Duodenal Switch in Ontario
To find out if you qualify for bariatric surgery in Ontario see the list of Bariatric Surgery Criteria below.
To start the process you need a doctor to register you in the Ontario Bariatric Registery . Once registered you will be assessed by a surgeon from your assigned Regional Assessment and Treatment Centre. To our knowledge only one surgeon in Ontario is performing Duodenal Switch (DS) surgery. If the surgeon you have been assigned to does not, at your assessment you can ask for a referral to Dr. Dennis Hong at St. Joseph’s Health Centre in Hamilton to be evaluated for the DS.
Remember, if you do not meet the requirements for Duodenal Switch surgery coverage in Ontario you have the option to self-pay. There is a surgeon in Quebec, Dr. Gagner, and surgeons in the US and internationally that provide these services. Please make sure you thoroughly research your surgeon’s credentials and experience.
Bariatric Surgery Criteria
These are the criteria to qualify for bariatric surgery acccording the the Schedule of Benefits updated September 2011:
29. Bariatric surgery
S120 (gastric bypass or partition), S189 (intestinal bypass) and S114 (sleeve gastrectomy) are insured services only when all of the following four criteria are satisfied:
1. Presence of morbid obesity that has persisted for at least the preceding 2 years, defined as:
a. Body mass index (BMI) exceeding 40; or
b. BMI greater than 35 in conjunction with any of the following severe co-morbidities:
i. Coronary heart disease;
ii. Diabetes mellitus;
iii. Clinically significant obstructive sleep apnea (i.e. patient meets the criteria for treatment of obstructive sleep apnea); or
iv. Medically refractory hypertension (blood pressure greater than 140 mmHg systolic and/or 90 mmHg diastolic despite optimal medical management);
2. The patient’s bone growth is completed (18 years of age or documentation of completion of bone growth);
3. The patient has attempted weight loss in the past without successful long-term weight reduction; and
4. The patient must be recommended for the surgery by a multidisciplinary team at a Regional Assessment and Treatment Centre in Ontario.
Regional Assessment Treatment Centres
Pediatric Regional Assessment and Treatment Centres
For children 12-17 yrs old.
Bariatric Centres of Excellence
2. University of Toronto Collaborative Bariatric Surgery Program
Humber River Regional Hospital
Toronto East General Hospital
St. Michael’s Hospital
St. Joseph’s Health Centre
The Hospital for Sick Children
University Health Network’s (Toronto Western Hospital)
Don’t Have a Family Doctor?
If you are trying to find a family doctor you can make use of Ontario Ministry of Health – Health Care Connect web site. This program helps Ontarians without a family health care provider find one.