What is a gastric sleeve procedure?
A gastric sleeve procedure, medically known as a sleeve gastrectomy, is a surgical weight-loss procedure. This operation typically involves the removal of a large portion of the stomach, leaving behind a smaller, sleeve-like structure. The intent is to limit the amount of food a person can consume by reducing the size of their stomach, thereby aiding in significant weight loss. The operation is performed under general anaesthesia and usually takes about two hours. This procedure is irreversible and requires a lifelong commitment to a healthy lifestyle.
In recent years, the gastric sleeve procedure has become increasingly popular due to its effectiveness and relatively low complication rate. The procedure not only aids in weight loss but also helps in improving many obesity-related conditions such as type 2 diabetes, high blood pressure, and sleep apnea.
However, it's important to understand that while a gastric sleeve can aid in weight loss, it is not a magic solution. Consistent effort towards maintaining a healthy diet and regular exercise is key to ensuring long-term success post-surgery.
Understanding the NHS guidelines for gastric sleeve surgery
The National Health Service (NHS) in the UK provides gastric sleeve surgery as part of their comprehensive weight management services. However, there are strict guidelines and criteria that must be met to qualify for this procedure on the NHS. These guidelines are designed to ensure that the procedure is offered to those who will benefit most from it and are willing to commit to the necessary lifestyle changes.
The NHS stipulates that before bariatric surgery can be considered, all non-surgical measures such as diet, exercise, and medication must have been tried and proven unsuccessful. Additionally, the patient must be willing to commit to long-term follow-up treatment which includes dietary, exercise, and behavioural changes.
The NHS also has guidelines on who can receive gastric sleeve surgery based on factors such as age, Body Mass Index (BMI), and existing health conditions. These guidelines are in place to ensure the safety and effectiveness of the surgery.
Eligibility criteria for getting a gastric sleeve on the NHS
To be eligible for a gastric sleeve on the NHS, there are several criteria that you need to meet. First, you must have a BMI of 40 or more, or a BMI between 35 and 40 with a serious health condition that could be improved with weight loss, such as type 2 diabetes or high blood pressure.
Secondly, you must have tried all other weight loss methods, such as dieting and exercise, but have not been able to maintain a healthy weight. This typically involves a documented history of working with a healthcare professional to try and lose weight.
Lastly, you must be fit enough to have anaesthesia and surgery. This will involve a comprehensive evaluation of your overall health by a medical professional. Additionally, you must be committed to long-term follow-up after surgery, including making permanent changes to your diet and lifestyle.
Steps to getting a gastric sleeve on the NHS
The process of getting a gastric sleeve on the NHS involves several steps. Initially, you will need to discuss your weight concerns with your GP or a healthcare professional. They can provide advice on healthy weight loss and can refer you to a local weight management service.
If these efforts don't result in a significant weight loss or if you have a BMI over 40 or other serious health conditions, your doctor may refer you to a specialist weight loss clinic. There, a team of specialists will carry out an assessment. This will likely include a physical examination, discussions about your eating habits and physical activity, and potentially some medical tests.
If the specialist team feels that surgery may be beneficial, they will refer you to a bariatric surgeon for a consultation. The surgeon will discuss the procedure with you in detail, including the potential risks and benefits. If you decide to proceed, your case will be reviewed by a multidisciplinary team who will make the final decision.
Preparing for a gastric sleeve surgery on the NHS
Preparing for a gastric sleeve surgery involves both physical and mental preparation. Physically, you may be required to lose some weight to reduce the size of your liver and the amount of fat around your stomach. This makes the procedure safer and easier. You might also need to follow a specific diet in the weeks leading up to your surgery.
Mentally, you should prepare yourself for the lifestyle changes you will need to make after the surgery. This could involve meeting with a dietitian to discuss a post-surgery eating plan, or a psychologist to help you deal with potential emotional challenges.
You should also prepare for the time you will need to take off work for your recovery. Most people need about two weeks off work after a gastric sleeve surgery, but this can vary based on your individual circumstances.
Can you get a gastric sleeve on the NHS?
Can you get a gastric sleeve on the NHS? In the United Kingdom, the National Health Service (NHS) provides healthcare services to eligible residents, including surgical treatments for obesity such as gastric sleeve surgery. The NHS has specific criteria for determining eligibility for weight loss surgeries, including gastric sleeve procedures. Patients who are considering gastric sleeve surgery through the NHS should be aware of these criteria and the process for accessing this treatment option.
To be considered for a gastric sleeve on the NHS, patients typically need to meet certain eligibility requirements. These requirements may include having a body mass index (BMI) above a certain threshold, such as a BMI of 40 or above, or a BMI of 35 or above with obesity-related health conditions. Additionally, patients may need to have attempted other weight loss methods, such as diet and exercise programs, without successful long-term weight loss. The specific criteria can vary depending on the local NHS commissioning group responsible for funding healthcare services in a particular area. Once a patient meets the eligibility criteria, they will typically need to be referred by their general practitioner (GP) to a specialist weight management service within the NHS. At this stage, patients will undergo a comprehensive assessment to determine their suitability for gastric sleeve surgery. This assessment may include medical examinations, psychological evaluations, and consultations with healthcare professionals specializing in weight management and bariatric surgery.
If the assessment confirms that gastric sleeve surgery is an appropriate treatment option, the patient may be placed on a waiting list for the procedure. The waiting time for bariatric surgeries can vary depending on factors such as the patient's individual circumstances, the availability of surgical resources, and the specific policies of the NHS commissioning group responsible for funding healthcare services in the patient's area.
