A bariatric surgeon specializes in weight loss surgeries to treat obesity and related health problems. If you are considering surgery, this guide will help you understand the role of a bariatric surgeon and the weight loss journey.
Key Takeaways
- Bariatric surgery is a metabolic treatment for obesity, offering effective long-term weight management and health improvements.
- Various surgical options exist, including gastric bypass, gastric sleeve (sleeve gastrectomy) and gastric band, each tailored to individual health needs and goals.
- Eligibility for bariatric surgery is determined by BMI and related health issues, requiring a comprehensive pre-operative assessment, followed by significant lifestyle changes and ongoing support post-surgery.
Understanding Bariatric Metabolic Surgery
Bariatric surgery is more than just a procedure; it is a metabolic treatment designed to address obesity and weight-related health problems. Obesity surgery involves a significant commitment to lifestyle changes and follow-up, which are crucial for monitoring health and making lifestyle adjustments post-surgery. This intervention, primarily on the stomach, is often considered when other weight loss methods, such as diet and exercise, have proven ineffective in the long term.
Studies show that bariatric surgery is more effective for long-term weight management than medication and other nonsurgical options. The procedure focuses on reclaiming health, vitality and a quality of life, not just losing weight. Mr. Alan Li, a leading expert in the field, has completed over 6,000 bariatric procedures and over 10,000 consultations, making him one of the most experienced and trusted figures in Manchester, the North West, and beyond.
Mr. Li also provides nonsurgical weight loss options, supported by a multidisciplinary expert team, including medication-based treatments like Mounjaro and Ozempic. His innovative techniques, including minimal scar weight loss surgery and using robotic systems, demonstrate his commitment to advancing bariatric surgeries.
Types of Bariatric Surgical Procedures
Bariatric surgery encompasses various procedures tailored to different needs and circumstances. Gastric Bypass (Roux-en-Y) or Mini Bypass (OAGB) surgery forms a small stomach pouch and alters the intestines to limit food intake and calorie absorption and bring about hormonal changes to hunger and fullness. Roux-en-Y Gastric Bypass (RYGB) is a particularly useful option in those individuals who suffer from troublesome acid reflux.
The Mini Gastric Bypass is the fastest growing type of routine surgery with the greatest beneficial effect on obesity related conditions such as diabetes, cardiovascular disease, sleep apnoea and for those suffering from extreme obesity.
Sleeve gastrectomy, the most commonly performed bariatric procedure, involves removing about 80% of the stomach. This results in a tube-like pouch that reduces food intake and lowers hunger hormone (Ghrelin) production, making it an effective tool for appetite control. The key to its success is its simplicity.
Gastric banding, once the most popular option before the advent of the gastric sleeve, still retains a place in any weight loss surgery portfolio, particularly for those with a lower BMI and primarily a tendency towards excess portions. The implanted gastric band device partitions the stomach into a small pouch above the band which, after band fills, will reduce the eating volume.
Almost all routine bariatric/weight loss operations are performed laparoscopically (keyhole surgery) without the need for drains, tubes, catheters, or post surgery blood or X-ray tests. In the hands of an experienced surgeon, surgery should take less than 30 minutes for a sleeve gastrectomy and less than 60 minutes for a gastric bypass, and are undertaken as a day case or with only one overnight stay. Recovery time is typically one week from driving and 2 weeks to return to most forms of work.
Each procedure has benefits and risks or depends on individual health needs and goals.
Benefits of Bariatric Surgery
Bariatric surgery offers numerous benefits for individuals struggling with obesity and related health problems. One of the most significant advantages is the potential for substantial, sustainable, and life-changing weight loss, often exceeding 70% of excess weight. This significant weight loss can lead to remarkable improvements in overall health, vitality, and well-being.
For many, weight loss surgery can dramatically improve obesity-related health problems such as type 2 diabetes, high blood pressure, sleep apnea, and joint pain. These health improvements can reduce the need for medications and lower the risk of developing conditions like heart disease, stroke, and certain types of cancer.
Beyond physical health, weight loss surgery can enhance the overall quality of life. Patients often find they can engage in physical activities they previously avoided, enjoy social events more fully, experience increased energy levels, and engage more meaningfully with their children and family. This newfound vitality can lead to a more active and fulfilling lifestyle and change their outlook and productivity at work.
Mental health benefits are also notable. Many individuals report reduced symptoms of depression and anxiety following weight loss surgery, contributing to improved emotional well-being. The combination of physical and mental health improvements underscores the transformative potential of surgery.
Risks and Complications
While bariatric surgery is generally very safe compared with other routine operations such as gallbladder or joint replacement surgery, it carries risks and complications like any other surgical procedure. Understanding these potential risks is crucial for making an informed decision.
Short-term risks include bleeding, infection, and respiratory problems, which can occur shortly after the surgery. These complications are typically avoided with meticulous surgical technique, careful clinical observation, and manageable with prompt medical attention.
