Bariatric Surgery in Clinical Practice

Eulogy to Prof David Haslam
A Personal Tribute to David Haslam, Physician and Friend
Contents
About the Editors
Part I: Background to Obesity as a Disease
	1: Obesity in Context; What Is the Need for Assessment and Management of Obesity and Related Conditions
	2: Winning the Battle But Losing the War on Obesity?
	3: Obesity in Practice: The Opportunities
		Obesity Paradox
	4: Obesity Is a Disease
		References
	5: Obesity and Periodontal Disease
		Introduction
			Diabetes
		Immune Response
			Role of the Dental Professional
		References
Part II: Commercial Weight Management Services
	6: The Role of Commercial Weight Loss Programmes
		References
	7: The Role of Formula Very Low and Low Energy Diets in Obesity and Type 2 Diabetes Management
		Introduction
		Very Low Energy and Low Energy Diets in Obesity Management
		Low Energy and Low Energy Diet in Type 2 Diabetes Remission
		Summary
		References
Part III: Primary Care Role in Obesity Management
	8: Role of the Nurse in Managing Obesity
		Screening
		Surgery
		Long-Term Conditions; Diabetes
		Obesity and Cancer
		References
	9: The Role of Community Pharmacy and Pharmacotherapy in Obesity Management
		Introduction
		The Role of the Pharmacist
			Pharmacies Are Accredited on Completion of a Certified Training Programme
		Pharmacotherapy
		Orlistat
		References
	10: Physical Activity and Exercise: Challenging Misconceptions and Considerations for People with Obesity
		Aims
		Introduction
		Challenging Misconceptions
		How Effective Is Physical Activity and Exercise for Weight Loss?
		Why Is It Important to Include Physical Activity as Part of Weight Management?
		Which Types of Physical Activity and Exercise Are Most Beneficial?
		Important Considerations for Physical Activity and Exercise Programming in Weight Management Interventions
		Concluding Summary
		References
	11: Teaching Kitchens for Nutrition Education and to Improve Health Outcomes
		Teaching Kitchens/Kitchen-Based Teaching
		Community Kitchens
		Mobile Teaching Kitchens
		Culinary Medicine
		Nutrition Education for Health Professionals in the UK
		Summary
		References
Part IV: Specialist Obesity Services Outside Primary Care
	12: Setting Up a Tier 3 Service and Barriers to It
		Challenges Raised at the Commissioning Stage
			Funding
			Duration of Tender
			Key Performance Indicators
		Challenges Setting Up the Service
			Clinician Time
			Suitable Premises
			Staff Recruitment and Training
			Clinical Protocol and Services
		Challenges Running the Service
			Integrating with Other Services
			Advertising
			Academic Links
		Challenges Evaluating the Service
			Collecting Data
			Understanding “Failures”
		Conclusion
		References
	13: Commissioning of Weight Management Services
		Mapping of Commissioned Services
		Implications for the Future
		Call to Action
		Reference
	14: The Staff, Roles, and Facilities in Tier 3
		Introduction
		The Multidisciplinary Team Approach to Weight Management
		The Initial Consultation
		Common Myths and Mistakes
		Individualised Care and Group Work
		Pharmacotherapy, Surgery, and Other Services
		Conclusion
		References
	15: The Role of the Psychologist in Weight Management and Bariatric Surgery
		Rationale for the Inclusion of Psychology in Weight Management and Bariatric Surgery Services
		Psychological Difficulties
		Psychological Assessment
		Direct Input with Patients
		Different Modes of Delivery
		Psychoeducation About Obesity and Weight Stigma
		Liaison with Other Services
		MDT Working
		Specific Issues in Tier 3 Specialist Weight Management Services
		Specific Issues in Bariatric Surgery
		Service Evaluation and Development
		Summary
		References
	16: Dietary Impact on the Prevention and Management of Obesity
		Food Groups
		Carbohydrate to Tolerance
		Glycaemic Index
		The Level of Carbohydrate Restriction
		Protein in Moderation
		Fat to Satiety
		Eating Frequency
		Summary
		References
	17: Obesity Services Luton and Dunstable Hospital: Overview
Part V: The Importance of the Surgical Pathway
	18: Obesity Management: Criteria for Commissioning
		Introduction
		Criteria for Commissioning
		Eligibility Criteria
		References
	19: Bariatric Surgery Dietitian Section
		References
	20: The Role of the Specialist Obesity Nurse Within the Bariatric Multidisciplinary Team
	21: Psychological Aspects of Obesity Management
		The Relationship Between Mental Health and Obesity
		Role of Psychology Within Tier Three Weight Management Services
		Role of Psychology Within Tier Four Bariatric Services
		References
	22: The Role of the Nurse Post-Bariatric Surgery Within a Bariatric Centre
		Introduction
		Surgical Obesity Treatment
		Medical Review
			Diabetes
			Hypertension
			Joint Pain
			Obstructive Sleep Apnoea
			Infertility
		Compliance with Postoperative Supplements
		Compliance with Adequate Protein Intake: Dietary
		Compliance with Physical Exercises
		Reduce Postoperative Complications
		Conclusion
	23: Bariatric Surgery: Making the Right Decision
		Benefits of Bariatric Surgery
		Types of Surgery
			Gastric Band (LAGB)
			Points to Consider
			Sleeve Gastrectomy
			Points to Consider
			Gastric Bypass
			Points to consider
		Risks
		Frequently Asked Questions
	24: Obesity Education
		References
	25: Gastric Band
	26: My Journey
Postscript
	References