RE: Pre-Op Weight Loss Requirements?

[Guest guest]

We do not require pre-op weight loss in our program. Patient's have to follow a

pre-surgical meal plan, which is also low calorie/carbohydrate (basically a full

liquid diet) any where from 2-4 weeks, depending on BMI. If their BMI is >50,

they have to be on the diet (pre-surgical) for 4 weeks. Patients usually lose

any where between 10-30lbs on this meal plan.

Are other progams requiring an amount of weight loss prior to surgery?

Thanks,

Wichman, RD

Pre-Op Weight Loss Requirements?

Hi Everyone,

I was wondering what programs currently have for pre-op weight loss

requirements?

We currently have a " no weight gain " policy from when pts start our program. We

then have all pts follow a low kcal, low CHO diet 2 weeks before having surgery

for shrinking the liver.

We are considering initiating a pre-op weight loss requirement rather than a " no

weight gain " policy. Is this something other programs are doing? If so, how

much weight loss is required and in what time frame?

Thanks!

Sara

[Guest guest]

We also require a 2-4 week pre-op diet, dependent upon BMI. We do not require a specific amount of weight loss, but our patients do have a visit with the surgeon 1-week pre-op, and if he is not happy with the amount of weight loss, which is typically if they lose 5 pounds or less, he postpones their surgery. We typically see weight loss from 10 to 30 pounds as well and the general assumption is that if someone loses less than 5 pounds, they are not being compliant with the diet. Kirkpatrick, RD, LD ----- Pre-Op Weight Loss Requirements?Hi Everyone,I was wondering what programs currently have for pre-op weight loss requirements?We currently have a "no weight gain" policy from when pts start our program. We then have all pts follow a low kcal, low CHO diet 2 weeks before having surgery for shrinking the liver. We are considering initiating a pre-op weight loss requirement rather than a "no weight gain" policy. Is this something other programs are doing? If so, how much weight loss is required and in what time frame?Thanks!Sara

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[Guest guest]

Our program requires an 8% weight loss from when they start our program. Once they have seen the surgeon (having achieved goal weight or nearly so) and have insurance approval, we put them on a low calorie diet ~ 1000 - 1200 calories for 2 weeks prior to surgery to shrink the liver. We recommend a preportioned meal, meal replacement shakes, 2 fruits, unlimited non starchy veggies and a protein bar.

From: Kirkpatrick <kirkpatrickdj@...>Subject: RE: Pre-Op Weight Loss Requirements? Date: Monday, February 27, 2012, 1:15 AM

We also require a 2-4 week pre-op diet, dependent upon BMI. We do not require a specific amount of weight loss, but our patients do have a visit with the surgeon 1-week pre-op, and if he is not happy with the amount of weight loss, which is typically if they lose 5 pounds or less, he postpones their surgery. We typically see weight loss from 10 to 30 pounds as well and the general assumption is that if someone loses less than 5 pounds, they are not being compliant with the diet.

Kirkpatrick, RD, LD

----- Pre-Op Weight Loss Requirements?Hi Everyone,I was wondering what programs currently have for pre-op weight loss requirements?We currently have a "no weight gain" policy from when pts start our program. We then have all pts follow a low kcal, low CHO diet 2 weeks before having surgery for shrinking the liver. We are considering initiating a pre-op weight loss requirement rather than a "no weight gain" policy. Is this something other programs are doing? If so, how much weight loss is required and in what time frame?Thanks!Sara

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