A bowel doctor, another term for a gastroenterologist, focuses on the intestines and related organs. Patients may seek care from a bowel doctor for conditions like Crohn's disease, ulcerative colitis, diverticulitis, or bowel cancer. They also manage complications that arise in the bowel following surgeries like the Roux-en-Y gastric bypass or gastric sleeve.

Endoscopic Sleeve Gastroplasty (ESG) is a non-surgical weight-loss procedure where a gastroenterologist uses an endoscope to stitch the stomach into a smaller size, reducing its capacity. Unlike traditional bariatric surgery, ESG is performed through the mouth and doesn’t involve cutting or removing any part of the stomach. Recovery is quicker, and the procedure is reversible, but the weight loss achieved is typically less significant than with RNY or gastric sleeve surgery.

Semaglutide is a weight-loss medication that mimics a hormone regulating appetite and food intake. In the UK, it is marketed under the brand names Ozempic (for diabetes) and Wegovy (for obesity). It is prescribed to individuals struggling with weight management, often in conjunction with diet and exercise.

Before undergoing bariatric surgery like RNY, patients are required to follow a pre-op diet to reduce liver size and fat around the stomach. This makes the surgery safer and easier for the surgeon to perform. The pre-op diet typically consists of high-protein, low-carbohydrate shakes, and liquids for 1-2 weeks before surgery. It’s an important step in preparing the body for surgery and ensuring optimal recovery post-op.

Gastric RNY, or Roux-en-Y gastric bypass, remains one of the most effective surgical options for treating obesity. By reducing the size of the stomach and bypassing a portion of the intestines, patients experience a significant reduction in hunger and an inability to eat large meals. Gastric RNY can lead to rapid weight loss and improvement or resolution of obesity-related conditions such as type 2 diabetes, sleep apnea, and hypertension.

In the UK, slimming tablets are commonly prescribed or available over the counter to aid weight loss. Medications like Orlistat help block the absorption of fat, while appetite suppressants target hunger. These medications are often combined with lifestyle changes for better long-term results.

Mild erythematous refers to slight redness or inflammation, often found during endoscopic exams. In the stomach or intestines, it can indicate irritation or early stages of inflammation caused by infections, acid reflux, or mild gastritis.

The cost of gastric sleeve surgery varies depending on the country and clinic. In the UK, private gastric sleeve surgery ranges from £8,000 to £12,000. The procedure is also available on the NHS for eligible patients who meet specific criteria, such as having a BMI over 40.

The pre-surgical diet is designed to reduce the size of the liver and optimize the patient’s health before bariatric surgery. Typically high in protein and low in carbohydrates, it often involves consuming liquid protein shakes and limited solid foods for 1 to 2 weeks before surgery. This diet reduces surgical risks and prepares the body for the changes it will undergo post-surgery.

Similar to the gastric band diet, the stomach band diet is designed for patients who have had a stomach band procedure. This diet emphasizes eating small, frequent meals and avoiding foods that are difficult to digest, such as bread, pasta, and fibrous vegetables. Patients should eat slowly, chew thoroughly, and stop eating as soon as they feel full to prevent discomfort.

Patients typically need a Body Mass Index (BMI) of 35 or higher, with obesity-related health conditions, or a BMI of 40 or more to qualify for gastric sleeve surgery. This surgery, known as Vertical Sleeve Gastrectomy (VSG), involves removing about 80% of the stomach to reduce food intake and is one of the most popular bariatric procedures.

Bariatric refers to the branch of medicine that deals with the causes, prevention, and treatment of obesity. Bariatric surgery includes weight-loss procedures like gastric bypass, sleeve gastrectomy, and lap band surgery, which help patients lose significant amounts of weight and improve obesity-related health conditions.

Gastric banding is a type of bariatric surgery in which an adjustable band is placed around the upper part of the stomach to create a small pouch that limits food intake. It is one of the least invasive forms of weight-loss surgery but has fallen out of favor due to its lower success rates compared to other procedures like the sleeve gastrectomy or Roux-en-Y bypass. The band can be adjusted or removed, making it more flexible than other surgeries.

The cost of stomach bypass surgery, another term for gastric bypass, can vary. In the UK, private clinics charge around £10,000 to £15,000. The NHS may offer this procedure for patients who meet specific eligibility criteria based on their BMI and health conditions.

The cost of gastric sleeve surgery varies depending on the country, healthcare provider, and insurance coverage. In the U.S., prices range from $15,000 to $25,000. In countries with public healthcare systems like the UK, the procedure may be covered by the NHS, though private options are available for those seeking quicker treatment.

Feeling sick in your stomach can indicate nausea, indigestion, or an underlying condition such as gastritis, food intolerance, or stress. If persistent, it’s essential to consult a healthcare provider for proper diagnosis and treatment.

The "Slimming Pen" refers to injectable medications like Saxenda and Wegovy (semaglutide) that help with weight loss. These medications regulate hunger hormones, helping users feel fuller and eat less. They are prescribed for individuals who need additional support in managing their weight, especially when diet and exercise alone aren’t sufficient. They’re increasingly popular in the UK, with potential NHS coverage for certain patients.

A GI malignancy refers to any cancerous growth within the gastrointestinal tract. These cancers are often aggressive and can spread quickly if not detected early. Colon cancer, stomach cancer, and pancreatic cancer are common forms of GI malignancy. Gastroenterologists play a vital role in screening for these cancers through procedures like colonoscopies and endoscopies.

A tumor on the abdomen could be benign or malignant and may arise from various organs like the stomach, intestines, or pancreas. Symptoms include swelling, pain, and digestive issues. Diagnostic imaging and biopsies are used to determine the nature of the tumor, and treatment depends on the diagnosis.

The gastric sleeve or Vertical Sleeve Gastrectomy (VSG) involves the removal of a large portion of the stomach, leaving a sleeve-shaped stomach. This surgery is purely restrictive, meaning it reduces the stomach’s size to limit food intake. It’s highly effective for weight loss and requires fewer alterations to the digestive system than the gastric bypass.

When comparing lap band and gastric bypass, the key difference lies in their mechanisms. The lap band restricts food intake by placing an adjustable band around the stomach, while gastric bypass both restricts food intake and alters digestion by rerouting part of the intestines. Gastric bypass typically leads to more rapid and significant weight loss but carries a higher risk of complications.

The stomach balloon cost is similar to that of the gastric balloon, ranging from £1,450 to £4,450 in the UK. This temporary, non-surgical procedure is effective for short-term weight loss and is often used as a tool to help patients lose weight before considering surgical options.

A gastric balloon is a non-surgical weight-loss option where a silicone balloon is inserted into the stomach and inflated. It takes up space, helping patients feel fuller sooner and eat less. The balloon is temporary and is removed after 6-12 months, during which patients must follow a strict diet and exercise regimen to ensure lasting weight loss.

Atrophic gastritis is a chronic condition where the stomach lining thins and loses its ability to produce stomach acid and digestive enzymes. This condition can be caused by long-term H. pylori infection or autoimmune diseases and may increase the risk of stomach cancer. Treatment focuses on addressing the underlying cause and managing symptoms.

The prognosis for gastrointestinal (GI) cancer depends on the type and stage of cancer at diagnosis. Early-stage GI cancers, including stomach, colon, and esophageal cancers, have better survival rates when treated with surgery, chemotherapy, or radiation. Advanced-stage cancers are more difficult to treat and often require palliative care.