NOTE: These are guidelines only.  Each patient is considered individually.

 

Communication Access:

You must have a reliable email address that can accept "attachments."

Note: It is very important that you DO NOT use your work email address.

You can expect to receive a high volume of very personal email at the address that you send us.

You need to have a personal email address and not a work email address.

 

Preoperative Screening Information:

Age between 16 and 72 (exceptions are made for very well motivated,

very well informed patients that have the strong support of their family and their physician(s).

 

Ideal Candidate:

Age between 16 and 72 (exceptions are made for very well motivated,

very well informed patients that have the strong support of their family and their physician(s).
 

Body Mass Index:

A BMI of 35 or near 35 with co-morbidity  or 40 without co-morbidity. 

A good rule of thumb would be body weight of 80-100 pounds above your ideal body weight.

 

Size Limitation:

Equipment can dictate some size limitation.  If you are over 450 pounds, you should discuss this with Dr. Peraglie.

 

Mobility:

Patients must presently be working, either in or out of the home. Patients that are students or housewives can meet these guidelines if they are mobile and able to be active. Disabled and wheelchair patients are generally not good candidates for the surgery.

 

No Previous Obesity Surgery:

No history of previous obesity surgery (except for previous or existing lap band patients). We do not accept patients that have had previous vertical banded gastroplasty, "stomach stapling", Roux-en-Y or other types of previous weight loss surgery. We are no longer accepting patients for revision of other types of weight loss surgery.

 

No Previous Abdominal Surgery:

No history of major abdominal surgery.

(Some operations such as appendectomy, gallbladder removal and a few other operations such as hysterectomy may be acceptable.)

 

Alcoholism/Drug Use: 

No history of alcohol abuse or drug use.

 

Family Support:

The patient must show evidence of a strong, supportive and stable family structure and have the documented support of their immediate family.

 

Supportive PCP:

The patient must have a supportive personal physician (family practice or internal medicine) who will: support the patient's desire to undergo laparoscopic Mini-Gastric Bypass, perform a detailed, meticulous and  complete preoperative evaluation, and agree to be actively involved in the postoperative follow up with CLOS. 

 

Psychological Evaluation: 

No history of major psychiatric illness. If the patient has had depression, the patient and his/her psychiatrist must have a plan in place with their psychiatrist for the diagnosis and management of depression post operatively.

 

Family Support:

The patient must show evidence of a strong, supportive and stable family structure and have the documented support of their immediate family.

 

Supportive PCP:

The patient must have a supportive personal physician (family practice or internal medicine) who will: support the patient's desire to undergo laparoscopic Mini-Gastric Bypass, perform a detailed, meticulous and  complete preoperative evaluation, and agree to be actively involved in the postoperative follow up with CLOS. 

 

Psychological Evaluation: 

No history of major psychiatric illness. If the patient has had depression, the patient and his/her psychiatrist must have a plan in place with their psychiatrist for the diagnosis and management of depression post operatively.

 

No History of:

• Recent Prednisone therapy for any reason

• Systemic Lupus Erythematosis (SLE)

• Rheumatoid Arthritis  Exceptions are made on a case by case basis

• Other Collagen Vascular Disease

Follow Directions:

Evidence that the patient can work with CLOS and staff by following directions and communicating in a timely manner. Documented commitment to maintain the initial postoperative and yearly long-term follow-up with CLOS to decrease the risks of complications such as ulcers, vitamin, mineral and other nutritional deficiencies.