Bariatric surgery (weight loss)
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Bariatric surgery (weight loss)
We offer a full compliment of bariatric procedures and the team comprises of surgeons, bariatric anaesthetists, dietitians, psychologists and specialist nurses who are all involved with aspects of your care.
The East Midlands Bariatric and Metabolic Institute (EMBMI)
The bariatric unit, located at the Royal Derby Hospital, provides bariatric services (both elective and emergency) for patients from Derbyshire, Nottinghamshire and Lincolnshire.
The department practices in line with NICE and BOMSS guidelines for obesity and metabolic surgery.
How to refer
Prior to being considered for bariatric surgery all patients need to complete a tier 3 weight management programme.
Derbyshire patients can be referred to DCHS Tier 3 Weight Management Service.
Patients must meet the following criteria;
- BMI 50 or above.
- BMI 35 – 49 with comorbidities (see referral form for details of comorbidities) and has ideally completed a Tier 2 weight management intervention.
Patients from Nottinghamshire and Lincolnshire can be referred to the hospital’s Tier 3 Service.
Patients must meet the following criteria;
- BMI over 40 and Type 2 diabetes with HBA1c >64mmol/mol and either eGFR <45 OR Non Alcoholic Steatohepatitis (NASH).
- BMI over 40 and requiring time-sensitive surgery i.e Organ transplant, Arthroplasty because of immobility, Cardiac Surgery, Cancer Surgery, Limb or Sight saving surgery.
- BMI over 60 and at least 2 of the following Significant Comorbidities: Sleep apnoea on CPAP, Heart failure AHA Class C.
All patients who are referred must be willing and able to undertake lifestyle change to lose weight.
Referrals are accepted from GPs, advanced nurse practitioners and specialist physicians. Referrals from physicians must be copied to the patient’s GP.
Post-surgery care
Post-operatively, the majority of bariatric patients will be cared for on ward 313 with support from bariatric nurses following discharge. Patients are followed up for two years post-operatively by the bariatric team.
Any patients experiencing problems following bariatric surgery should be seen according to the following diagram:
Contact and find us
Location
Level 3
Royal Derby Hospital
Uttoxeter Road
Derby
DE22 3NE
Nearest entrance: 9
Nearest car park: 2
Telephone: 01332 789 432
Email: dhft.bariatrics@nhs.net