Organizing a bariatric team

Introduction: As the number of weight loss operations has grown, so has the scrutiny on outcomes. Good outcomes are a result of comprehensive care initiated at the initial consultation and continuing and extending many years post-operatively. Successful outcomes require a wellorganized team of caregivers. The National Institutes of Health, the Society of American Gastrointestinal and Endoscopic Surgeons, as well as the American Society for Metabolic and Bariatric Surgery (ASMBS) and the American College of Surgeons (ACS) have all advocated a multidisciplinary approach to the management of the MO patient. While the surgeon is the centerpiece of any successful bariatric program, a multitude of medical professionals is required. In addition to these essential staff members, a comprehensive bariatric program requires appropriate infrastructure, educational and support programs. Outpatient: Success, satisfaction and safety of bariatric procedures depend in large part on a commitment and partnership between patient and physician. As such, compassionate and thoughtful care is essential. All staff members interacting with the MO patient must be aware of the psychologic and social implications of this disease process and must treat the patients with respect. Sensitivity training for all members of the team can help increase awareness about prejudices that the MO patients may encounter. Patient education is of paramount importance to ensure realistic expectations and to outline important lifestyle modifications. This is best achieved through educational seminars and reference materials.