Bariatric services

Thank you for your support of bariatric care at UHNM. Below is some information you may find helpful.

Contact details - click here

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BOMSS-guidelines


Our service

Bariatric surgery at UHNM  - the North Midlands Institute of Metabolic and Bariatric surgery (NMIMBS) - has been operational for over 10 years and has gone from strength to strength.

We are proud to be one of the few high-volume centres in the country performing over 350 – 400 operations per year in the field of bariatric (weight loss) and metabolic surgery.

The population coverage is over 2.5 million, providing services to the regions of Staffordshire (Stoke, Stafford, Cannock), Cheshire ( East, West, Mid and south Cheshire) and Wolverhampton.

We have also been covering the regions of Merseyside (Liverpool) and Cumbria/Lancashire between 2017 and 2019 on a temporary contract.

We offer the following services:

Surgical services

The elective surgical services are offered at

  • County Hospital, Stafford ( 3-4 days a week)
  • Royal Stoke University Hospital (1 day a week for complex surgery/high risk patients)

A specialised team of over 15 bariatric anesthetists with a wide range of experience provide perioperative care to our patients.

The high dependency unit (HDU) and intensive care unit (ITU) at Stoke are used when needed on a selective basis.

Our surgeons perform primary and revisional bariatric surgery from within and outside the region. Each case is approached on a multidisciplinary basis and appropriate treatment/surgery offered only if felt necessary.

The main type of surgeries offered are as follows:

Laparoscopic Roux Y Gastric bypass (LRYGB)

Over 8/10 procedures we perfrom at UHNM are LRYGB procedures.

Laparoscopic Sleeve Gastrectomies

2/10 procedures are sleeve gastrectomies.

Laparoscopic One Anastomosis Gastric Bypass

This is not offered as a mainstream procedure but as an option if a standard RYGB cannot be performed due to technical challenges.

  • Laparoscopic Band to Bypass

  • Laparoscopic Sleeve to Bypass procedure

  • Removal of Gastric Bands ( Insertion of gastric band not offerred)

  • Infrequently performed/investigational procedures under consideration

  • Gastric Balloon

  • SADI-S

  • Endoscopic bariatric surgery

 

Outpatient services

Outpatient clinics for new and follow-up patients are conducted in the following locations:

  • Stoke on Trent ( Royal Stoke University Hospital)
  • Stafford (County Hospital)
  • Chester (Countess of Chester Hospitals)
  • Wolverhampton (Royal Wolverhampton Hospitals)
  • Liverpool (Aintree University Hospitals)

 

All patients are assessed by a multidisciplinary team on single or multiple visits. The team consists of surgeons, endocrinologists, specialist nurses, and a specialist bariatric dietetic team.

Further appointments with the anaesthetic team, psychologists, respiratory physicians, cardiologists, nephrologists are made on a basis of clinical need within the trust.


Emergency assessment and surgical services

The team at NMIMBS are one of the very few in the country offering a bariatric consultant-led emergency service 365 days a year. A bariatric consultant from the team is available for referrals from GPs and A&E departments from our drainage area. Patients who are discharged after bariatric surgery also have the option of visiting the surgical assessment unit without any referral from GPs/A&E portals for up to two weeks after any planned bariatric surgery.

 

Bariatric dietetic services

Our team of specialist bariatric dieticians are involved in preparing patients for surgery prior to the operation and continuing care to enable optimal outcomes until two years after surgery.

 

Bariatric specialist nursing team

Each patient will have a named specialist nurse who will be the point of contact for the patient and will oversee progress through the pathway.

 

Fluoroscopy guided band adjustments

Although we do not perform or offer gastric bands, our radiology team are experts in adjustment of bands (instilling/removing fluid) under X-ray guidance for patients who have had procedures done elsewhere.