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.

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

How to refer

Criteria 1

BMI > 40 (or appropriate ethnic adjustment — see note 1 below)
AND
b) Type 2 diabetes with
AND
c) either one of the following
  • Inadequate Control (HBA1c >64mmol/mol) on maximal oral therapy
  • Presence of nephropathy (eGFR <45 OR Albumin:Creatinine ratio >10mg/mmol)
  • Metabolic dysfunction associated Steatohepatitis (MASH - aka as NASH)
  • Onset of diabetes under the age of 40yrs old
  • Insulin resistance (>2units/kg/day)
 

Criteria 2

a) Patient with BMI >35 kg/m2 (or appropriate ethnic adjustment — see note 1 below)
AND
b) Requiring time-sensitive surgery/procedure:

e.g. Organ transplant, arthroplasty because of immobility, spinal surgery, cardiac surgery, cancer surgery, limb or sight saving surgery, abdominal wall hernia repair, fertility treatment

(N.B. this list is not restrictive and subject to discretion of MDT team)

Please specify and supply supporting documentation.


Criteria 3

a) BMI >40 kg/m2 (or appropriate ethnic adjustment — see note 1 below)
AND
b) at least  two of the following significant comorbidities:

  • BMI >50 kg/m2
  • Sleep apnoea requiring CPAP
  • Systolic or diastolic cardiac dysfunction (i.e. Heart failure)
  • Resistant hypertension (3 or more blood pressure tablets)
  • Idiopathic intracranial hypertension
  • Metabolic dysfunction associated Steatohepatitis (MASH - aka as NASH)
  • Atrial fibrillation
     

Criteria 4

Any rare or monogenic condition where bariatric surgery or drug intervention has been shown to provide significant clinical benefit. NB. these will be assessed on an individual basis.

Please specify and provide supporting documentation.
 

Note 1

People with a South Asian, Chinese, other Asian, Middle Eastern, Black African, or African-Caribbean family background please lower BMI thresholds by 2.5 kg/m2.

Post-surgery care

Post-operatively, the majority of bariatric patients will be cared for on Ward 308 with support from bariatric nurses following discharge. Patients are followed up for two years post-operatively by the Bariatric team.

Dietary videos

During your time in our service, we will encourage and support you to make dietary changes. These changes will help you to lose weight, and importantly, keep that weight off long term.