CONSIDERING & PREPARING

FOR WEIGHT LOSS SURGERY?

What you really need to know!


There are several types of Weight Loss Surgery. Remember they are a TOOL to aid weight loss and not a miracle cure. It's not the cheats way out and don't let anyone tell you that you are!


Prior to surgery its important to manage eating behaviours and habits as surgery will not alter these, although it will feel like they do during the "honeymoon phase" immediately after surgery. 


Van uses the analogy of a house " We need to get the foundations right before we start to build and decorate our homes, otherwise the cracks keep appearing!" This where Van's support starts, pre surgery, when you are building the foundations and researching weight loss surgery.


Van can help you improve your relationship with food and prepare you for surgery and look after post surgery. It's important to do this as specialist support is paramount to help achieve the results you desire.


The most common types are: Gastric band, Gastric Bypass, Mini Gastric Bypass, Sleeve Gastrectomy and Gastric Balloon. All these operations can lead to significant weight loss within a few years, and help improve many obesity related conditions, such as diabetes or high blood pressure. Each has advantages and disadvantages.


It is a life changing decision that will alter your life forever and should only be considered after trying to lose weight through a healthy diet and exercise has failed. You'll have to swap your normal size meals for smaller portions, eat slowly, and you may have to give up some of your favourite foods. 


Speak to The Dietologist today to see if weight loss surgery is suitable for you.



Get your free copy of

"7 Things You Need To Know About Weight Loss Surgery Before You Hand Over The Cash!" 


Prior to surgery its important to manage eating behaviours and habits as surgery will not alter these, although it will feel like they do during the "honeymoon phase" immediately after surgery. 


Van can help you break free of dieting, stop being a slave to the scales and prepare you for surgery, the support doesn't stop there!  She'll help after post surgery to work with your surgery.


The most common types are: Gastric band, Gastric Bypass, Mini Gastric Bypass, Sleeve Gastrectomy and Gastric Balloon. All these operations can lead to significant weight loss within a few years, and help improve many obesity related conditions, such as diabetes or high blood pressure. Each has advantages and disadvantages.


It is a life changing decision that will alter your life forever and should only be considered after trying to lose weight through a healthy diet and exercise has failed. You'll have to swap your normal size meals for smaller portions, eat slowly, and you may have to give up some of your favourite foods. 


Speak to The Dietologist today to see if Weight loss surgery is right for you.



Read my blog "Is Weight Loss Surgery Right For me?" CLICK HERE

  • Criteria For Surgery

    If you have a BMI (kg/m2) over 40, or a BMI >35 with an obesity-related condition such as Type 2 diabetes, high blood pressure or high cholesterol, Weight Loss Surgery could be a life-changing option for you. 


    Eligibility for weight loss surgery in the private sector differs to the NHS, where strict NICE (National Institute of Clinical Excellence, 2014) guidance is adhered to due to financial constraints.


    The following criteria is used in the Private Sector:


    • Gastric Band: BMI 30 or above.
    • Sleeve Gastrectomy: BMI 35 or above (Lower BMI considered for patients of Asian ethnicity.)
    • Gastric Bypass/Mini Gastric Bypass: BMI 40 and above or BMI 35 with Type 2 Diabetes or other weight related health issues (Lower BMI considered for patients of Asian ethnicity.)
    • Gastric Balloon: BMI over 27
  • Revisional/Conversion Weight Loss Surgery

    Occasionally patients opt to have revisional/conversion weight loss surgery, after the primary surgery has not met their weight loss expectations or resulted in complications. Speak to the Dietologist if you are considering revisional/conversion weight loss surgery.  A few tweaks to your habits and behviours around food may just be all you need.  

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GASTRIC BAND

GASTRIC BYPASS

MINI GASTRIC BYPASS

SLEEVE GASTRECTOMY

GASTRIC BALLOON

GASTRIC BAND

Involves placing a silicone band around the top of the stomach. It aids weight loss by stimulating nerve endings at the top of the stomach, which reduces your appetite and allows you to feel satisfied on smaller portions, when eating firmer food textures. It will require adjustments (band fills) with saline to reach optimum sensations. The band is not there to stop you eating and high calorie foods such as chocolate, biscuits, crisps and ice cream (also known as "sliders") provide very little satiety with the gastric band and can sabotage weight loss results. Changing your eating habits and lifestyle are necessary to achieve good weight loss results. Expected excess weight loss approximately 50%.

GASTRIC BYPASS

This surgery is regarded as the Gold Standard. The top part of the stomach is sectioned off to make a small stomach pouch and then joined to the small intestine, so you feel satisfied on smaller portions. The surgery works by restriction and changes in gut hormones. Most patients with Type 2 Diabetes can expect to see remarkable improvement in blood sugar control, often without the need for any regular diabetic medications. If you eat sweet food you may develop dumping syndrome, where your blood sugars fall rapidly, and you feel hot, dizzy or faint preceded by stomach cramps and diarrhoea. You can develop nutrient deficiencies so a high protein diet and vitamin and mineral supplementation is essential. Expected excess weight loss approximately 70%.

MINI GASTRIC BYPASS

Similar to the gastric bypass however the small bowel is directly joined to the small stomach pouch so only a single incision is required compared to 2 incisions with the gastric bypass. The procedure takes less time than a gastric bypass. Once again the surgery works by restriction and changes in gut hormones. One of the disadvantages of this surgery compared to the gastric bypass include a greater likelihood of experiencing bile reflux. The role of increased bile reflux as a possible risk factor for later development of gullet cancer is controversial. As with the gastric bypass you can develop nutrient deficiencies so a high protein diet and vitamin and mineral supplementation is essential. Expected excess weight loss approximately 70%.

SLEEVE GASTRECTOMY

Approximately 80% of the stomach is removed, so you can't eat as much as you could before, and you feel satisfied on smaller portions. The other important effect is that the levels of an appetite stimulating hormone (ghrelin) are reduced. Less ghrelin means less hunger which in turn means you eat less. Some patients find the "not feeling hungry" overwhelming and eat very little post surgery. It is important to monitor this hence aftercare is very important. You can develop nutrient deficiencies so a high protein diet and vitamin and mineral supplementation is essential. Expected excess weight loss approximately 60%.

GASTRIC BALLOON

A gastric balloon, also known as an Intragastric balloon, is a short-term non-surgical weight loss tool. It is a soft silicone balloon that is temporarily inserted into your stomach to partially fill it so that you feel satisfied quicker after small amounts of food. Intragastric balloons can be left in your stomach for 6-12 months, depending on the brand. During this time you should aim to retrain your eating habits and lifestyle. It offers a weight loss solution to help patients to kick start their lifestyle changes. Sometimes it is used when the patient’s BMI is not high enough to justify surgery. Sometimes this procedure is performed for severely obese patients to lose weight ahead of more invasive surgery. Average weight loss of 2-3 stones if you change your eating habits and lifestyle.
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