10. Standard Pre-Op Evaluation Process

Guidelines for selection

Age: young and old

Weight: usual patients, low weight metabolic surgery and super-super obese

Metabolic disease; diabetes, hypercholesterolemia, hypertension, pseudo-tumor cerebri, sleep apnea, osteoarthritis, renal dysfunction, pulmonary hypertension, angina, MI, ascvd, peripheral vascular disease, NASH, fatty liver, other

Preop testing:

Endoscopy

Upper GI

Blood tests

CXR

EKG

H. Pylori

Iron, Hct

Renal

Blood sugar/HbA1c

Cortisol Thyroid

Pulmonary function testing

Rectal exam/pap smear/ breast exam/colonoscopy etc