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Glossary

Adiponectin – A hormone that regulates sugar and fat metabolism. Obesity is associated with decreased levels of adiponectin. Food supplements such as rasberry ketones stimulate the production of adiponection to support weight loss.

ASBS – Acronym: American Society for Bariatric Surgery.

Appetite Suppressants – A class of  diet supplements, chemical or natural, that act upon specific brain receptors which inhibit hunger and produce a feeling of satiety or fullness. An example of a natural appetite suppressant is the Full Fast Appetite Suppressant Spray.

Adjustable Gastric Band – The Gastric Band or Lap Band are the more commonly known names for the laparoscopic adjustable gastric band. A inflatable silicone band inserted around the upper part of the stomach to reduce intake of food.

ALS – Acronym: Advanced Life Support.

ASMBS – Acronym: American Society of Metabolic & Bariatric Surgery.

AUGIS – Acronym: Association of Upper Gastrointestinal Surgeons of Great Britain and Ireland.

Bariatrics – The branch of medicine that focuses on obesity.

Bariatric Surgeon – A surgeon who specializes on operating the stomach and/or the intestines to support weight loss in obese patients. A bariatric surgeon is also known as a weight loss surgeon.

Bariatric Surgery – Or weight-loss surgery is performed on obese patients by shrinking the stomach size and/or by resecting and re-routing the small intestines to a small stomach pouch (gastric bypass surgery).

Behavioural Therapy – Within Bariatric Surgery is a psychological evaluation. Behaviour therapy (behaviour modification) looks at patients environmental and social situations as well as to help patients make the most of their surgery. Social history, psychiatric problems, current living situation, are used to identify good and bad candidates for bariatric surgery

Biliopancreatic Diversion (BPD) -Diverting food to the small intestine by making the stomach smaller. This allows the patient to feel full up more quickly. The technique is used less frequently because it can lead to vitamin and mineral deficiencies.

BMI (Body Mass Index) – A measurement used to calculate excess weight and obesity. Determined by a formula that takes into account weight and height.

B.I.B – Acronym:  BioEnterics Intragastric Balloon (B.I.B.), also known as the gastric balloon.

BOMSS – Acronym: British Obesity and Metabolic Surgery Society.

BOSPA – Acronym: Brisith Obesity Surgery Patients Association.

BSc – Acronym: Bachelor of Science.

Comorbidity – A heath condition associated with obesity including  type 2 diabetes, sleep apnea, high blood pressure and heart diseases.

CQC – Acronym: Care Quality Commission.

Dietitian – The role of a dietitian is to safely provide medical nutritional advice by preparing a program of nutritious foods to be eaten by patients, communities or groups. Dietitians support a clinical approach to nutrition in various fields in medicine including diabetes, obesity, oncology, osteoporosis, pediatrics, renal disease and micro-nutrients.

Dumping – A reaction patients can experience after eating foods which are “dumped” too quickly into the small intestine causing gastric dumping syndromes.

EAES – Acronym: European Association of Endoscopic Surgery.

EndoBarrier – The EndoBarrier is a thin plastic sleeve inserted in the first part of the small intestine causing food to be absorbed further down the intestine. This altered absorption supports weight loss and lowers blood sugar levels in diabetes Type 2 patients.

Fitness Therapy – A tailored plan for individual patients whom have undergone Bariatric Surgery.

FRCS – Fellowship of the Royal College of Surgeons.

Full Fast Appetite Suppressant Spray – The main ingredient in the full fast appetite suppressant spray is the Griffonia Simplicifolia which increases the levels of serotonin in the brain.  Increased levels of seretonin help to regulate or lower appetite and food cravings.

Gastric Band Surgery – Where an adjustable band is placed around a portion of the stomach, restricting the amount of food able to be consumed. The Gastric Band is also known as the Lap Band surgery.

Gastric Band Hypnosis – This treatment focuses on building a “virtual gastric band” around your stomach utilizing the power of the mind. This method suppresses the appetite in a non-surgical way.

Gastric Balloon – The gastric balloon weight loss treatment is a procedure which involves the insertion of a  silicone balloon into the stomach for a period between 6 – 9 months. This particular type of bariatric treatment is viewed as a non-surgical weight loss treatment or a “scar free” weight loss treatment.

Gastric dumping syndrome, or rapid gastric emptying – A risk of some bariatric surgeries, a condition where ingested foods bypass the stomach too rapidly and enter the small intestine largely undigested Symptoms include nausea, weakness, sweating, faintness, and sometimes diarrhea after eating.

Gastric Bypass Surgery – Bariatric procedures that alter the digestive tract, dividing the stomach into a small upper pouch and a much larger, lower pouch so that certain parts are bypassed, inhibiting the body’s absorption of calories. The Gastric Bypass is permanent an non-reversible.

Gastric Sleeve Surgery – The gastric sleeve also know as a sleeve gastrectomy is a surgical bariatric procedure in which the stomach is reduced by 75% of its original size. The Gastric Sleeve weight loss surgery is permanent and non-reversible.

Gastrointestinal leak – A complication of surgery in which the new connections of the gastrointestinal system leak into the abdominal cavity.