Long-term risks may involve malnutrition and vitamin deficiencies, as some forms of surgery can affect the body’s ability to absorb nutrients. Regular monitoring and appropriate supplementation can help mitigate these issues making a comprehensive follow up programme delivered by experienced experts of critical importance.
Other possible complications include hernias, bowel obstruction (only relevant with certain types of procedure) and gallstones which can develop after significant weight loss. Additionally, some individuals may experience mental health challenges and a sense of loss following the surgery. It’s essential to have a support system and follow up programme in place.
Despite these risks, surgery remains a highly effective option for many individuals, offering significant health benefits and improved quality of life.
Criteria for Bariatric Surgery
Determining eligibility for bariatric surgery, or obesity surgery, involves several criteria. Candidates usually have a Body Mass Index (BMI) of 40 or higher. Surgery may be an option for those with a BMI between 35 and 40 if they suffer from weight-related health problems like diabetes, high blood pressure or sleep apnoea. These conditions often improve significantly with weight loss, making surgery a compelling choice.
Certain ethnic groups at greater from the effects of being overweight may qualify for bariatric surgery with a lower BMI (by 2.5 points).
Patients should also document failed nonsurgical weight management strategies e.g. diet and exercise, to qualify for weight loss surgery.
Bariatric surgeons conduct a thorough evaluation, discussing various surgical options and associated risks. Ongoing conversations ensure that patients are well-informed and prepared for the journey ahead.
Undergoing surgery requires a commitment to significant lifestyle changes and ongoing weight management with regular follow-up visits post-surgery. The whole team of weight loss experts supports patients throughout their journey, providing the knowledge and tools needed for successful, long-term weight loss.
The Role of the Bariatric Surgeon
The weight loss journey through bariatric surgery begins with finding the right surgeon and selecting the right bariatric surgeon is crucial for a successful weight loss journey. A bariatric surgeon’s expertise goes beyond the operating room, overseeing pre- and post-operative processes, ensuring a holistic approach to obesity treatment which includes nonsurgical weight loss options and a multidisciplinary team providing comprehensive support.
Mr. Alan Li, a consultant in upper GI, laparoscopic surgery, robotics, and weight loss surgery, has performed over 6,000 bariatric operations and 10,000 consultations, making him a leading figure in this field. Mr Li’s experience is complemented by his commitment to training and mentoring other surgeons in advanced techniques, highlighting his dedication to improving patient outcomes.
Beyond his technical skills, Mr. Li’s holistic approach to patient care is straightforward. He believes in individualised treatment plans that address each patient’s needs, their personal and work demands, and their unique weight loss goals. This is evident in his thorough and empathic initial consultation and the support provided by his specialist bariatric team.
Mr Li’s qualifications and expertise, honed through years of practice and education at prestigious institutions such as the University of Manchester and Leeds, the National Cancer Centre Hospital Tokyo, and University of Queensland in Brisbane, ensure that patients receive top-tier care. His ongoing contribution to the field through honorary NHS contracts and complex surgeries underscores his dedication to advancing bariatric surgery.
Choosing the Right Bariatric Surgeon
Please inquire about the surgeon’s private practice background to assess their experience. A surgeon who specializes in bariatric surgery and is well-versed in various procedures can offer the best care.
Patient testimonials provide valuable insights into the surgeon’s outcomes. As part of the preparation process, ensure the surgeon offers a personal assessment for anaesthetic care before surgery. The surgeon should adhere to NICE, BOMSS and IFSO guidelines, reflecting their commitment to quality care.
Mr Alan Li provides a free consultation, available in person or remotely, allowing patients to assess their comfort level with the surgeon. His participation in the National Bariatric Surgery Register and multidisciplinary approach underscore his dedication to patient care and successful outcomes.
Pre-operative Assessment and Preparation
A thorough pre-operative assessment is crucial for successful bariatric surgery. This process comprehensively evaluates candidates, addresses comorbidities, and ensures proper medical management. The multidisciplinary team, including bariatric surgeons, dietitians, and specialist nurse professionals, plays a vital role in this phase.
The initial assessment typically includes a medical review, diet and exercise activity assessment, and mental well-being evaluation.
Mr. Alan Li’s consultations also cover previous medical history, current health issues, medications, and lifestyle, ensuring a comprehensive approach to patient care.
The Surgical Procedure
Bariatric surgery involves various surgical procedures with unique approaches and benefits. Understanding these options can help you decide the best path for your weight loss journey.
Gastric bypass, also known as Roux-en-Y or Mini Gastric Bypass, is a standard procedure that involves creating a small stomach pouch and rerouting the small intestine. This reduces the amount of food and calories your body absorbs, promoting weight-control surgery.
