Bariatric consultation Bern | Obesity & weight management without surgery
The bariatric consultation at Vivomed Bern is aimed at patients who are overweight or obese and want to improve their health, lose weight or consider minimally invasive or surgical treatment options. The aim is to provide individual, safe and sustainable treatment tailored to the patient's personal state of health.
Consultation procedure - individual basic assessment
The consultation begins with a comprehensive basic assessment:
- Physical examination and medical history
- Measurement of weight, BMI and fat distribution
- Laboratory analyses to check metabolic parameters, liver and kidney function as well as vitamin and iron status
- Psychological assessment
overweight and obesity are often associated with psychological factors. During the consultation, eating habits, motivation, stress management and possible accompanying mental illnesses (e.g. depression, anxiety disorders) are discussed. The aim is to choose a therapy that can be realistically implemented and is successful in the long term.
Endocrinological clarification
As hormonal factors (e.g. thyroid gland, insulin resistance, leptin levels) can influence weight, an endocrinological evaluation is carried out. This helps to identify and specifically treat metabolic disorders.
Recommendations for treatment options
Based on the results of the investigations, the team makes recommendations for the most suitable therapy for the individual patient:
Conservative options
- Nutrition and exercise programs
- Drug therapy if lifestyle measures are not sufficiently successful
Interventional endoscopic options without surgery
- Endosleeve / endoscopic gastric sleeve: minimally invasive reduction of the stomach volume
- Gastric balloon: Temporary satiety aid, non-surgical, reversible
These options are suitable for patients who do not yet want surgery or for whom an interventional therapy between a conservative approach and surgery makes sense
Surgical options - gold standard
Surgical options
- Gastric sleeve (sleeve gastrectomy)
- Roux-Y gastric bypass: Suitable for severe obesity (BMI >40 kg/m² or >35 kg/m² with concomitant diseases) if conservative and endoscopic measures are not sufficient
Conclusion - individual, safe, sustainable
In the bariatric consultation at Vivomed Bern, patients are comprehensively examined and advised. The aim is to find the best form of therapy for each individual patient - from lifestyle measures and endoscopic procedures to surgical interventions.