I am a very conservative in the choice of procedures that I offer to my patients. I would never describe myself as a 'pioneering' surgeon. By definition, these surgeons like to think of themselves as being at the forefront - leading the rest of us. But there is one drawback with being an explorer into the unknown. You don't really know what the future will hold, and you don't know whether your pioneering idea is safe or dare I say it... unsafe. This is all very well for explorers putting their own safety at risk (think of Livingstone's adventures in discovering deepest Africa) but there is one drawback with being a surgical pioneer.
Human evolution has been inexorably linked to our ability to select, prepare and cook food. These skills conferred to early man a significant metabolic advantage. Precooked foods require less digestive effort and therefore over time a smaller GI tract was evolved, leaving metabolic room for cephalisation and the development of a large brain. Unfortunately the hunter-gatherer humans of 150,000 years ago continued to develop their skills in food preparation resulting in the advent of agriculture and farming 20,000 years ago to the current explosion in the availability sugar and highly palatable processed foods.
The gastric bypass is a procedure that my patients love. This procedure is known amongst surgeons as the gold standard because of its great results in really changing around peoples lives. I have performed several hundred laparoscopic gastric bypasses and I can report that almost all patients are extremely happy with the outcome, certainly in the short and medium term.
On 21st June 2017 we performed the first ever bariatric case at the famous Portland Hospital for Women and Children in London. We have set up a world class team to give adolescents who suffer with obesity a new and healthy future. Well done to the theatre staff for your help today.