Are you considering obesity surgery or lap band surgery? Do you want the confidence of having obesity surgey within a leading NHS hospital?
The Oxford Radcliffe Hospitals NHS Trust is a world-leading NHS healthcare and medical training institution which also provides obesity surgery in Oxford including. The Oxford Radcliffe Hospitals comprise three hospitals in Oxfordshire. Two of these, the John Radcliffe Hospital, the Churchill Hospital, are located in Headington, near to the City of Oxford; the third, the Horton Hospital, is in Banbury 25 miles north of Oxford. Private services are provided on each site.
Obesity surgery is the generic term for three different types of surgery which are performed for the treatment of 'morbid obesity'. People are considered to have 'morbid obesity' if they have a Body Mass Index (BMI) of 40 or more, or 35 - 40 with other significant disease, such as diabetes or high blood pressure, that may be improved if they lose weight. Find out more about Body Mass Index.
Am I suitable for weight loss surgery?
Specialist consultants at Oxford Radcliffe Private Healthcare follow the guidance for weight loss surgery issued by the National Institute for Clinical Excellence (NICE). NICE recommends that surgery to aid weight-loss should be available as a treatment option for people with morbid obesity provided they meet all of the following criteria:
- they are aged 18 years or over
- they have been receiving treatment in a specialist obesity clinic at a hospital
- they have tried all other appropriate non-surgical treatments to lose weight but have not been able to maintain weight loss
- there are no specific medical or psychological reasons why they should not have this type of surgery
- they are generally fit enough to have an anaesthetic and surgery
- they should understand that they will need to be followed-up by a doctor and other healthcare professionals such as dieticians or psychologists over the long term.
Obesity surgery in Oxford
The weight loss procedures performed by Oxford Radcliffe Private Healthcare include::
The gastric band is a 'restrictive' procedure. It restricts the volume of food that an individual is able to eat and reduces the sensation of hunger by pressing on the surface of the stomach. It can be adjusted to specific needs by adding or removing fluid from the band. The procedure is relatively safe with a short recovery time.
Gastric band procedure
Gastric band surgery is performed with an overnight stay and requires admission to the hospital on the morning of surgery and returning home the following morning. The operation usually lasts one hour and is performed by keyhole (laparoscopic) surgery. Five small cuts are made in the abdomen through which the band is placed.
What happens after gastric band surgery?
A commitment to follow-up care is essential and will require regular contact and clinic appointments with the bariatric dietitian and clinical nurse specialist throughout the weight loss journey. For the best results individuals must commit to a permanent healthy lifestyle and dietary changes to expect to lose around 50 percent of excess body weight.
The gastric bypass is the most commonly performed weight-loss operation worldwide. In the majority of cases, the operation will be performed by keyhole surgery. The operation lasts two hours and the patient will need to stay in hospital for five days.
What does a gastric bypass do?
This operation will help weight-loss by three mechanisms:
- it will restrict the volume of food patients can eat by reducing the size of the stomach
- it will bypass part of the stomach and intestine thereby reducing the amount of food the body is able to absorb
- it will reduce appetite, especially for sweet foods.
What happens after gastric bypass surgery?
A gastric bypass will not require adjustment, but patients need to commit to lifelong six-monthly blood tests and daily multivitamin and mineral tablets. Following the operation patients will be monitored with regular contact and clinic appointments with the consultant surgeon, bariatric dietitian and clinical nurse specialist.
How much weight will I loose with a gastric band?
Patients should expect to lose around 70 percent of excess body weight. For example, if someone who is 10 stone overweight, we would expect to lose over 7 stone. If the patient has type 2 diabetes, the gastric bypass is expected to cure if not greatly improve it in 90 percent of individuals.
Laparoscopic sleeve gastrectomy
This is a restrictive procedure similar to the gastric band. It can be performed as a definitive operation or before a gastric band if expected weight loss is not achieved.
Laparoscopic sleeve gastrectomy procedure
The sleeve gastrectomy reduces the size of the stomach by 75 percent; it is not reversible. Following the procedure the remaining part of the stomach will have the shape of a banana. This means that although smaller, the stomach function remains unaltered and the food will follow its natural pathway.
How much weight will I loose with a laparoscopic sleeve gastrectomy?
Patients should expect to lose 40 - 60 percent of excess body weight following a sleeve gastrectomy, and similar improvement in diabetes to the gastric band. The results of this operation in the long term (over five years) are not yet well-known.
The benefits of weight-loss surgery
- diabetes: a significant improvement of diabetic control if not complete remission of type 2 diabetes
- hypertension: a significant improvement in blood pressure control if not a return to normal blood pressure
- high cholesterol: a rapid return to normal blood cholesterol levels in more than 70 percent of patients is expected
- sleep disturbance: weight-loss surgery can eliminate sleep apnoea in a significant number of patients
- increased life-expectancy and improved quality of life.
The risks of weight-loss surgery
The risks of weight-loss surgery are similar to the risks of any surgery for patients with complex health problems. These problems would be assessed and discussed with patients as part of the decision-making process as to the appropriateness of this solution for each individual. Read more benefits and risks of weight-loss surgery.
Mr Nick Maynard leads the team of specialists at Oxford Radcliffe Private Healthcare and is available to comment on all aspects of weight loss surgery. Nick is supported by two other consultants who specialise in laproscopic bariatrics surgery:
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Mr Bob Marshall
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Mr Bruno Sgromi
Read more about obesity surgery specialists in Oxfordshire.
If you would like to know more about the private weight loss or bariatrics surgery please contact: Victoria Shaw on 01865 235703.
Contact details
Oxford Radcliffe Private Healthcare
Ward 5 C/D
Level 5, John Radcliffe Hospital
Oxford
OX3 9DU
Tel: 01865 235703
Web: www.oxfordradcliffe.nhs.uk/privatehealthcare
Email: Victoria.shaw@orh.nhs.uk
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