GLOSSARY
Atherosclerosis:
hardening of the arteries, including angina (chest pain due to insufficient blood reaching the heart), MI (myocardial infarction or heart attack), CABG (coronary artery bypass grafting), stroke, claudication (pain in the legs on walking due to insufficient blood reaching the leg muscles)
Bariatric:
the medicine or surgery of weight problems
BMI:
body mass index, calculated by dividing your weight in kg by the square of your height in metres, or kg/m2
BOMSS:
British Obesity and Metabolic Surgery Society www.bomss.org.uk
Case ascertainment:
the proportion of NHS operations recorded out of the total done
Dyslipidaemia:
high cholesterol
GORD:
Gastro-Oesophageal Reflux Disease
HES:
Hospital Episode Statistics
MDT:
multidisciplinary team
NAFLD:
Non-Alcoholic Fatty Liver Disease
ONS:
Office of National Statistics
Primary bariatric surgery:
the first bariatric operation that a patient undergoes
Revision surgery (includes planned 2nd stage procedures):
a subsequent bariatric operation where the previous operation was performed in the same unit or in another hospital. Revision surgery does not include reoperations for immediate postoperative complications
Roux en Y Gastric Bypass:
the commonest form of gastric bypass, where a small stomach pouch is made and connected to a part of the small bowel (the ‘Roux limb’). Continuity is restored by connecting the the Roux limb by a Y join to a lower part of the small bowel. The remaining stomach is left undisturbed.
RCS:
Royal College of Surgeons
References
1 Bariatric Surgeon-Level Outcomes Data 2013. http://www.bomss.org.uk/wp-content/uploads/2014/04/Bariatric-Surgeon-Level-Outcomes-Data-Report-2-July-2013.pdf
2 The Francis Report 2013 Executive Summary http://www.midstaffspublicinquiry.com/sites/default/files/report/Executive%20summary.pdf
3 First NBSR Report April 2011 http://www.nbsr.org.uk/
4 HQIP Consultant Outcomes Publication. Manual for Stakeholders Version 3.0 August 2014.
5 Bariatric Surgery: Too Lean a Service? (2012) http://www.ncepod.org.uk/2012bs.htm
6 Association of Surgeons of Great Britain and Ireland, Glasgow, May 2013. http://www.asgbi.org.uk/en/members/hot-topic-at-asgbi-2013-international-surgical-congress--video.cfm
7 Burns EM, Naseem H, Bottle A, Lazzarino AI, Aylin P, Darzi A, Moorthy K, Faiz O. Introduction of laparoscopic bariatric surgery in England: observational population cohort study. BMJ 2010; 341 doi: http://dx.doi.org/10.1136/bmj.c4296 BMJ 2010;341:c4296
8 Clinical Commissioning Policy: Complex and Specialised Obesity Surgery. April 2013. Reference NHSCB/A05/P/a
http://www.england.nhs.uk/wp-content/uploads/2013/04/a05-p-a.pdf
9 NBSR Policy for Identification of Potential Outliers. http://www.bomss.org.uk/wp-content/uploads/2014/04/NBSR-Policy-for-identification-of-potential-outliers-June-2013.pdf .
10 DeMaria EJ, Portenier D, Wolfe L. Obesity surgery mortality risk score: proposal for a clinically useful score to predict mortality risk in patients undergoing gastric bypass. Surgery for Obesity and Related Diseases. 2007; 3(2): 134-40.
11 International Federation for the Surgery of Obesity and Metabolic Surgery. First Global Registry Report. Welbourn R , Gagner M, Naslund I, Ottosson J, Kinsman R, Walton P. Dendrite Clinical Systems Ltd. Henley-on-Thames, UK. ISBN 978-0-9568154-9-1.
12 Hutter MM, Schirmer BD, Jones DB et al. First Report from the American College of Surgeons Bariatric Surgery Center Network Laparoscopic Sleeve Gastrectomy has Morbidity and Effectiveness Positioned Between the Band and the Bypass. Ann Surg 2011; 254: 410–422.
13 BOMSS / RCS Commissioning Guide: Weight Assessment and Management Clinics (Tier 3) http://www.bomss.org.uk/commissioning-guide-weight-assessment-and-management-clinics-tier-3/ .
14 BOMSS Professional Standards Document http://www.bomss.org.uk/wp-content/uploads/2014/04/BOMSS-Professional-Standards-March-2013.pdf .
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