Weight Loss Surgery

    Weight Loss Surgery 2017-07-26T10:24:46+00:00

    Project Description

    Weight Loss Surgery

    Weight loss surgery is a complex field and necessarily involves a wider team of professionals. The choice of surgery type will be determined after you have been assessed and your individual requirements will be taken into consideration. There is no doubt that this surgery is life enhancing and a positive step forward for the overwhelming majority of patients.

    Download more information about Dietician appointments and the Oviva nutrition coaching mobile application here.

    Surgical options

    A gastric band is designed to help reduce portion size and keep you feeling fuller for longer. It works by reducing the capacity of the stomach and stimulating the nerves that are involved in the hunger process. It can be done as a keyhole procedure and also as a day case.

    Suitability

    • You have a Body Mass Index (BMI) of between 30-40 and suffer from a weight related condition (including diabetes, heart disease or high blood pressure)
    • You are morbidly obese (have a BMI of over 40)
    • You have tried to lose weight in the conventional way, through diet and exercise, but have failed to lose a significant amount of weight.
    • You are fit to undergo a general anaesthetic

    The Procedure

    Gastric band surgery is almost always carried out using keyhole surgery as it causes less pain afterwards and you’ll recover more quickly than following traditional surgery.

    During keyhole surgery, a series of small incisions will be made in the abdomen, rather than one large incision. A laparoscope (a thin, rigid tube containing a light and a camera) will then be inserted through one of the cuts. The camera relays images of the inside of your abdomen to a television monitor. The surgeon will place an adjustable band around your stomach to create two compartments, keeping a narrow opening between the top and bottom of your stomach so that food can pass through it slowly.

    The operation typically takes around one hour.

    A sleeve gastrectomy is a highly effective weight loss procedure where around 80 percent of the stomach is physically removed. The remaining stomach is in the shape of a long thin tube and works by making you feel full more quickly. The majority of people lose their appetite (don’t feel hunger) as there is a reduction in the hunger hormone, Ghrelin, after this surgery. Those with a known hiatus hernia or severe acid heartburn will be advised to consider an alternative option, however. This form of surgery is highly effective at improving Type 2 diabetes in the long term. Expected weight loss is around 70% of your excess weight (that which is above BMI 25)

    Suitability

    • You have a Body Mass Index (BMI) of between 35-40 and suffer from a weight related condition (including diabetes, heart disease or high blood pressure)
    • You are morbidly obese (have a BMI of over 40)
    • You have tried to lose weight in the conventional way, through diet and exercise, but have failed to lose a significant amount of weight.
    • You are fit to undergo a general anaesthetic

    The Procedure

    The sleeve gastrectomy is performed through keyhole surgery and takes about 90 minutes. Recovery is rapid and most people will return home the following day or after 2 days. The following animation shows the procedure.

    A gastric bypass is considered to be the gold standard for weight loss surgery as it is most effective at long term weight loss and remission of type 2 diabetes. The operation involves reduction of stomach capacity together with re-routing of the bowel. This allows a smaller quantity of food to be eaten together with less absorption of calories from the food that is consumed. The expected weight loss is around 80% of your excess weight (that which is above BMI 25). Post-operative multivitamins and minerals as directed by the dietician are mandatory. Most type 2 diabetics will become medication free shortly after surgery. If you have had multiple abdominal operations in the past then you will be advised to consider an alternative operation such as a sleeve gastrectomy.

    Suitability

    • You have a Body Mass Index (BMI) of between 35-40 and suffer from a weight related condition (including diabetes, heart disease or high blood pressure)
    • You are morbidly obese (have a BMI of over 40)
    • You have tried to lose weight in the conventional way, through diet and exercise, but have failed to lose a significant amount of weight.
    • You are fit to undergo a general anaesthetic

    The Procedure

    The gastric bypass is carried out using keyhole surgery and takes about 2hours to perform. Recovery is rapid and most people will return home the following day or after 2 days. The following animation shows the procedure.

    The Orbera gastric balloon is a temporary weight loss solution that does not require surgery. It is an inflatable balloon that is inserted into the stomach under local anaesthetic. It stays in place for 6 months and then is removed  under local anaesthetic or under general anaesthetic (depending on your wishes). The volume of fluid in the balloon (i.e. the size of the balloon) will be determined at the time of the procedure. Expected weight loss is on average 15kg over the 6 month period.

    Suitability

    • You have a Body Mass Index (BMI) of 27 or above
    • You have tried to lose weight in the conventional way, through diet and exercise, but have failed to lose a significant amount of weight.
    • You have not had previous abdominal surgery (excluding appenidcectomy)

     The Procedure

    The back of your throat is numbed with local anaesthetic throat spray and then the stomach is examined with a camera (gastroscope). If all is in order, then you will be asked to swallow the rolled up balloon (equivalent to a small sausage). Once this has been swallowed, the camera is placed back down into the stomach and the balloon is inflated under direct vision. Once the balloon is full, it is released and the camera is withdrawn.

    A camera investigation to look at your oesophagus, stomach and first part of the duodenum. This can be done with throat spray or sedation depending on your wishes.

    Suitability

    Anyone!

     The Procedure

    Can take between 2 minutes and 10 minutes depending on whether a biopsy or a stretch is required. You will need to not eat for 6hrs before the procedure and stop drinking water 2 hours in advance.

      SPECIALIST SERVICES

    CONTACT DETAILS

    Insured: 01293 778 919
    Self funding: 01293 778 906

    Spire Gatwick Park Hospital
    Povey Cross Rd
    Horley, Surrey RH6 0BB
    United Kingdom

    CONTACT FORM

    MEET THE TEAM

    BOMSS
    BOMSS
    BOMSS
    BOMSS
    BOMSS
    ALSGBI