Together, we will take steps to determine:

  • If surgery is the right treatment for you.
  • The type of procedure that is right for you.
  • If you are mentally and emotionally prepared to make lifelong lifestyle changes.
  • That you have, or will have, the necessary support system around you as you get back to life after your weight-loss surgery.

During this time, you will attend 3 nutritional counseling education classes, and obtain clearances from the physicians recommended by your surgeon. You will visit the office monthly to check in and evaluate your progress. Once all of your insurance and surgeon requirements are met, you will then be given a date for surgery!

Prior to your surgical date, you will attend your 3rd and final nutrition class which is combined with your prepare for surgery class. This helps ensure that you are prepared for your brief hospital stay and all of your questions are answered.

Hospital Course
You will be admitted on the day of your surgery and should expect to spend one or two nights in the hospital. Patients are expected to walk starting four hours after surgery and continuing during the hospital course. It is the best way to recover and help prevent complications. On postoperative day one, you will start drinking liquids.

Patients will go home on a protein rich liquid diet for 2 weeks. When you follow up with the surgeon in the office, if you are tolerating your liquids well, he will then advance your diet starting with a week of pureed foods, then a week of soft foods. Patients should know that they will eat regular food a month after surgery just in small amounts. Sugar is a big no-no, as are many processed foods. We have a lifelong commitment to you and will see you many times postoperatively.

We encourage you to come to our monthly support group as well. As life goes on, remember, your procedure is just a tool. You must learn to eat well and adopt healthy behaviors and to exercise. It is important to remember your mental health as well. A good life balance is crucial as you manage your stress and life’s curve balls.

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