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CASE NOTES
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PROGRAMME INFO |
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Dr Mark Porter gives listeners the low-down on what the medical profession does and doesn't know. Each week an expert in the studio tackles a particular topic and there are reports from around the UK on the health of the nation - and the NHS.
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PRESENTER |
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"I spend half my week practising medicine and the other half writing and talking about it as a GP in Gloucestershire. Working on Case Notes has been a boon for both me and my patients. One of the principal aims of the programme is to keep our listeners up-to-date with the latest developments in healthcare, and to accomplish that I get to interview a wide range of specialists at the cutting edge of medicine. A rare privilege that ensures our listeners aren't the only ones to learn something new."
Mark Porter
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PROGRAMME DETAILS |
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 Full programme transcript >>
Bariatric Surgery
In this week's episode of Case Notes, Dr Mark Porter investigates bariatric, or weight loss, surgery for people who are morbidly obese.
It is a controversial area, but many clinicians argue that this type of operation is much under-used in the UK.
Mark visits St Richard鈥檚 Hospital in Chichester - one of the few centres of excellence for bariatric treatment in this country.
He meets Yasmin who has struggled with obesity all her adult life. After more than a decade of trying every diet in the book, she managed to lose nearly 10 stone in nine months after having major surgery to staple her stomach.听
At the hospital Mark also meets psychotherapists who assess the mental state of everyone who听is referred for听bariatric surgery to make sure they are prepared for听such life-changing surgery.
And he speaks to Guy Slater, consultant gastointestinal surgeon at St Richard鈥檚 Hospital.
Mr Slater describes the two main types of operation, both of which work by dramatically reducing the size of the patient鈥檚 stomach so they feel full quickly and don鈥檛 want to, or can鈥檛 eat as much.
Laparoscopic gastric banding听works by听placing an adjustable band around the upper part of the stomach to create a pouch, which fills up quickly and allows the food to pass听slowly through a gap in the band.
Gastric bypass surgery also involves creating a smaller stomach, but part of the bowel is stapled as well to make the digestive system shorter, meaning less food is absorbed into the body.
There are thought to be at least a million people in England and Wales alone who meet the criteria for bariatric treatment suggested by NICE yet just 3000 operations are likely to be carried out by fewer than 30 surgeons during the current financial year.听
听Next week: Aneurysms |
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