Weight Loss
Management
the
h spital
group
Celebrity
Gastric
band patient Tina
Malone
had
her
gastric band fitted by
The Hospital Group
on March 11th 2010
“I’ve got the new smile I
want thanks to The Hospital
Group...soon I’ll have a the
new figure too”
Tina Malone X
Tina Malone, Actress SHAMELESS
Painfree Veneers and Gastric Band Patient.
the
h spital
group
Welcome to The Hospital Group 4-5
Our Hospital
6-7
About Obesity
8-9
Gastric Banding
10 - 13
Gastric Bypass
14 - 17
Gastric Sleeve
18 - 19
Balloon Programme (BIB)
20 - 21
Why Choose Us?
22
The Next Step
23
Call: 08457 626 727 (UK) 18 50 20 40 90 (Ireland)
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3
Our Clinics & Hospitals Worldwide
Glasgow
For a full list of clinic addresses
please visit our web site at:
www.thehospitalgroup.org
or www.thehospitalgroup.ie
Newcastle
Leeds
Belfast
Manchester
Sheffield
Dublin
Liverpool
Galway
Nottingham
Norwich
Ireland
Bromsgrove
Cardiff
Bristol
Cork
UK
Cambridge
Inner London
Exeter
Southampton
Europe
USA
Thousand Oaks
Los Angeles
Barcelona
Spain
Madrid
Valencia
Palma
Alicante
Sevilla
Malaga
Marbella
Canary Islands
Tenerife
Call: 08457 626 727 (UK) 18 50 20 40 90 (Ireland)
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4
Grand Canaries
Las Palmas
If you have are thinking of having any form of weight loss management or surgery, then this brochure is for
you.
The Hospital Group is Britain’s number one weight loss surgery provider. We do even more procedures than
the NHS! Our reputation has been built by offering excellent standards of care from your first call to the
procedure.
We have recruited an excellent team of experienced bariatric surgeons, who each perform hundreds of weight loss
surgery procedures every year. This dedication ensures that you will receive expert advice and specialist care,
whatever your needs. Our nurses and Patient Care Coordinators are all dedicated and many have themselves
successfully lost weight thanks to a surgical procedure.
However, we firmly believe that it’s the aftercare which makes any weight loss procedure a success, so we also
invest in a support team including specialised dietitians to help you get great results from your procedure.
Obesity is a highly personal matter. However, you can be sure that we treat all information and patients in
confidence and with sensitivity and respect. The key to our success is putting YOUR CARE as our principal
concern, so that your treatment or procedure is fully agreed and explained every step of the way. We aim to
make your journey with us as enjoyable and rewarding as possible and everyone at The Hospital Group plays a
role in delivering the best possible experience.
With our network of clinics around the UK, Ireland, Spain and the USA, the latest equipment and prestigious
treatment centres and hospitals, you are putting your care into safe hands when you choose The Hospital
Group. We would welcome the opportunity to offer you a life-changing experience to help you to beat your
battle with obesity.
Call: 08457 626 727 (UK) 18 50 20 40 90 (Ireland)
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5
Our Own Private Hospital
Dolan Park Hospital is wholly owned by The Hospital Group. It is actually the largest specialist facility of its
kind in the world, boasting 4 operating theatres and over 30 bedrooms (all with en-suite facilities, TV and wi-fi
access). We even offer a private twin room for friends or relations who are having procedures together.
Remote and Tranquil Setting
Dolan Park Hospital is situated in secluded, beautiful Worcestershire
countryside, which makes your stay relaxing and peaceful. We are easily
accessible by road, rail or air with ample parking facilities.
Patient Bedroom
Transport Services
We also offer our patients the option of door to door transport, to help
reduce the stress of surgery in our fleet of ecologic vehicles to minimise
the impact on the environment.
Main Reception
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6
Our Local Clinics
Our network of Local Clinics offers numerous convenient locations in the UK, Ireland, Spain and the USA. We
invest heavily to ensure your experience is enjoyable every step of the way. For example, our state-of-the-art
clinics in Leeds and Sheffield, are based conveniently in the town centre and have been recently equipped to
extremely high standard to ensure your comfort.
