Patients with obesity who wish to undergo bariatric surgery require an extensive interdisciplinary examination. This should already take place at a certified obesity centre with corresponding departments.
Surgical evaluation serves primarily to clarify surgical risk factors and possible contraindications for bariatric surgery.
The internal evaluation is primarily about clarifying whether the patient may be suffering from a hormonal disease leading to obesity. Furthermore, the typically associated diseases of obesity should be recorded and, if necessary, treated with medication (e.g. improvement of blood pressure values). If necessary, further examinations are carried out, e.g. heart-lung diagnostics.
Psychosomatic evaluation is about uncovering possible psychosocial problems, addictions and eating disorders. Nutritional aspects must also be discussed carefully.