Understanding obesity as a disease in itself, ECOS proposes a multidisciplinary approach that allows correcting all the aspects that correlate in this problem. Surgery is the most important tool for the treatment of severe obesity, but its effectiveness and safety are sustained in the teamwork of multiple specialties.

The first consultation is usually done with the bariatric surgeon who will evaluate the general clinical condition and offer the best treatment options that will be adjusted to each patient as their multidisciplinary evaluation progresses. After the first consultation with the surgeon, the patient will visit the multidisciplinary team made up of: NUTRITION, PSYCHOLOGY AND CLINICAL OBESOLOGY.

The patient will consult with all members of the team approximately once a month to optimize all aspects. This includes the psychological approach to obesity, the improvement of eating habits, and the comprehensive clinical assessment to optimize any associated medical condition before surgery. During this process, the general objective is to achieve a 10% decrease in initial weight.

Containment of the patient who suffers from obesity is the fundamental pillar of our preoperative assessment.

During this process, we must carry out a series of studies such as:

  • Complete laboratory with nutritional profile
  • Assessment of thyroid gland function
  • Liver assessment
  • High digestive video endoscopy
  • Abdominal ultrasound
  • Electrocardiogram and cardiovascular assessment
  • Pulmonological assessment

Having achieved the necessary psychological resources, nutritional habits, and clinical optimization, the surgeon will propose the best treatment for the patient’s condition and a surgery date will be scheduled.

In the following video, Dr. Federico Moser tells you what the day of the surgery is like

Obesity is a chronic, progressive, and relapsing treatment. That’s why the checks after surgery must be maintained, especially considering that the significant weight loss induced by the procedure must be supervised by a specialized team to optimize results.

In this way, the patient will attend check-ups 48-72 hours after discharge and after 15 days with the surgeon. During this time, they will have frequent contact with their nutritionist for dietary progression. After 30 days and then monthly, they will be evaluated by the entire team and will be able to resume all their daily activities including physical activity.

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