Bayside Referral Assist

Eligibility

At least one must be met for the patient to be eligible for referral.

Have a BMI >40; or BMI>35 with two or more significant obesity related co-morbidities, such as:

Hypertension requiring medication

Type 2 diabetes mellitus

Obstructive sleep apnoea

Pulmonary hypertension

Obesity hypoventilation syndrome

Non-alcoholic steatohepatitis (fatty liver)

Dyslipidaemia

Be over 18 years of age at time of referral

Be under 60 years of age at time of referral. (Please note wait time for surgery may be lengthy.)

Have attempted but failed to achieve or maintain clinically beneficial weight loss using non-surgical measures

Be a non-smoker

Patients with acute psychiatric illness should be stabilised prior to entering the program What happens if the referral is accepted?

Patients will be required to complete a Bariatric Health questionnaire which will be sent on acceptance of referral

Patients are required to actively participate in a 16-week online Health Improvement and Weight Management program. On completion of these requirements, patients will then receive an appointment to attend the multidisciplinary Bariatric Surgery clinic and discuss the options for management

Red flags

Indicate urgent (Category 1) referral or emergency assessment.

Severe abdominal pain or intolerance of fluids after bariatric surgery

Fever or shortness of breath after bariatric surgery

Vomiting and/or severe reflux following bariatric surgery

Routine referral criteria

Determine Category 2 or 3 urgency.

Initial primary-care work-up complete (history, examination, baseline investigations per Alfred guideline)

Symptoms persist or progress despite primary-care management

Usually managed in primary care

Have a BMI>40 OR a BMI>35 with two or more significant obesity related co-morbidities, e.g. HPT requiring medication; type 2 diabetes mellitus; dyslipidaemia; obstructive sleep apnoea; pulmonary HPT; obesity hypoventilation syndrome; non-alcoholic steatohepatitis (fatty liver)
Be over 18 years of age at time of referral
Be under 60 years of age at time of referral
Have attempted but not succeeded in achieving or maintaining clinically beneficial weight loss using non-surgical measures
Patients who are being treated for the same condition at another Victorian public hospital
Patients must be non-smokers
Refer to the full Alfred Health PDF guideline for complete inclusion / exclusion criteria, required investigations and triage categories.

Bariatric surgery referral