It's important to note that while the NHS provides gastric sleeve surgery for eligible patients, there may be certain limitations and considerations to be aware of. For example, the availability of bariatric surgery services through the NHS may be subject to budget constraints and prioritization of healthcare resources. As a result, there may be variations in access to gastric sleeve surgery across different regions within the UK. Patients considering gastric sleeve surgery on the NHS should also be prepared to actively participate in pre-operative and post-operative care programs as part of their treatment journey. This may involve engaging in lifestyle and behavioral changes to support successful long-term weight management and overall health improvement.
Gastric sleeve surgery is available on the NHS for eligible patients who meet specific criteria for weight loss surgeries. Patients who are considering this treatment option should consult with their GP and specialist weight management services within the NHS to understand the requirements, assessment process, and potential waiting times associated with accessing gastric sleeve surgery through the NHS. Additionally, it's important for patients to be informed about the comprehensive care and support that may be involved in undergoing gastric sleeve surgery as part of their weight management journey within the NHS.
What to expect during and after the gastric sleeve surgery
The gastric sleeve surgery is usually done under general anaesthesia and takes about two hours. The surgeon will make several small incisions in your abdomen to perform the surgery using a laparoscope (a long, thin tube with a high-intensity light and a high-resolution camera). About 75-80% of your stomach will be removed, leaving a thin vertical sleeve about the size of a banana.
After the surgery, you can expect to stay in the hospital for a couple of days. You will initially be on a liquid diet, gradually progressing to pureed food, then soft food, and finally regular food over a period of several weeks.
You will likely experience some pain and discomfort after the surgery, which can be managed with medication. You might also feel tired or weak for a few days or weeks. It's important to follow your surgeon's advice on when to start physical activity.
Potential risks and complications of gastric sleeve surgery on the NHS
Like any surgical procedure, a gastric sleeve surgery comes with potential risks and complications. These can include infection, bleeding, blood clots, or reactions to anaesthesia. There's also a small risk of a leak from the part of the stomach that was stitched up during the surgery.
Over the long term, some people may experience nutritional deficiencies, as the surgery can affect the absorption of vitamins and minerals. This can typically be managed with dietary changes and supplements.
It's also important to note that while most people lose weight after a gastric sleeve surgery, not everyone maintains their weight loss long-term. Some people may regain some or all of the weight they lost, especially if they don't stick to their diet and exercise plan.
Post-surgery care and support for gastric sleeve patients on the NHS
After your gastric sleeve surgery on the NHS, you will have regular follow-up appointments with your healthcare team. These appointments are crucial for monitoring your progress, managing any side effects or complications, and providing support and guidance.
You will also need to make significant lifestyle changes after the surgery. This includes adhering to a healthy diet and regular exercise. You might work with a dietitian to develop a meal plan, and a physiotherapist to develop a suitable workout regime.
Mental health support is also important, as adjusting to your new body and dealing with issues like excess skin can be challenging. You might have access to a psychologist or counsellor who can provide support and help you manage any emotional difficulties.
Alternative options for weight loss if not eligible for NHS gastric sleeve
If you're not eligible for a gastric sleeve surgery on the NHS, don't despair. There are many other ways to lose weight and improve your health. Lifestyle changes are the cornerstone of weight loss. A balanced, calorie-controlled diet and regular physical activity are crucial.
Your GP or a dietitian can provide advice and support on healthy eating and exercise. You might also benefit from joining a local weight loss group. Some people find that medication can help them to lose weight, and this is something you can discuss with your healthcare provider.
In some cases, you might still be able to have weight loss surgery privately. This can be expensive, but for some people, it's a worthwhile investment in their health. However, it's important to carefully consider the potential risks and benefits, and to choose a reputable surgeon.
Making an informed decision about gastric sleeve surgery on the NHS
Getting a gastric sleeve on the NHS is a major decision that should not be taken lightly. It requires a lifelong commitment to maintaining a healthy lifestyle. However, for those who meet the criteria, it can be a life-changing procedure that significantly improves health and quality of life.
It's important to have a thorough understanding of the procedure, the eligibility criteria, and what to expect before, during, and after the surgery. Always discuss your options with your healthcare provider and ensure you have all the information you need to make an informed decision.
COMMENTS FROM REAL PATIENTS
“An exceptional experience from start to end! Prof H. Erdem, doctors,nurses,nutritionists, dieticians, co-ordinaters and all the rest of the staff are simply amazing. They attend patients with patience and give attention to every query they have.Their lovely smiles and warmth was more then enough to make my stay an exceptional one. Now I look forward to the weightloss journey with their professional guidance. Heartfelt thanks to all! Will surely recommend.”
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Trustpilot“Very good before and aftercare. Lots of pre and post op information and support. Team were responsive to any issues that arose and made me feel safe. Each day that I was in hospital the team came to check on me (sometimes 3 times in a day), in addition to the core checks by the nurses. Pre and post op I was put in a WhatsApp group with the surgical team for additional and personal support. There was also a group for other post surgery people to support and uplift each other. Dr Hasan and team gave me such care that without reservation I give my recommendation. Even now 3 years later, I'm still having messages of support and encouragement from the patient liaison Tugce.”
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Trustpilot“I have just returned from having a gastric sleeve. I cannot fault the care and service I've had from the whole team at Dr. HE obesity clinic. I was given all the information I needed before I went and all my questions were answered, no matter what time I messaged. When I arrived at the hospital everyone was so friendly and caring. The hospital was clean and hygienic. My room was cleaned every day while I was there. I felt listened too and cared for throughout my stay. Everyone is so helpful. Another positive is they are there for you when you return back to the UK, to answer any questions you may have and support you when needed. Excellent service all round.”
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