Digestive Health Institute

Test & Investigations

PRE‑OP BARIATRIC LIST OF TESTS

12 hours fasting required for all the tests mentioned below.

Hematological Parameters

  • Complete Blood Count
  • Blood Group
  • Bleeding Time, Clotting Time, PT INR
  • HBsAg, HCV, HIV
  • C‑reactive Protein (CRP)

Liver Function Tests

  • Total Proteins, Albumin, Globulin, A/G Ratio
  • SGOT, SGPT, Alkaline Phosphatase, GGTP
  • Total Bilirubin, Direct & Indirect Bilirubin

Lipid Profile

  • Cholesterol, Triglyceride
  • HDL, LDL, VLDL
  • Cholesterol:HDL and LDL:HDL ratios

Renal Profile

  • BUN, Serum Creatinine
  • Serum Electrolytes
  • Serum Calcium, Serum Uric Acid
  • Serum PTH
  • eGFR

Diabetic Status

  • Blood Sugar (Fasting & Post‑Lunch)
  • C‑peptide (Fasting – only for diabetics)
  • Glycosylated Hemoglobin (HbA1c)
  • Serum Insulin (Fasting)
  • Serum Lactate
  • NT‑pro‑BNP

Thyroid Estimations

  • T3, T4, TSH

Nutritional Parameters

  • Serum 25‑Hydroxy Vitamin D3
  • Vitamin B12
  • Serum Iron Studies

Urine & Radiological

  • Urine Routine & Micro‑albuminuria
  • USG Abdomen & Pelvis
  • Chest X‑ray
  • 2D Echo
  • ECG

POST‑OP BARIATRIC LIST OF TESTS

12 hours fasting required for all the tests mentioned below.

Hematological Parameters

  • Complete Blood Count
  • Serum CRP
  • Serum Iron Studies

Liver Function Tests

  • Total Proteins, Albumin, Globulin, A/G Ratio
  • SGOT, SGPT, Alkaline Phosphatase, GGTP
  • Total Bilirubin, Direct & Indirect Bilirubin

Lipid Profile

  • Cholesterol, Triglyceride
  • HDL, LDL, VLDL
  • Cholesterol:HDL and LDL:HDL ratios

Renal Profile

  • Serum Calcium
  • BUN, Serum Creatinine, Serum Uric Acid
  • Serum Electrolytes

Diabetic Status

  • Blood Sugar (Fasting & Post‑Lunch)
  • C‑peptide (Fasting – only for diabetics)
  • Glycosylated Hemoglobin (HbA1c)

Thyroid Estimations

  • T3, T4, TSH

Nutritional Parameters

  • Serum 25‑Hydroxy Vitamin D3
  • Vitamin B12

Urine & Radiological

  • Urine Routine & Micro‑albuminuria
  • USG Abdomen & Pelvis
  • Chest X‑ray
  • Upper GI Endoscopy (To rule out Hiatus Hernia and test for H. pylori)

YEARLY LIST OF INVESTIGATIONS

12 hours fasting required for the tests mentioned below.

Hematological Parameters

  • Complete Blood Count
  • Serum Iron, TSI & TIBC, Serum Ferritin

Liver Function Tests

  • Total Proteins, Albumin, Globulin, A/G Ratio
  • SGOT, SGPT
  • Alkaline Phosphatase, GGTP
  • Total Bilirubin, Direct & Indirect Bilirubin

Lipid Profile

  • Cholesterol, Triglyceride
  • HDL, LDL, VLDL
  • Cholesterol : HDL & LDL : HDL ratios

Renal Profile

  • BUN, Serum Creatinine
  • Serum Electrolytes, Serum Uric Acid
  • Serum Calcium, Serum PTH

Diabetic Status

  • Blood Sugar (Fasting & Post‑Lunch)
  • Insulin Levels (Fasting – only for diabetics)
  • Glycosylated Hemoglobin (HbA1c)
  • Urine for Micro‑albuminuria

Thyroid Estimations

  • T3, T4, TSH

Vitamins & Micronutrients

  • Serum 25‑Hydroxy Vitamin D3
  • Vitamin B12
  • Vitamin A, Vitamin E, Vitamin K
  • Magnesium, Zinc, Copper, Selenium
  • Thiamine
  • Folic Acid

Urine & Radiological

  • USG Abdomen & Pelvis
  • Upper GI Endoscopy (rule out Hiatus Hernia & test for H. pylori)

ENDOSCOPY IN BARIATRIC cARE

As part of a safe and comprehensive approach to weight-loss surgery, upper GI endoscopy is a valuable diagnostic tool used to assess, monitor, and manage gastrointestinal health. This procedure helps ensure that your digestive system is ready for surgery and remains healthy afterwards.

Upper GI Endoscopy (OGD)

What It Is:

An upper gastrointestinal (GI) endoscopy uses a thin, flexible tube with a camera to examine the esophagus, stomach, and duodenum (upper part of the small intestine). It’s typically done under light sedation and takes about 15–30 minutes.

Why It's Done in Bariatric Care:

  • To check for acid reflux (GERD), ulcers, or hiatal hernia
  • To detect Helicobacter pylori infection
  • To rule out structural issues before surgery (such as narrowing or inflammation)
  • To evaluate symptoms like heartburn, nausea, bloating, or upper abdominal pain
  • To investigate complications post-surgery (e.g., strictures, bleeding, or leaks)

Preparation:

Patients must fast for 6–8 hours before the procedure. You’ll be advised to stop certain medications temporarily, including blood thinners or diabetes medications.

Recovery:

Recovery is quick. Most patients go home within a few hours. You may feel a sore throat or mild bloating, which typically resolves within 24 hours.

COLONOSCOPY IN BARIATRIC cARE

As part of a safe and comprehensive approach to weight-loss surgery, colonoscopy is a valuable diagnostic tool used to assess, monitor, and manage gastrointestinal health. This procedure helps ensure that your digestive system is ready for surgery and remains healthy afterwards.

What It Is:

A colonoscopy examines the colon and rectum using a flexible tube with a camera. It allows for detection of polyps, inflammation, or other abnormalities in the lower GI tract.

Why It May Be Needed in Bariatric Patients:

  • Age >45 (for routine colorectal cancer screening)
  • Family history of colon cancer or polyps
  • Symptoms like blood in stool, constipation, diarrhea, or unexplained weight loss
  • To rule out inflammatory bowel disease or diverticulosis

Preparation:

Colonoscopy requires a clear liquid diet the day before and bowel cleansing with a prescribed laxative to empty the colon. Your care team will give you detailed prep instructions.

Recovery:

You may experience bloating or cramping temporarily. Most patients resume normal activity the next day. If polyps are removed or biopsies taken, you’ll receive follow-up instructions.

Are These Procedures Safe?

Yes. Both are low-risk, day-care procedures when performed by trained specialists. Complications are rare but can include minor bleeding, infection, or (very rarely) perforation. Your surgeon will explain risks based on your specific medical history.

Are These Procedures Safe?

  • You’ll be asked to arrive fasting (for endoscopy) or after bowel prep (for colonoscopy)
  • You’ll receive sedation to ensure comfort during the procedure
  • Monitoring will continue briefly after the procedure before you’re discharged
  • You’ll need someone to accompany you home

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