If you are considering weight loss surgery, you will visit your nearest local
clinic for pre-operative and post-operative advice and aftercare. Most
procedures are held at luxurious Dolan Park Hospital. However, we also
work with a network of other private hospitals around the country.
London Clinic
From the initial consultation to the final aftercare, patients can be assured
of the highest standards of care in a relaxing stress free environment,
where friendly staff will ensure that your experience will be as relaxed
as possible.
Sheffield Clinic
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7
About
Introduction to Obesity
Obesity is when a person is carrying too much body fat for their height and sex. It has been on the increase for a number of
years, as life is less physically active than it used to be. Without lifestyle changes to increase the amount of physical activity
done on a daily basis, or reduce the amount of calories consumed, people can become obese.
How Do You Know If You Are Obese?
Most doctors calculate obesity using a formula known as the Body Mass Index (BMI) to determine whether your weight is healthy.
This is a measure based on height and weight that applies to both adult men and women.
Part of your initial assessment with The Hospital Group would be to measure your BMI to help you to decide whether you require a
weight loss management procedure and to confirm your suitability. Not everyone who struggles with their weight should consider
surgery, your own particular Body Mass Index (BMI) will determine whether you are overweight, obese, or morbidly obese.
What causes Obesity?
Energy Balance - To work efficiently, your body needs the energy that comes from food. When you eat the same amount of
food that your body needs, your weight stays the same. If you eat more food than you need, some energy is left over. Your
body stores that extra energy as fatty tissue and if your body never uses the extra fat, you will gain weight.
Hereditary Issues - If others in your family are obese, then you have a higher risk of obesity
Metabolic Disorders - Changes in metabolism, or how your body gets energy from food, may affect your energy balance
and your weight
Eating and Social Habits - Eating an unbalanced diet, snacking between meals and not getting enough exercise, may all
contribute to obesity
Psychological Factors - Social or emotional eating is also one of the main causes of gaining weight.
Any one or a combination of these factors can lead to obesity. As science continues to search for answers, morbidly
obese individuals must understand how to treat their condition in the most effective way.
Understanding your BMI
You can visit our web site to calculate your BMI at
www.thehospitalgroup.org. Your BMI will also be measured when you
visit for a consultation.
Body Mass Index Classifications
BMI less than 19 (Underweight)
A BMI of less than 19 shows you to be underweight. You definitely
do not need any form of weight-loss surgery
BMI of 19 to 25 (Ideal weight)
Congratulations! Your weight is within the normal range. At this
stage, it would appear that you are not a candidate for obesity
treatment.
BMI of 25 to 30 (Overweight)
This BMI is classed as mildly obese. You could consider a non-surgical
weight-loss management programme e.g. the Gastric Balloon
BMI over 30 (Obese)
A BMI of over 30 is classed as moderately obese. At this BMI, you
would qualify for the gastric band.
BMI over 35 (Severe Obesity)
With this BMI you would be classed as severely obese. The most
appropriate form of weight-loss surgery for you would be the gastric
band.
BMI over 40 (Morbid Obesity)
This BMI score is classed as morbidly obese. You are almost certainly
a candidate for obesity surgery and could consider the gastric band
or gastric bypass. BMI over 50 (Super Obesity)
This weight is classed as super obese and is potentially life threatening.
The most appropriate form of weight-loss surgery would be either the
gastric band or gastric bypass. As BMI increases, so does the risk of associated health problems,
including heart disease, type 2 diabetes, high blood pressure, high
cholesterol, arthritis, asthma, sleep apnoea and several cancers
Any surgery or weight loss procedure would be discussed at length
with an obesity surgeon at the point of consultation and would be
dependent upon the individual patient's co-morbidities.
