Information for patients

Information for patients about hospital admission, examinations and consultations before bariatric surgery.

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1..Blood tests (not older than 2 weeks). To be done on an empty stomach!

  • Incomplete blood count (Hb, L, Er, Ht, Tr, without ESR)
  • Creatinine (GFR)
  • Erythrocyte antibodies
  • Sodium
  • Blood type (ABO), Rh (D)
  • Potassium
  • Glucose
  • Hepatitis C: anti-HCV
  • Bilirubin, fractions
  • APTT
  • ALT
  • Prothrombin time and INR
  • AST

2. Examinations before surgery:

2.1. Electrocardiogram (not older than 6 months)
2.2. X-ray of lungs (not older than 1 year) or CT of lungs (not older than 1 year)
2.3. Fibrogastroscopy (FGS) with or without anaesthesia (not older than 1 year), please, see. information on how to prepare for FGS
2.4. Abdominal ultrasonography (USG) (not older than 1 year)
2.5. Echocardiogram (if needed, with a doctor’s or anaesthetist’s referral)

3. Consultations if requested and/ or with a doctor’s referral:

  • Psychologist/ psychotherapist consultation
  • Endocrinologist consultation
  • Dietitian/ nutritionist consultation
  • Cardiologist consultation
  • Pulmonologist consultation
  • Infectologist consultation
  • Physiotherapist consultation

3.1. Anaesthesiologist’s consultation (prior signing up by phone 37129847619 on weekdays from 8.00 a.m. to 4.00 p.m.)

Reports of the performed examinations should be prepared and taken with you to the consultation with the anaesthesiologist.

*A referral from the specialist or family doctor is required for examinations. When performing examinations for a fee, a referral is not required, except if the service is paid by the insurance company, as well as in all cases for radiological examinations (x-rays, computed tomography).

4. Information about the hospital admission for planned surgery/ manipulation

Before entering admission to the hospital:

4.1. Do not eat for 7-8 hours and do not drink liquid for 4 hours before the planned operation unless the doctor has indicated other special preparation.
4.2. Have a light dinner the previous day until 8.00 p.m.
4.3. Do not smoke 12 hours, do not drink alcohol 24 hours before the operation.
4.4. Do not use cosmetics (nail coating, tonal cream, or other decorative cosmetics).
4.5. Continue to use previously prescribed medications also on the morning of the surgery, except for those prohibited by the doctor or anaesthesiologist.
4.6. Remove dentures, piercings before surgery.
4.7. Provide yourself with transportation and an attendant to help you get home after surgery.
4.8. REMINDER: come to the clinic, taking your regularly used medications with you!
*Before surgery, the use of aspirin, anticoagulants (if used) should be stopped,in consultation with the attending physician and/or anaesthesiologist!

5. On the day of the hospital admission, come to the reception desk to complete the documents from 8.00 a.m. or by agreement with the attending physician. The clinic address: Maskavas iela 241, Riga. Free parking is temporarily available in the yard of the clinic if it does not interfere with other means of transport, including the specialized transport. In addition, the car can be parked on both sides of adjacent Maskavas Street.

Anaesthesiologist must be visited until the hospital admission.

You should bring:

5.1. Passport or ID card.
5.2. Referral from a medical specialist or family doctor.
5.3. Examination results and extracts from previous hospitalizations.
5.4. Extracts from medical records requested by the operating physician and/or anaesthesiologist.
5.5. Proof of payment for the operation or letter of guarantee (in case of paid operation); or payment must be made at the clinic.
5.6. The phone number of a relative or a trustee.

6. When arriving to the hospital for surgery, you can take with you:

6.1. Clothes and shoes – slippers, socks, underwear, robes, comfortable clothes for change (T-shirt, sportswear, light sweater, etc.), as well as personal hygiene items.
6.2. A mobile phone (to be used in silent mode) and/or a laptop.
6.3. Books, journals, etc.
6.4. In the clinic, there is an access to drinking water and tea to be used in accordance with the doctor’s instructions, respecting the safety of the patient before and after general anaesthesia. It is possible to order food if no dietary restrictions are imposed. Bariatric patients are provided with a specially adapted diet.

7. Forbidden:

7.1. To drive a car two days after surgery/manipulation under general anaesthesia.
7.2. To use alcoholic beverages.

8. Not recommended:

8.1. To make important decisions, operate electrical and/ or mechanical devices that can cause injury two days after surgery/ manipulation under general anaesthesia.
8.2. Take valuables to the clinic.

The hospital working hours – from 8.00 a.m. to 8.00 p.m. Communication with patients – in Latvian, English, or Russian language. If you cannot arrive at the appointed time, please inform in time by calling +371 67799100, + 371 20022581 or by writing [email protected]. In case of questions, please, contact the coordinator of the International Bariatric Center of Excellence. Tel. +371 20014000.

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