Who is bariatric surgery suitable for?

Written in association with: Mr Gianluca Bonanomi
Published: | Updated: 11/11/2024
Edited by: Conor Lynch

Bariatric surgery, also known as weight loss surgery, is a medical procedure designed to help individuals with severe obesity lose weight and improve their overall health. For those who have tried other weight-loss methods without success, bariatric surgery can be a highly effective option.

 

By altering the digestive system to limit food intake or reduce nutrient absorption, it promotes substantial, sustained weight loss and can improve or resolve obesity-related conditions such as diabetes, hypertension, and sleep apnoea.

Types

There are several types of bariatric surgery, with the most common being gastric bypass, sleeve gastrectomy, and adjustable gastric banding. In gastric bypass surgery, the surgeon creates a small pouch from the stomach and connects it directly to the small intestine, bypassing a portion of the digestive tract.

 

This limits the amount of food intake and reduces calorie absorption. In a sleeve gastrectomy, about 80% of the stomach is removed, leaving a tube-shaped stomach or “sleeve” that holds less food. Adjustable gastric banding involves placing a band around the upper part of the stomach to create a small pouch, also limiting food intake.

 

Suitability

Bariatric surgery is generally considered for patients with a body mass index (BMI) of 40 or higher or for those with a BMI of 35 or higher with serious health conditions related to obesity. Prior to surgery, patients undergo a comprehensive evaluation to ensure they are suitable candidates, including assessments by dietitians, psychologists, and physicians. Commitment to lifestyle changes, including diet modifications and regular physical activity, is essential for success.

 

Complications

While bariatric surgery can be transformative, it’s not without risks. Complications may include infections, blood clots, and nutrient deficiencies, as well as the potential need for further surgeries. That said, most individuals experience positive outcomes, including significant weight loss, reduced risk of chronic diseases, and improved quality of life.

 

For those struggling with obesity, bariatric surgery offers a path to better health and long-term weight management. Through careful consideration and a commitment to lifelong lifestyle changes, patients can achieve substantial health benefits, making bariatric surgery a powerful option in the fight against obesity and related health complications.

By Mr Gianluca Bonanomi
Surgery

Mr Gianluca Bonanomi is a senior consultant surgeon based in London who specialises in general, upper gastrointestinal and bariatric surgery. He has a special expertise in minimally invasive keyhole surgery techniques including laparoscopic surgery for inguinal hernia, gallbladder disease, acid reflux, obesity and upper gastrointestinal conditions.

Mr Gianluca Bonanomi completed his medical education and general surgery training at the University of Pisa in Italy and subsequently undertook further specialist surgical training in the United States, United Kingdom and France. He completed a research fellowship in minimally invasive and robotic surgery and a clinical fellowship in advanced laparoscopic surgery and bariatrics at the University of Pittsburgh Medical Center in the US where he was appointed as attending and assistant professor of surgery. He has achieved extensive experience in metabolic and bariatric surgery and offers all types of treatment including endoscopic intragastric balloon placement, laparoscopic gastric banding, gastric bypass, sleeve gastrectomy and revisional procedures.

He has been the clinical lead for the Bariatric and Metabolic Surgery Service at Chelsea and Westminster Hospital in London, where he received several clinical excellence awards for his role and for working towards the establishment of a recognised multidisciplinary referral centre. He is also Honorary Clinical Senior Lecturer at Imperial College London.

He will provide you with an informed, experienced and honest account of the options, risks and benefits of advanced laparoscopic surgery applied to common surgical conditions such as inguinal hernia, gallbladder stones, acid reflux, obesity and upper gastrointestinal diseases.

Mr Bonanomi currently holds professional memberships at the Royal College of Surgeons (FRCS), Association of Upper Gastrointestinal Surgeons (AUGIS), British Medical Association (BMA), British Obesity and Metabolic Surgery Society (BOMSS), International Federation for the Surgery of Obesity (IFSO) and Medical Protection Society (MPS). Former member of the American Society of Metabolic and Bariatric Surgery (ASMBS) and the European Association of Endoscopic Surgery (EAES).

His research interests have included minimally invasive surgical techniques, robotics applications in surgery and the metabolic implications of obesity.

He is fluent in English, French, Italian and Spanish.

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