Gastric
Gastric band
The Gastric Band is an inflatable silicone plastic ring that is placed around the upper part
Key Points:
of the stomach, creating a small pouch at the top of the stomach with a small opening to
8Feel fuller sooner and for longer, so you eat less & lose weight
8Reversible procedure
Fig 1 : The band is placed around the
upper part of the stomach, creating a
small pouch.
the rest of the stomach. This controls the amount of food that passes from the stomach
pouch into the digestive tract, which makes you feel full faster so that you are able to eat
less and therefore lose weight.
The procedure generally delivers weight loss of 50-65% of excess weight over a 2 year
period. It is recommended for patients whose BMI (Body Mass Index) is 35 or over but can
be used from BMIs of 30.
The Gastric Band is the only adjustable and reversible weight loss surgery that does
not involve cutting and stapling of the stomach or gastrointestinal re-routing to bypass
normal digestion. Patient benefits include reduced surgical trauma, complications, pain and
scarring, as well as shorter hospitalisation and recovery time compared to other weight loss
surgeries.
The diagrams show the band in place around the top of the stomach. The gastric band
Fig 2 : The band controls the amount of
food that passes from the stomach into
the digestive tract.
makes the stomach into an 'hour-glass' shape. The new small upper stomach pouch is about
the size of a golf ball, with the larger part of the stomach sitting below the band. This
means that the pouch above the band can only store a small amount of food, which then
passes through the band into the lower part of the stomach. The band controls the flow
rate of food from the upper to the lower part of the stomach, which means that you feel
fuller sooner and the feeling lasts longer. The drier the texture of food, the slower it will
pass through the opening created by the band.
You will receive full dietary advice and support from our expert team to ensure you get
great results.
Call: 08457 626 727 (UK) 18 50 20 40 90 (Ireland)
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10
2 Years FREE Aftercare
aUnlimited band adjustments
aPost-operative X-Ray assessment
a6 months surgical cover
aWeight-loss support team, including
bariatric surgeon, dietitians & nurses
a24 hour helpline
aFree consultation with cosmetic surgeon
plus discount voucher
Gastric Band Adjustment
One of the great benefits of the gastric band is that it can then be adjusted ongoing to suit your weight loss requirements and
ensure that your weight loss proceeds at a steady and healthy pace.
It is adjusted using a special “port” attached by thin tubing to the Band. This port is placed just under the skin and fluid (sterile
saline - a salty solution like other fluids in your body) can then be injected or withdrawn through a very small tube to inflate or
deflate the band. This will then adjust the size of the opening between the upper and lower parts of the stomach.
The band can be inflated and deflated until the right level of restriction is established. It usually takes two adjustments to find
the right level of restriction, but additional adjustments may be required. After your first band fill (which is carried out under
x-ray usually between 4 - 6 weeks after surgery) these will be carried out at your clinic
Women that get pregnant and have a band in place can simply have the gastric band loosened for the duration of their
pregnancy.
LOSE
50%-65%
EXCESS
BODY WEIGHT
after 24 months*
Call: 08457 626 727 (UK) 18 50 20 40 90 (Ireland)
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11
* Source: www.bospa.org
Patient
Helen before Size 20
Faye today size 10
LOSE
50%-65%
EXCESS
BODY WEIGHT
after 24 months*
Faye before size 18
Call: 08457 626 727 (UK) 18 50 20 40 90 (Ireland)
Helen today size 10
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12
Probably the biggest question facing anyone who is contemplating weight loss surgery is "how effective will it be?".
We recently monitored the progress of 106 gastric band patients.
The results speak for themselves:
After 9 months, the total weight loss recorded was a massive 300 stone or 4,197 pounds (or 1,904kg)!
The average weight loss per patient was 3 stone - that's 40lbs (or 18 kg)
99% of patients had lost weight following the surgery - only 1 patient had not lost any weight
One super-slimmer had lost nearly 14 stone or 191 lbs (87 kg)
The scarring from the gastric band operation is minimal, some patients struggle to find their scars after 12 months. Some
surgeons also practise the pioneering belly button method, which is a single point of access to the stomach with minimal
scarring.
