Experts in Bariatric and Metabolic Disorders

Bariatric surgery, and the lifestyle changes required to achieve your desired outcome, requires a serious commitment on your part. But your commitment also comes with a promise from the Bariatric and Metabolic Interdisciplinary Clinic (BMI Clinic) to do everything we can to help you succeed.  Stanford's Bariatric Surgery Clinic is first Center of Excellence in Northern California to achieve Level 1A certification by the American College of Surgeons.

Bariatric Surgery Clinic
900blakewilburdr-stanford
900 Blake Wilbur Drive
Palo Alto, CA 94304
Phone: 650-736-5800 Getting Here
Maps & Directions
900 Blake Wilbur Drive
Palo Alto, CA 94304
Phone: 650-736-5800 Getting Here
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Our Doctors

Care and Treatment of Bariatric and Metabolic Disorders

Is Bariatric Surgery Right for You?

Weight loss surgery is the only effective and lasting form of treatment for morbidly obese patients. But is surgery right for you?

From our experiences, being the right patient starts with understanding that losing weight and keeping it off requires a life-long commitment. If you have that commitment, we then need to make sure that you’re a good candidate for bariatric surgery. We've established a fairly long list of requirements you have to meet in order to be considered. We do this in part to make sure you do have that commitment, but also to make sure that surgery is the last resort. We can't emphasize enough that this is a serious medical procedure, but also just the start of some pretty big lifestyle changes.

Bariatric surgery requirements

  • Attend a seminar to learn about weight loss, bariatric surgery, and your health.
  • Six months of supervised (physician or Weight-Watchers) attempts at weight loss with documented weights (insurance requirement), dependent on your specific insurance plan
  • Nutritional Evaluation and Completion of Food Diary: Meeting with a nutritionist before and after surgery is critical. You will have no more important change in your life than the change in your eating habits after surgery. It’s critical to educate yourself regarding how to best meet this challenge.
  • Psychological Evaluation:

We prefer if you meet with one of our psychologists from Stanford's Department of Psychiatry at 650-498-9111. Please keep in mind that Bariatric Surgery is a tremendous change in your life, and we want to make sure you’re able to meet challenges. We also require that you be clean and sober from any addictive drugs for three years.

  • Primary care physician referral
  • Patients are current on preventative health tests, including mammograms and colonoscopies.

Diagnostic tests

To fully optimize patients pre-operatively, we require the following diagnostic tests. These should be completed within six months prior to surgery. These diagnostic tests will allow us to provide you with the best care possible, and are always meant to assist care, not deny it. You can work with your primary care physician to complete many of these tests.

  • CXR
  • EKG
  • Blood Work
    • CBC
    • Complete metabolic panel including calcium and liver function tests
    • Thyroid function tests
    • Lipid panel
    • Fe Panel
    • B12
    • Folate, Thiamine
    • Homocysteine, C-Reactive Protein, Lipoprotein a – to assess cardiac risk factors
    • HgbA1C (if known diabetic)
  • Cardiac Echo – hx of phen-fen or long-standing sleep apnea or cardiac risk screen
  • Stress Test – abnormal cardiac echo, family hx, IDDM, HTN, >20-pack year history, age >50, other cardiac risk factors – elevated lipids, crp, lipoprotein a, homocysteine
  • Greenfield Filter – Your surgeon will make this decision and is usually indicated if history of blood clots in your lungs or legs, severe sleep apnea, weight >400 lbs. The filter helps prevent blood clots from traveling from your legs to your lungs where they can be fatal. Stanford  physicians are able to place temporary filters that are removed 2-4 weeks after surgery.
  • Cessation of smoking, steroid use and immune suppressant medication. Use of any of these drugs will jeopardize your recovery.
  • Endoscopy and/or Upper GI
NATIONALLY RECOGNIZED

Clinical Trials

Clinical trials are research studies that evaluate a new medical approach, device, drug, or other treatment. As a Stanford Health Care patient, you have access to the latest, advanced clinical trials.

Open trials refer to studies currently accepting participants. Closed trials are not currently enrolling, but may open in the future.

For Patients

A referral from your primary care doctor is required.

PREPARE FOR YOUR APPOINTMENT

Bariatric surgery requirements include:

  • Proof of six months supervised attempts at weight loss with documented weights
  • Psychological evaluation
  • Upper endoscopy
  • Meet with a nutritionist before and after surgery
  • Diagnostic tests completed within six months prior to surgery

Bring or mail ahead of time the results of your diagnostic tests, your completed Patient Questionnaire and Food Diary. You can also receive a copies of forms from our New Patient Coordinator at 650-736-7102.

Tip: We receive hundreds of faxes daily. Please send any information via overnight mail services so that you will have a tracking number and will allow us to securely receive your paperwork, labs and consultations.

International Patients
Phone: +1 650-723-8561
Email: IMS@stanfordmed.org

For Health Care Professionals

PHYSICIAN HELPLINE

Phone: 1-866-742-4811
Fax: 650-320-9443
Monday – Friday, 8:30 a.m. – 5 p.m.

Stanford Health Care (formerly Stanford Hospital & Clinics) provides comprehensive services to refer and track patients, as well as provides the latest information and news for physicians and office staff. For help with all referral needs and questions visit Referring Physicians.

HOW TO REFER

Fax a referral form with supporting documentation to 650-320-9443.

Track your patients' progress and communicate with Stanford providers securely online.

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