| Help and Support at the Trust |
| Written by Bariatric Team |
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We fully understand at Ashford and St. Peter’s that taking the decision to have surgery, to help with weight loss, is a major decision. The clinical teams at our hospitals, located in Chertsey (Surrey) and Ashford (Middlesex), are dedicated to your healthcare and treatment.
In appreciation of this, we have designed this guide to inform you of the different types of surgery available, but also what you can expect on your visits.
| Consultant |
Speciality / Specialist Interest |
Clinic location / frequency |
Samer HUMADI
GMC: 5191619 |
Laparoscopic / Upper Gastrointestinal / Bariatric (obesity) Surgery
Morbid obesity - gastric banding
Gastric Bypass
Sleeve Gastrectomy
Intra Gastric Balloon
Laparoscopic hiatal hernia surgery
Laparoscopic Anti Reflux Surgery
Laparoscopic repair of Abdominal Hernias
Upper GI endoscopy |
ASH:
Thurs am (weekly) |
Mr Shashi IRUKULLA
GMC: 4447049 |
Laparoscopic/Upper Gastrointestinal/ Bariatric (obesity) Surgery
Morbid obesity - gastric banding,
Gastric Bypass,
Sleeve Gastrectomy
Laparoscopic: Anti reflux surgery, Cholecystectomy, Laparoscopic inguinal hernia repairs (TEPP & TAPP), Laparoscopic incisional hernia surgery, Upper GI endoscopy |
SPH:
Monday am (alt.weeks) - General & Upper GI Clinics
ASH::
Monday am (alt weeks) - General & Upper GI Clinics
Thursday am (weekly)- Bariatric Clinic |
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| Referrals |
In accordance with NHS England commissioning guidelines, patients can only be referred for Bariatric Surgery when the following criteria are fulfilled:
- The individual is considered morbidly obese (BMI of 40kg/m2 or more, or between 35 kg/m2 and 40kg/m2 or greater in the presence of other significant diseases).
- Morbid/severe obesity has been present for at least five years.
- The individual has recently received and complied with a local specialist obesity service weight loss programme (non-surgical Tier 3), for a period of 12 months or 6 months if BMI > 50kg/m2. See below for details of the local Tier 3 service running in the north Surrey area, covering Surrey and neighbouring counties.
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| Specialist Weight Management Service |
Obesity is detrimental to health, life limiting and an increasing problem within the population. Within Surrey alone there are estimated to be over 150,000 obese individuals. It is a long term condition which medically responds to lifestyle changes. The challenge is to embed and anchor these changes in people's lives in a way that fits their individual needs and circumstances.
We are delighted to strengthen the preoperative component of our existing Bariatric service by offering patients from Surrey and the surrounding counties individually targeted, specialist, non-surgical weight loss support. This locally based service prevents the need for patients to travel further afield to access similar services such as in London or the South Coast and conforms to NHS Commissioning Board requirements for Bariatric surgery.
The programme will be personalised to the individual patient and consist of:
- a dietary assessment and support program;
- a physical activity goal setting and activity plan;
- a medical evaluation with implementation of appropriate risk modifications;
- an assessment of psychological issues relevant to success of the program and an assessment of the patients engagement in the program.
The individual assessments will be supported by group based activities of an educational dietetic weight management program targeted to support both the dietetic and psychological aspects of weight loss.
Patients will be eligible for the initial one-stop specialist obesity clinic if they meet the referral criteria of BMI>40kg/m2 or a BMI>35kg/m2 with significant other diseases.On completion of the programme each patient will be reviewed for success against their agreed targets for the weight loss program following which they will either be discharged or recommended for further intervention consistent with local and national guidelines.
We look forward to helping people from our local community to facilitate lifestyle changes that will be beneficial to weight loss and health and enable them to take the first steps towards possible bariatric surgery.
If you have any questions about the service please do not hesitate to contact the Specialist Weight Management Service, SWMS,at,
This e-mail address is being protected from spambots. You need JavaScript enabled to view it
. To refer patients to the service please refer to the Bariatric Service, c/o Bariatric Service Coordinator, Ashford and St Peters Hospitals NHS Foundation Trust.
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| Specialist Unit Opens at St Peter’s Hospital (February 2012) |
On Monday 6th February, the Mayor of Runnymede, Councillor David Parr, joined Ashford and St Peter’s hospitals Chairman Aileen McLeish, patients and staff from the Trust’s bariatric team, to officially open Wren, a new dedicated bariatric unit at St Peter’s Hospital.
Wren (which stands for Weight Reduction, Endocrine and Nutrition) is a 2 bedded unit on Falcon ward which has been purpose built to accommodate post-operative bariatric (weight loss) patients following the significant development of this specialist service at the Trust. Under the leadership of Upper Gastrointestinal and Bariatric Surgeon, Mr Samer Humadi, the Trust’s bariatric service has expanded from offering gastric banding and intragastric balloon procedures to the full range of specialist weight loss surgery including gastric bypass surgery and gastric sleeves. Since the first gastric bypass in September 2011, the Trust has now carried out around 30 of these specialist procedures, offering this service to a wide catchment area including Sussex, Hounslow, Berkshire and Hampshire ... read more |
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Contact Details
| Bariatric Surgeons Secretary |
01932 723380 |
| Dietitians’ Office |
01932 722202 |
| Bariatric Co-ordinator |
01932 722077 |
| Bariatric Clinical Nurse Specialist |
01932 722077, pager 8971 |
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| Last Updated on Monday, 23 September 2013 12:45 |
Bariatric Surgery