The insertion of the port is very small indeed and is placed in a central position, just under the breast bone. If you attend
one of our consultations with one of our Patient Care Co-ordinators, many of these are also band patients, so you can ask
to see their scar and they will be more than happy to show you - so you can see just how tiny the scarring can be
When a patient achieves their target weight they should book an appointment with the nurse in order to have a slight
amount of saline taken out of their band. This is so that the correct restriction is applied in proportion to your dietary
needs.
Yes, you can. Prospective patients sometimes think they will no longer be able to enjoy a night out with friends at a
restaurant because of their gastric band. This is a particularly common question amongst patients who want to keep their
band hidden from friends and relatives. Although the gastric band is the ultimate portion controller it will not prevent
you from enjoying food. You will not be able to complete every course, due to the restrictions of your band, however a
moderate portion of each can be enjoyed.
Call: 08457 626 727 (UK) 18 50 20 40 90 (Ireland)
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13
* Source: www.bospa.org
Gastric
Gastric band
Gastric bypass operations are a surgically proven form of weight loss when combined
Key Points:
with a supervised diet, physical activity and behaviour modification programme. They
8Dramatic weight loss for
severly obese patient
8Non - reversible
8Nutrient Supplements
will be needed after
are generally recommended for patients with higher BMI i.e. a Body Mass Index of 40
or over and according to national statistics, deliver 66-75%* reduction in excess weight
in the first 2 years.
There are several varieties of bypass, but all involve the creation of a small stomach
pouch to restrict food intake and reduce the absorption of calories and nutrients from
food which causes effective weight loss results. The gastric bypass procedure effectively reduces the size of the stomach and re-routes
The small intestine is connected to
the stomach pouch
the small intestine. It works by making the stomach much smaller so that you feel fuller
sooner. It also works by curbing the appetite as the food goes quickly into the small
intestine, chemical messages are sent to the brain telling the satiety centres that food
is present. The combination of restricted food intake plus malabsorption of calories,
results in significant weight loss.
The gastric bypass is a one off surgical procedure that should not require any further
interventions. Surgery will also improve the patients sense of self control and helps
many avoid sugary/fatty foods due to ‘dumping syndrome'.
Unused body of the stomach
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14
2 Years FREE Aftercare
aPost-operative Assessment
a6 months surgical cover
aWeight-loss support team, including
bariatric surgeon, dietitians & nurses
a24 hour helpline
aFree consultation with cosmetic surgeon
plus discount voucher
Types Of Gastric Bypass Operations
Though there are a number of variations of bypass procedure. Two of the most commonly performed are the Roux-en-Y
gastric bypass (RGB) and Biliopancreatic Diversion (BPD). These - and their variations - are usually performed as keyhole
procedures.
Roux-en-Y Gastric Bypass (RGB)
First a small pouch is created by stapling off the upper part of the stomach. This restricts the amount of food you can eat.
Next a carefully measured length of small intestine is divided, one end is connected to the newly formed pouch, creating a
channel for food to travel down, bypassing the now redundant stomach and duodenum (beginning of the small intestine).
Gastric juices, (containing essential enzymes for absorption of calories and nutrients from food) are introduced to the food
by rejoining the small intestine, creating a Y shaped bypass.
Biliopancreatic Diversion (BPD)
In this more complicated version, portions of the stomach are removed and the small pouch that remains is connected directly
to the final segment of the small intestine. This means that most of the small intestine is bypassed, resulting in substantial
reductions in calorie and nutrient absorption.
