What are the main non-surgical alternatives to weight loss surgery?

Written by: Mr Michael Van den Bossche
Published:
Edited by: Conor Lynch

In this article below, esteemed consultant general surgeon, Mr Michael Van den Bossche, talks about weight loss surgery, including the ideal candidates for the surgery, and the main non-surgical alternatives to weight loss surgery.

What are the main non-surgical alternatives to weight loss surgery?

Non-surgical alternatives to weight loss surgery include dieting, the use of injections, and the use of intra-gastric balloons. The use of injections has become very popular recently. There is a drug that is commonly used to treat diabetes which produces a side effect of weight loss.

 

Balloons have been around for a long time, and can remain in the stomach for either four months, six months, or a year. They are the cheapest option, but surgery provides more long-lasting results.

 

Is surgery the most effective way to lose weight?

For people with a BMI over 35 or 40, weight loss surgery is the most efficient way to lose weight. This is especially true for people with sleep apnoea, Type 2 diabetes, and hypertension.

 

Who might be better suited for non-surgical alternatives?

The patients who I believe are most suited to non-surgical alternatives are definitely those for lower BMIs.

 

Who might be a better suited candidate for surgery?

The best candidates for surgery are those who have high BMIs, people who are morbidly obese, and people who have significant comorbidities.

 

If you are considering weight loss surgery, book an appointment with Mr Michael Van den Bossche via his Top Doctors profile today. 

By Mr Michael Van den Bossche
Surgery

Mr Michael Van den Bossche is a renowned consultant general surgeon, specialising in all kinds of bariatric surgery. From his private clinic at the Spire Southampton Hospital, he provides surgical weight loss surgery, along with hernia surgery, gallbladder surgery, surgery to correct gastric reflux, and a variety of laparoscopic surgical procedures. 

Mr Michael Van den Bossche originally trained in Leuven, Belgium under Dr Jacques Himpens, a pioneer in laparoscopic and bariatric surgery. He first worked and gained experience in Brussels, Belgium before moving to Guernsey in the Channel Islands, where he developed the laparoscopic surgery service on the island, going on to establish the island as one of the centres of excellence for laparoscopic surgery.

In 2007, Mr Van den Bossche became the first surgeon to introduce the banded gastric bypass to the UK, and in 2010, he was the first to adopt the mini gastric bypass, or one anastomosis gastric bypass, an operation resulting in better resolution of medical problems, such as type 2 diabetes, and improved weight loss compared to other gastric bypass methods or restricted weight loss operations. For gastric bypass operations, Mr Van den Bossche makes use of the GaBP ring or Fobi ring, making the operation stronger and minimising the risk of weight regain in the future. He also offers the Elipse gastric balloon to those patients who do not qualify for weight loss surgery, while dieting alone is not working for them. The procedure is performed on an outpatient basis, and does not involve endoscopy, surgery, or anaesthesia. 

Mr Van den Bossche devotes time to training and mentoring fellow surgeons in the UK, and has performed live surgical procedures around the world, in addition to being a trainer for the mini gastric bypass operation. He has published numerous peer-reviewed articles in medical journals, and lectured extensively at international medical conferences. 

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