when is weight loss surgery advisable?

Do you consider yourself to be over weight or obese? Have you been diagnosed as being over weight, obese or morbidly obese and advised to lose weight on health grounds? Are you considering weight loss surgery? If so, ask our experts your questions here.

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Jenny Radcliffe
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Joined: Mon May 28, 2012 12:54 pm
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by Jenny Radcliffe on Mon Jan 19, 2015 2:31 pm

Re: when is weight loss surgery advisable?

Hello,

Weight loss surgery can offer very significant health benefits by offering greater weight loss than most people can achieve through dieting alone. Whether you are eligible for surgery on the NHS will depend on your weight (BMI) and health. NICE have laid out very clear guidelines:

• They have a BMI of 40 kg/m2 or more, or between 35 kg/m2 and 40 kg/m2 and other significant disease (for example, type 2 diabetes or high blood pressure) that could be improved if they lost weight.
• All appropriate non-surgical measures have been tried but the person has not achieved or maintained adequate, clinically beneficial weight loss.
• The person has been receiving or will receive intensive management in a tier 3 weight management service.
• The person is generally fit for anaesthesia and surgery.
• The person commits to the need for long-term follow-up.

The bariatric team also carries out a detailed assessment of any psychological or clinical factors that may affect adherence to the post-surgery requirements (such as changes to diet) before performing surgery.

The first step is to talk to your GP, do some reading and talk to your family/support network.

Good luck.
Jenny Radcliffe
Consultant Clinical Health Psychologist

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Dr Masud Haq
Posts: 85
Joined: Wed Jun 06, 2012 12:48 pm
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by Dr Masud Haq on Wed Jan 21, 2015 12:10 am

Re: when is weight loss surgery advisable?

I would agree with Jenny's advice which is very clear and up to date.

First step would be to speak to your GP who can assess whether you need some general dietary advice and support. If your case is more complex, then you may need to be referred to a tier 3 service with a view to being considered for bariatric surgery.

best of luck.
Dr Masud Haq
Consultant in Diabetes & Endocrinology
Maidstone & Tunbridge Wells Hospital

http://www.talkhealthpartnership.com/on ... ud_haq.php

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