LOSE
66%-75%
EXCESS
BODY WEIGHT
after 24 months*
Call: 08457 626 727 (UK) 18 50 20 40 90 (Ireland)
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15
* Source: www.bospa.org
Patient
LOSE
66%-75%
EXCESS
Jane today size 14
BODY WEIGHT
after 24 months*
Jane before Size 26
Julie today Size 6
Julie before Size 22
Call: 08457 626 727 (UK) 18 50 20 40 90 (Ireland)
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* Source: www.bospa.org
16
Call: 08457 626 727 (UK) 18 50 20 40 90 (Ireland)
www.thehospitalgroup.org www.thehospitalgroup.ie
17
Gastric
The sleeve gastrectomy is a lesser known procedure and suits a specific type of weight
Gastric sleeve
loss requirement. With an average weight loss of 30 - 50% excess weight in the first year,
Key Points:
8Dramatic weight loss for
the gastric sleeve is more aggressive than a gastric band, but not such a major operation
severly obese patient
as a gastric bypass and can therefore suit those for whom the bypass may be considered
8Non - reversible
8Nutrient Supplements
will be needed after
inadvisable due to health complications.
The gastric sleeve is a stomach reduction procedure. As such, it is a longer and
more complicated procedure than the gastric band, but unlike the band, it cannot be
"cheated" as it works to reduce the size of the whole stomach, not just restrict the
entry to the stomach. Weight loss is usually more rapid than the band, as a sleeve
The small intestine is connected to the
stomach pouch
gastrectomy significantly reduces appetite and ability to eat large portions.
Like the bypass, the sleevectomy is irreversible. However, compared to the bypass,
it is less traumatic in that it does not require any "rerouting" or "reconnecting" of
the intestines, so the stomach functions as normal, but with a smaller capacity. As a
result, there are fewer restrictions on the types of food which patients can consume
after surgery. This is seen by many patients as being one of the great advantages of
the sleeve gastrectomy - the procedure reduces appetite and therefore helps patients
to control their food volume intake.
The gastric sleeve can be considered as a step towards gastric banding, in that it can
Unused body of the stomach
later be converted if required. However, for others, the sleeve may enable them to lose
enough weight with a sleeve gastrectomy alone, so that the second stage of the operation
is not required.
It is a very effective procedure on its own for many patients.
Call: 08457 626 727 (UK) 18 50 20 40 90 (Ireland)
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18
2 Years FREE Aftercare
aPost-operative Assessment
a6 months surgical cover
aWeight-loss support team, including
bariatric surgeon, dietitians & nurses
a24 hour helpline
aFree consultation with cosmetic surgeon
plus discount voucher
BOSPA figures state an average weight loss of 30 - 50% of excess bodyweight in the first year.
The sleeve gastrectomy reduces the capacity of your stomach by about 75% and includes the removal of the upper part
of the stomach, which produces the chemical “Ghrelin” which stimulates appetite. This means that you will only be able to
eat small meals and you will feel fuller for longer, so you will lose weight. Unlike the gastric bypass, the stomach function
remains unaltered, which means a less complicated procedure and fewer side effects.
The Gastric Bypass is a complex operation, sometimes taking a number of hours. If a patient is super obese or has
severe obesity-related conditions, it may be too risky to proceed with a full bypass procedure. A sleeve gastrectomy is
by comparison less complicated and quicker to complete, so can be done to start the weight loss process. The second
stage (i.e. converting to a full bypass) would normally be done 12-18 months after the first, but this does vary depending
on the patient’s weight loss.
LOSE
30%-50%
EXCESS
BODY WEIGHT
in 1st year*
Call: 08457 626 727 (UK) 18 50 20 40 90 (Ireland)
www.thehospitalgroup.org www.thehospitalgroup.ie
19
* Source: www.bospa.org
Balloon
Gastric balloon
The gastric balloon programme combines a clinically proven way to reduce hunger with
Key Points:
vital support from your own team of experts including specialist dietitians to help you
86 month weight loss
treatment
8Reversible Procedure
8No Hospital Stay
get the most out of your procedure.
The gastric balloon is a non-surgical weight loss programme suited to those whose BMI
is over 25. The gastric balloon device is inserted into the stomach, inflated and then
filled with saline – this is carried out as a day case. It will stay in place for 6 months to
help you learn the habits of healthy eating and kick-start your weight loss, after which
time it is removed.
The balloon is placed into the stomach
With the balloon in place, you will have a feeling of satiety or lack of hunger, so that
you learn to eat less and more healthily, adopting the lifestyle changes to enable you to
achieve and maintain a sensible weight.