Gherlin – The hormone ghrelin, also known as the “hunger” hormone is produced by cells in the digestive tract, predominantly inside the stomach. Its purpose is to regulate appetite, food consumption and fat storage.

GMC– Acronym: General Medical Council

Ideal Weight – A person’s ideal weight is defined by how weight affects health and longevity. According to the BMI index, a person ideal weight should average around 25.

In fills – Gastric band in-fills are a series of liquid injections placed inside the silicone band to restrict the intake of food.

Laparoscopy surgery – Laparoscopy is an operation performed in the abdomen or pelvis through small incisions (usually 0.5-1.5 cm) with the aid of a camera and small tubes fitted with surgical instruments. The laparoscope camera is used to view the abdomen throughout the surgery.

Lap-band – The second oldest band created and the only one to be F.D.A. approved in the US. The volume capacity ranges from 4 ml to 14 ml depending on the model.

LAP BAND Surgery – Where an adjustable band is placed around a portion of the stomach, restricting the amount of food able to be consumed. The lab band is also known as the Gastric Band surgery.

Leptin – Is a hormone produced in fat cells which regulates the amount of fat stored in the body. It is known as the  “satiety” or fullness hormone.

LRCP – Acronym: Licence of the royal college of physicians.

Malabsorption – A result of bypassing the first part of the small intestine (such as the gastric bypass weight loss surgery) so that not all calories consumed are absorbed. The continuous malabsorption of food results in weight loss.

MBBS – Acronym: Bachelor of medicine and surgery.

MD – Acronym: Medical Doctorate.

Medical Attaché –  A person officially assigned to the staff of a diplomatic mission to serve in a health and medical capacity. Every embassy has one or more assigned medical attachés depending on the size of the medical department.

Medical Nutrition Therapy – Assesses the nutritional requirements of patients based on weight, medical history, food preferences and meal frequency . Used to plan dietary needs of individual patients.

Medical Tourism – There are two types of Medical Tourism. One when patients travel from less developed countries to highly developed countries seeking specific medical care that is unavailable in their home country.The other one is when patients travel from highly developed countries to less developed countries to seek less expansive medical care. Bariatric surgery and cosmetic surgery are popular choices in medical tourism.

Mid-band – Manufactured in Lyon, France. This band is used in the UK, France and Mexico. The maximum fill volume is 9 ml.

Minimally Invasive – Refers to Laparoscopic Surgery.

Morbid Obesity/ Morbidly Obese -A body weight that poses a severe risk to the patients health, defined as having a Body Mass Index (BMI) that is greater than 40. Alternatively defined as men who are at least 100 pounds overweight and by women who are at least 80 pounds overweight.

NHS – Acronym: National Health Service

NICE – Acronym: National Institute of Clinical Excellence

Non Surgical Weight Loss – A certain type of weight loss treatment or procedure which does not involve surgery or cutting into the body. Non surgical weight loss is also known as non invasive weight loss. Examples of non surgical weight loss treatments: Gastric Balloon and the Endobarrier.

Pannus – The large flap of sagging abdominal skin that forms after weight loss. To remove the pannus, a tummy tuck also know as abdominoplasty is needed.

Pouch – The smaller part of the stomach that is created after separating or partitioning the whole stomach.

Rasberry Ketones: Rasberry Ketones are natural plant compounds that help increase the efficiency of fat metabolism.

Restrictive Operations – Bariatric surgery operations belong to a selection of procedures that restrict the amount of food intake by reducing stomach content size.

Roux-en-Y Gastric Bypass (RGB) – The most commonly performed malabsorptive surgery. Special staples are used to section off a tiny portion of the stomach that holds one ounce of food or less. A small Y-shaped section of the small intestine is attached to the pouch to allow food to bypass the lower stomach as well as the first and second segments of the small intestine.

Scar Free Gastric Band – The “scar free” gastric band is formally known as the SILS Gastric Banding which stands for Single Incision Laparoscopic Surgery. This type of bariatric surgery is a minimally invasive keyhole surgery where the one and only entry point is made through the umbilicus, commonly known as the navel. The association of “scar free” comes from the fact that the only visible scar is in the navel. The SILS technique is used in two types of bariatric surgery: the sleeve gastrectomy and the gastric band.

Stomach Stapling – Refers to Vertical Banded Gastroplasty.

Swedish Band (SAGB) – Swedish Adjustable Gastric Band was the first band to be fitted in 1985. The maximum fill volume ranges between 9 ml and 12 ml depending on the model.

The Duodenal Switch (DS) procedure, also known as Biliopancreatic Diversion with Duodenal Switch (DS) The Duodenal Switch (DS) – A reduced-size stomach pouch is created, which restricts the quantity of food patients can eat in a single sitting. In addition, the bariatric surgeon makes it more difficult for this reduced amount of food to be absorbed in the gastrointestinal tract. The objective of this surgery is to reduce the amount of time the body has to capture calories from food in the small intestine and to selectively limit the absorption of fat.

Vertical Banded Gastroplasty (VBG) – The most common restrictive operation for weight control. A combination of staples and a band are used to create a small stomach pouch.

WLS – Acronym: Weight Loss Surgery

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