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Procedures
Every procedure we carry out, grouped under bariatric surgery, metabolic surgery and endoscopic care.

BARIATRIC SURGERY
Sleeve Gastrectomy
A laparoscopic procedure in which part of the stomach is removed and the remainder shaped into a tube. The digestive tract stays continuous, so the effect on absorption is more limited than with bypass procedures.

BARIATRIC SURGERY
Gastric Bypass
A small gastric pouch is created and part of the small intestine is bypassed. It is considered particularly where reflux or type 2 diabetes is part of the picture.

BARIATRIC SURGERY
Mini Gastric Bypass
A single-anastomosis bypass with fewer connection points. The choice between procedures follows from eating patterns and accompanying conditions rather than from preference alone.

BARIATRIC SURGERY
Duodenal Switch
A procedure that combines a sleeve with an intestinal bypass and has a more pronounced effect on absorption. Vitamin and mineral monitoring continues for life.

BARIATRIC SURGERY
Revision Surgery
A second procedure planned where an earlier bariatric operation has not produced the expected result or a complication has developed. Endoscopy and imaging are carried out beforehand.

METABOLIC SURGERY
Type 2 Diabetes Surgery
The collective name for metabolic procedures aimed at blood glucose regulation. Assessment is made with endocrinology and rests on the metabolic picture rather than on weight alone.

METABOLIC SURGERY
Transit Bipartition
Alongside a sleeve, part of the food stream is directed to the final section of the small intestine. Its metabolic effect is prominent and endoscopic access to the duodenum is preserved.

METABOLIC SURGERY
Ileal Interposition
An advanced metabolic procedure in which a segment taken from the final part of the small intestine is moved to an earlier point in the digestive tract. It is considered in selected cases.

METABOLIC SURGERY
Metabolic Risk Assessment
A preparatory assessment covering blood glucose, insulin resistance, lipid profile, liver fat and screening for sleep apnoea. It is what any surgical decision rests on.

ENDOSCOPIC CARE AND FOLLOW-UP
Intragastric Balloon
A temporary device placed endoscopically and removed after a set period. It is not surgery and is carried out alongside a nutrition and activity programme.

ENDOSCOPIC CARE AND FOLLOW-UP
Endoscopic Sleeve Gastroplasty
An endoscopic procedure in which the stomach is narrowed with sutures placed through the mouth, without an incision. Its eligibility criteria differ from those for surgery.

ENDOSCOPIC CARE AND FOLLOW-UP
Nutrition and Dietitian Follow-up
A structured programme that starts before surgery and covers the liquid, puree and solid stages afterwards. Reviews continue several times a year.

ENDOSCOPIC CARE AND FOLLOW-UP
Psychological Assessment
A consultation covering eating behaviour, expectations and the support around the patient. It is an integral part of the decision and is not on its own a means of approval or refusal.
NEXT STEP
Contact
Get in touch with your questions, and let us assess your eligibility together at an initial consultation.