During the regular appointments with our team of experts, you will learn the principles
you need to manage your weight and to promote long-term health. Some of these will
include nutrition, exercise, eating behaviours and psychological issues related to food.
While learning, you will be motivated by your success and turn these principles into habits
that will serve you for the rest of your life.
The Balloon
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20
FREE Aftercare
a7 month programme of aftercare
aRemoval of the balloon after 6 months
aWeight-loss support team, including
bariatric surgeon, dietitians & nurses
a24 hour helpline
aFree consultation with cosmetic surgeon
plus discount voucher
The balloon programme, offers many distinct advantages over conventional diets and weight loss programmes. With the
balloon you will:
• Have a feeling of fullness
• Lose more weight than with other programmes
• Be supported by a team of medical experts
• Learn principles for long-term success - a start to a healthier life
• No General Anaesthetic so less risk of complications
The balloon is not a magic pill, but a tool to change your lifestyle. Taking part in the programme will give you the education
and support to change your lifestyle habits and have a better chance for long-term success.
There will be discomfort during the first few days and some patients suffer from nausea – the body’s natural reaction to a
“foreign body” in the stomach. After that, the primary sensation of the gastric balloon is a feeling of satiety or fullness.
You can experience significant weight loss averaging between 15-20 kilos, however your results will depend on how well
you follow the programme and adjust your eating habits.
LOSE
25%-50%
EXCESS
BODY WEIGHT
Call: 08457 626 727 (UK) 18 50 20 40 90 (Ireland)
after 6 months*
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21
* Source: www.bospa.org
To find out more, we offer, no obligation consultation to all our patients. This includes a one-to-one talk with
a fully qualified GMC registered specialist Bariatric Surgeon, to give you their expert medical advice about your
chosen procedure.
There’s no obligation and it’s a great opportunity to find out what’s right for you from specialist and friendly
staff. You’ll be able to ask all your questions and help to agree the right plan to get the weight loss you want for
a healthier lifestyle.
The surgeon will examine you and ask you questions concerning your medical history, answer any questions you
may have as well as discussing the options and clarifying which procedure is most suitable and appropriate for
your needs. He/she will explain the procedure to you in detail, setting out any potential risks involved and advise
on all aspects of care, both pre and post-operatively.
You are also assigned your own Patient Care Coordinator to offer you personal and compassionate advice from start
to finish. They will help you to complete a detailed medical history, explain the procedure in detail and provide you
with all the options on which to make your decision, including the hospitals available. Almost all of our Patient
Care Coordinators have had weight loss surgery themselves, so can talk from personal experience
You’ll also receive your Personal Quotation together with a comprehensive Patient Information Booklet, which
provides more detail on what to expect from our weight loss management procedures.
Call: 08457 626 727 (UK) 18 50 20 40 90 (Ireland)
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22
• The Hospital Group are the UK’s largest providers of weight-loss surgery.
• We have been established for over sixteen years in the industry and pioneered the gastric band in the UK with our media activity and high numbers of procedures
•
We have performed thousands of procedures to date, helping patients achieve the healthy weight and the slim look they have always wanted
•
We only work with specialist Bariatric Surgeons, so you get expert advice and care throughout your experience
•
Our local clinic network means that consultations and aftercare are available in a number of convenient locations
across the country
•
Our private hospital Dolan Park is actually the largest specialist facility of its kind in the world and is specifically
geared around the needs of weight loss patients, so you are in safe hands for a comfortable experience throughout
Call: 08457 626 727 (UK) 18 50 20 40 90 (Ireland)
www.thehospitalgroup.org www.thehospitalgroup.ie
23
the
h spital
group
This is solely a guide to those who may be interested in treatment and information is of a general nature. This booklet cannot be a substitute
for a consultation with a practitioner. The final decision to carry out treatment is at the practitioner’s discretion based on information given
during your consultation. Information in this booklet is correct at time of printing but may be subject to change.
Copyright The Hospital Group (April 2010)