King’s Weight Loss & Bariatric Programme provides a comprehensive multidisciplinary approach to obesity and diseases such as diabetes and high cholesterol. Our programme incorporates non-surgical options, in addition to emotional assessment prior to considering surgical treatment. Our programme ensures high safety standards and uses the most up to date techniques.
Patients that enroll in our programme have a dedicated care coordinator, a 24-hour medical information hotline, and are fully supported if surgery is performed for 6 months.
Eligibility & Patient Criteria
To be eligible for our Weight Loss & Bariatric Programme, patients must be over 18 years of age, independently mobile and attending to activities of daily living.
Patients must meet the following criteria as per DHA Guidelines
- Patients with BMI > 40 kg/m2 with or without comorbidities*
- Patients with BMI ≥ 35-39.9 kg/m2 with one or more comorbidities
- Patients with BMI ≥ 30-34.9 kg/m2 with two or more comorbidities
We Recommend You Speak To Your Doctor If Your BMI Is Above 25
*What is a Comorbidity?
A comorbidity in relation to our programme relates to the presence of one or more medical problems you may have, other than the problem of your weight.
Comorbidities include life threatening cardiopulmonary problems such as:
- Coronary artery disease (CAD)
- Type 1 and 2 diabetes mellitus
- Obstructive sleep apnea
- Obesity hypoventilation syndrome
- Pickwickian syndrome
- Non-alcoholic fatty liver disease or non-alcoholic steatohepatitis
- Venous stasis disease
- Severe urinary incontinence
- Joint diseases
- Obesity related cardiomyopathy
- Polycystic ovarian syndrome (PCOS)
All patients will be assessed for suitability by the King’s College Hospital Weight Loss & Bariatric Programme Lead during their first consultation and provided a management plan of action.
Weight Loss & Bariatric Programme Team
Patients are assessed and taken care of by our expert multidisciplinary team that includes:
- General surgery
- Internal Medicine
- Psychology (if required)
Procedures offered within the Weight Loss & Bariatric Programme Include:
Find out more about the King’s Weight Loss & Bariatric Programme. Book your appointment by completing our form below.
Bariatric surgery refers to a procedure done to treat and manage overweight or obese patients, along with those who might have accompanying medical conditions such as strokes, diabetes, and heart diseases, through weight loss. Simply put, it alters the structure of your digestive tract, making your stomach smaller. This in turn affects your hunger hormones and appetite, lowering the quantity of food you can consume without feeling stuffed, and helping you lose weight.
Procedures fall into one of three categories: During a gastric bypass procedure, the stomach is divided into two; a tiny pouch and a larger one. Meals pass through the little stomach pouch and into the small intestine during digestion. The stomach region that produces ghrelin, also known as the “hunger hormone,” is removed during a sleeve gastroplasty. Finally, during gastric banding surgery, the stomach is ringed by an inflated plastic band, which restricts the amount of food that you eat.
Overall, it stays the same since the blood supply to the stomach is still there and functional. It may occasionally shrivel, and the lining may degenerate. Even though it is not processing or receiving food anymore it still helps your intestines function properly.
Bariatric procedures, like the gastric sleeve, are infrequently reversible because the missing piece can never be put back into its original position. On the other hand, both the gastric band and the bypass surgery may be reversed. Although the reversal necessitates treatment with a scope and risk comparable to the initial one.
A typical, if not inevitable, aspect of life after bariatric surgery is extra skin. Factors such as your genetic makeup, aging, the particular surgery being done and the weight you have lost all contribute to the extent to which your skin will loosen. You have many options to reduce its likelihood, which include; staying hydrated to improve your skin’s elasticity, adhering to your post-op meal plan, exercising to build muscle, or having the loose skin surgically removed.
Once you have dropped up to 50% of the excess weight and kept it off for up to 5 years, you can declare your bariatric surgery a success. Fortunately, 60 to 80% of patients are successful in achieving this objective, with some continuing to lose a bit more weight than anticipated over time.
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