You should have already received a medical questionnaire. This form is important and needs to be completed. Everyone should also have also received a nutritional questionnaire.
Initial Appointment - Bariatric Workshop
This is a group meeting with our Specialist Nurse and dietitian. Please allow 3 hrs. for this as well as time to have your bloods taken. The nurse will describe the surgical options available and go through the risks associated with each procedure in further detail. The dietitian will go through the dietary changes expected with surgery. You will be able to ask questions and meet others in a similar situation to you. Afterwards, a blood form will be given for you to undergo, prior to your one stop clinic. Once you attend this meeting, you will be sent a date in the post for our one stop clinic.
One Stop clinic
You will see 4-5 different specialists during this one Stop clinic. Please allow 4-6 hrs. for this appointment as you may be invited to attend a multidisciplinary meeting where a decision will be made regarding your management in your presence:
Our surgeon will describe the surgical side of the operation and risks in more depth and assess whether you are suitable for surgery.
The nurse will discuss what your preference is for surgery and discuss some of the areas mentioned in the initial appointment specifically tailored to you.
The dietitian will assess and discuss your current diet and the dietary implications of surgery for you in depth. This will mean changing your lifestyle habits and you will be encouraged to lose some weight prior to surgery.
The anaesthetist will go through your medical risks and assess your requirements for a safe surgery.
Throughout your assessment process the Psychology team will review questionnaires you complete and communicate with the rest of the bariatric team. The aim of this is to learn more about your eating behaviour, psychological wellbeing and support system. The psychologist may wish to talk to you directly and will organise an appointment if required. The psychology team can discuss resources and options for further support as required.
Some people may need to see other specialists prior to surgery to assess whether there are medical or psychological issues that could impact on their success with surgery. If this is the case, you will be referred onto those specialties.
Once you have attended all your appointments, your case will be discussed during a team meeting and the most appropriate way forward will be decided. Although you are invited to attend the MDT, you may wish to decline by signing a waiver form.
All surgical patients have to attend this appointment. It is an assessment to check you are fit and well for surgery. During this appointment you will be asked questions, have some swabs and bloods taken all in preparation for surgery.
Follow up After Surgery
Follow up after bariatric surgery is essential for monitoring of potential complications. We expect you to attend regular follow up appointments. The clinical nurse and/or surgeon and Dietitian will try to see you at 8 weeks after surgery. You will then be given regular follow up appointments so we can monitor your progress until 2 years after your surgery, when you will be offered a yearly review or your care transferred back to your G.P for an annual review.
What happens in the event of an emergency with bariatric surgery?
In the event of an emergency, please contact the Bariatric Clinical Nurse Specialist on pager 8971 during working hours or the Surgical Assessment Unit at St Peter's Hospital on 01932 722932 or 01932 723941.
What happens if I decide not to have surgery?
If you decide surgery is not for you, due to any reason, please tell us at any stage. We will endeavour to see if there is an alternative we could organize. If at a later date you decide that you DO want surgery, you will need to contact your GP and ask for a re-referral.
Is there a support group?
We run a monthly support group at Ashford Hospital. The support group is attended by patients who have had their surgery, those waiting to have surgery or those patients, from our specialist weight management programme who are keen to meet with patients who have had surgery. Members of the team help facilitate the group. Remember, the surgery is a tool and you will need to learn how to work with it to obtain the best results from your surgery. You will find the patient support group an invaluable resource for learning from other patients and your success will, in turn, inspire other people considering surgery.
Support group dates can be found at:
For appointments or track your progress contact Bariatric Receptionist on 01784 884620.
For any clinical emergencies contact: 01932 723941 / 3509
|Bariatric Receptionist||01784 884620|
|Specialist Nurses||01932 722077|
|Mr Humadi / Irukulla's secretary||01932 723380|
|Mr Ratnasingham's Secretary||01932 726855|