Sleeve gastrectomy is another popular option that involves removing a large portion of the stomach. This leaves a small, sleeve-like stomach that limits food intake and reduces hunger hormone production. Sleeve gastrectomy is known for its effectiveness and simplicity.
Laparoscopic surgery is a minimally invasive approach used in many bariatric procedures. It involves small incisions and a laparoscope, a thin tube with a camera, to perform the surgery. This technique typically results in less pain, shorter recovery, less scarring and fewer complications.
Each surgical procedure has its benefits and risks, and the choice depends on individual health needs and goals. Consulting with a bariatric surgeon can help determine the best option for you.
Postoperative Long-term Management
After undergoing bariatric surgery, following a comprehensive postoperative management plan is essential to ensure long-term success. This plan includes several key components that support sustained weight loss and overall health.
Dietary changes are crucial. A healthy, balanced diet helps maintain weight loss and provides the nutrients for overall health. Initially, patients follow a structured dietary progression, starting with liquids, moving to pureed foods, and eventually solid foods. This gradual transition ensures proper healing and long-term weight loss.
Regular exercise is another vital component. Physical activity helps maintain weight loss, improves cardiovascular health, and boosts well-being. Finding enjoyable activities can make incorporating exercise into your daily routine easier.
Vitamin and mineral supplements are often necessary to prevent deficiencies and ensure overall health. Since surgery can affect nutrient absorption, taking prescribed supplements is essential for optimal health.
Regular follow-up appointments with a bariatric surgeon or healthcare provider are crucial for monitoring progress and addressing concerns. These appointments help you stay on track with your weight loss goals and receive the support needed for long-term success.
By committing to these lifestyle changes and ongoing care, you can achieve and maintain the benefits of bariatric surgery, leading to a healthier and more fulfilling life.
Postoperative Long-term Management
Postoperative long-term management is crucial for sustained success after surgery. Regular follow-up visits monitor weight loss, nutritional needs, and overall health. Mr. Alan Li offers a comprehensive two-year aftercare package to manage obesity-related health conditions and provide ongoing support.
Patients typically follow a structured dietary progression, starting with liquids, moving to pureed foods, and eventually solid foods over several weeks. This gradual transition ensures proper healing and long-term weight loss.
The procedure often results in substantial weight loss, with patients potentially losing over half of their excess weight within two years. Successful bariatric surgery is expected to improve obesity-related health conditions such as type 2 diabetes and sleep apnea.
Patient Journey
The patient journey in bariatric surgery is personalized and supported by an experienced team. Mr Alan Li and his team, including Claire Jenkinson and Samantha Dickson, offer comprehensive care from the initial consultation to post-surgery support. Patients can arrange a free in-person or remote consultation to discuss their options and plan their surgery.
The two-year aftercare package provided by Mr Li ensures ongoing support and monitoring, helping patients maintain their weight loss and improve their overall health. This wraparound care includes medical weight loss management and treatments tailored to individual needs.
Metabolic and bariatric surgery is recommended for individuals with a BMI over 35 kg/m2, and the long-term outcomes show consistent evidence of both safety and effectiveness.
Nonsurgical Weight Loss Options
For those not ready for surgery or looking for alternatives, nonsurgical weight loss treatments are available. Medications like Mounjaro and Ozempic aid weight loss by suppressing appetite, slowing digestion, and improving insulin sensitivity. Mounjaro injections, administered weekly, mimic hormones signalling fullness to the brain.
While these medications can lead to significant short-term weight loss, many patients experience weight regain after stopping the treatments. Therefore, lifestyle changes, including diet and exercise, remain critical components of any weight strategy.
Mr. Alan Li offers these nonsurgical options, supported by a multidisciplinary team, to help patients achieve their weight loss goals.
Costs and Financial Considerations
Understanding the costs associated with bariatric surgery is an essential step in decision-making. The price for sleeve gastrectomy surgery in the UK is typically £9,500 to £11,500, and gastric bypass surgery typically costs around £10,500 to £12,500. Depending on the procedure and provider, these costs can vary from £9,000 to £15,000.
Understanding these financial considerations helps patients plan for their surgery and manage the associated costs effectively.
Summary
Bariatric surgery is a powerful tool in the fight against obesity, offering a pathway to significant and lasting weight loss. This guide has explored the various aspects of gastric surgery, from understanding the procedures to selecting the right surgeon. We have highlighted the importance of pre-operative assessments and postoperatively discussed the role of medical weight loss management in achieving and maintaining a healthy weight.
Mr. Alan Li’s expert holistic approach to patient care ensures that each individual receives the best treatment tailored to their needs. Whether considering surgery or exploring other weight loss methods, a dedicated team of professionals supports the journey to a healthier life. Take the first step today and embark on a transformative journey towards better health and well-being.
Arrange a free consultation.
To take the first step towards a healthier life, arrange a free remote or face-to-face consultation with Mr Alan Li. Complete the contact form, email, or call using the numbers provided.
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