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This document outlines the medical policy for bariatric surgery, including patient information, procedure information, required documentation, and post-operative program education.
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How to fill out bariatric surgery

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How to fill out Bariatric Surgery

01
Schedule a consultation with a qualified bariatric surgeon.
02
Undergo a thorough medical evaluation to determine eligibility.
03
Complete necessary pre-operative testing and evaluations, including blood tests and imaging.
04
Attend counseling sessions to discuss emotional and psychological readiness.
05
Follow a prescribed diet plan leading up to the surgery.
06
Review surgical options: gastric bypass, sleeve gastrectomy, etc.
07
Sign informed consent forms after understanding the risks and benefits.
08
Prepare for the surgery date as instructed by the surgeon.

Who needs Bariatric Surgery?

01
Individuals with a BMI of 40 or higher.
02
Individuals with a BMI of 35 or higher who have obesity-related health issues.
03
People who have not achieved sustainable weight loss through diet and exercise.
04
Individuals willing to commit to lifestyle changes post-surgery.
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Avoid the use of drinking straws, carbonated beverages, chewing gum and ice. They can introduce excess air into your surgically created pouch and cause discomfort. Avoid sugar, sugary foods and beverages, and fruit juices.
Overview. Gastric bypass and other types of weight-loss surgery — also called bariatric or metabolic surgery — involve making changes to your digestive system to help you lose weight. Bariatric surgery is done when diet and exercise haven't worked or when you have serious health problems because of your weight.
These surgeries work mainly by changing the anatomy and size of the stomach to limit the amount of food you take in, and, in some cases, by altering your digestion process to improve fat metabolism. Some procedures impact the production of intestinal hormones, affecting appetite.
A gastric bypass diet follows a staged approach to help you ease back into eating solid foods. How quickly you move from one step to the next depends on how fast your body heals and adjusts to the change in eating patterns. You can usually start eating regular foods about 6 to 8 weeks after surgery.
What is bariatric surgery? Bariatric surgery is the umbrella term for a variety of procedures that help with weight loss. These surgeries work mainly by changing the anatomy and size of the stomach to limit the amount of food you take in, and, in some cases, by altering your digestion process to improve fat metabolism.
There are currently three primary weight loss (or bariatric) surgeries being performed across the United States. They are Roux-en-Y gastric bypass, adjustable gastric banding and sleeve gastrectomy.
This procedure is the most common method of gastric bypass. This surgery is typically not reversible. It works by decreasing the amount of food you can eat at one sitting and reducing absorption of fat and calories. The surgeon cuts across the top of the stomach, sealing it off from the rest of the stomach.

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Bariatric surgery encompasses various surgical procedures designed to assist individuals with severe obesity in losing weight by altering the digestive system.
Individuals who are classified as morbidly obese, typically with a Body Mass Index (BMI) of 40 or higher, or those with a BMI of 35 or higher with related health conditions, may be required to explore options for Bariatric Surgery.
Filling out Bariatric Surgery forms generally involves providing personal health information, medical history, and BMI, as well as details about previous weight loss attempts and any associated health issues.
The purpose of Bariatric Surgery is to promote significant weight loss and improve or resolve obesity-related health conditions such as diabetes, hypertension, and sleep apnea.
Information that must be reported on Bariatric Surgery includes patient demographics, medical history, current medications, comorbidities related to obesity, and details of prior weight loss attempts.
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