Duchy Hospital Specialists
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Mr Ian Finlay
Mr Ian Finlay is a Consultant General Surgeon at Duchy Hospital in Cornwall who specialises in weight loss surgery.
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If a patient puts weight on following a gastric sleeve procedure they may be able to consider converting to a gastric bypass.
The Gastric Bypass is a combination of restrictive and malabsorptive procedures, therefore has a two-way weight reducing effect. The gastric sleeve is a restrictive procedure only.
The Gastric bypass surgery takes approximately 2 hours, with 2-3 nights in hospital.
The attraction to this weight loss procedure is that it is considered to be permanent. Weight loss is experienced from the day of surgery and there are no regular adjustments required. It is however, a higher risk procedure.
Weight loss is dramatic at first and will then stabilise to 2-3lbs per week.
You must take daily nutritional supplements for the rest of your life and vitamin B12 injections are also recommended every 3 months to prevent Pernicious Anaemia.
Overeating and poor eating habits can still jeopardise your success and you are also likely to experience ‘Dumping syndrome’ if you consume foods that are high in sugar and fat content.
The side effects of dumping syndrome include nausea, diarrhoea, stomach cramps, sweating and dizziness.
Like any surgical procedure there are possible risks and complications which will be discussed with you at your initial consultation. They are rare and everything possible will be done to prevent them from occurring.
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Mr Ian Finlay
Mr Ian Finlay is a Consultant General Surgeon at Duchy Hospital in Cornwall who specialises in weight loss surgery.
Read more
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Find out moreFor many patients with a BMI (body mass index) of 27 - 35 surgery is not always available or recommended according to the NICE (National Institute of Clinical Excellence) guidelines, as patients with a lower BMI do not normally qualify for weight loss surgery. The gastric balloon is a soft, expandable intragastric (inside the stomach) device that is temporarily inserted into the stomach.
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There are several variations of a Gastric Bypass. The most common procedure in the UK is the Roux-en-Y, also known as RYGB. It is a combination of restrictive and malabsorptive procedures, therefore has a two-way weight reducing effect. A small pouch is created by stapling off a section of the upper part of the stomach. Below the staple line the stomach will remain but no food will enter here.
Gastric sleeve surgery is a restrictive procedure only. Two thirds of the stomach is resected and removed, leaving a smaller stomach in the shape of a sleeve. The portion of the stomach removed produces a hormone that stimulates appetite and hunger. Removing this portion of stomach results in a significant reduction in appetite.
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