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POSE Surgery
- Thread starter Thinkingman
- Start date
Hi Stillbig, great to hear you are doing so well. Cleaning the house and walking the dog must mean that you are coping really well and your energy levels have risen.
Don't do too much though.....lol
I was going to do the ironing this afternoon but the sun is shining, and it's too nice to be indoors.
Take care.
Don't do too much though.....lol
I was going to do the ironing this afternoon but the sun is shining, and it's too nice to be indoors.
Take care.
Thinkingman
New Member
Yes I was in Nuffield. I was told to stop eating at midnight the night before. My op nearly got cancelled as I had been sipping water before the op, so be careful.
As for the liquid diet, variety is the key. Also, I started foods on day 10.
Best of luck.
As for the liquid diet, variety is the key. Also, I started foods on day 10.
Best of luck.
Hi everybody
so....now i am the lucky owner of a sleeve stomach
got i the 17 of march, it went fine. i have lost 6 kg this first week
Today i have been eating tuna, soup, shrimps, able, juice, coffee. in total 449 calories, but i feel like i have eaten 4000.
Eastbruce... thats sound so crazy about your prices, that cant be right ??? i gave on a very need private clinic, inluding x rays 2 times, gastroscopic check, blood works, 4 days in hospital whit nurses caring for me all the time. 7000 Euro.
(just about 5000 £)
so....now i am the lucky owner of a sleeve stomach
got i the 17 of march, it went fine. i have lost 6 kg this first week
Today i have been eating tuna, soup, shrimps, able, juice, coffee. in total 449 calories, but i feel like i have eaten 4000.
Eastbruce... thats sound so crazy about your prices, that cant be right ??? i gave on a very need private clinic, inluding x rays 2 times, gastroscopic check, blood works, 4 days in hospital whit nurses caring for me all the time. 7000 Euro.
(just about 5000 £)
Kevin1708
Century Club
POSE
(Article for Yorkshire Evening Post 23/03/2011)
http://www.wlsurgery.com/introduce-yourself-here/133374-pose-surgery-11.html
With new obesity surgery being pioneered in Leeds, Sarah Freeman goes into theatre and meets one of the first patients to put the procedure to the test.
Andrea Shires is 45 years old. While drawing the line at the grapefruit diet, she has tried every other weight loss programme going. At her heaviest she weighed 16 stone and, while the scales fluctuate, last year she thought she’d finally cracked it.
After 10 months on the Lighter Life programme – an updated version of the old Cambridge Diet – she dropped seven stone and a handful of dress sizes. Surviving on the shakes, bars and soups was not easy and when she gradually began to reintroduce food, the weight started to pile back on. Within weeks, the mother-of-three was back to square one.
“My weight has yo-yoed since I was about 10 and I have spent most of my adult life on diets. Last year, I honestly thought I’d beaten it. I spent April to the following February drinking the shakes, I got through Christmas without any problem and I promised myself I was never going to go back to being overweight. But I did and I was at a loss to know what to do.”
When we meet, Andrea is in a private room of the Nuffield Health Hospital Leeds. In a couple of hours she will undergo surgery which she hopes will be the answer to her prayers of the last 35 years.
She is overweight, but bears little resemblance to the images of the morbidly obese which accompany each new report of the nation’s growing waistline. Despite a lifelong battle with her weight, according to guidelines she doesn’t tip the scales enough to qualify for help on the NHS.
“To be eligible I would have to eat to make myself even fatter. It’s not something I have any intention of doing. Also I have read a lot about procedures like gastric bands and bypasses and I don’t really feel comfortable about either, particularly about the bands which often have to be replaced. I guess I had resigned myself to being a full-time dieter.”
The possibility there may be one last option came when she read an article about a brand new type of weight loss surgery in a local newspaper. Nuffield surgeons are among the first in Europe to offer the procedure, which unlike most obesity surgery requires no incision, has a quicker recovery rate – if all goes well Andrea will be back at home by the evening – and leaves no visible scars.
Primary Obesity Surgery, Endolumenal, known as POSE, has been pioneered to help those struggling to control their weight but whose Body Mass Index hasn’t yet reached 50 – the point at which NHS surgery becomes available.
It’s early days. Andrea will only be the seventh person to undergo the procedure in Leeds and across the country, cases total around 25. However, the initial results of the surgery, which involves reducing the size of the stomach using specialist instruments inserted via the mouth, appear positive.
While Andrea is being prepared for the operation, which should last a little over an hour, surgeons James Halstead and Professor Michael McMahon grab a quick coffee in the staff room.
“There is an underlying misconception, not just in this country, that people can control their weight,” says Prof McMahon.
“They can’t and until we understand that we are never going to solve the problem of obesity.
“People diet, some are successful, but the vast majority struggle to maintain long-term results and a significant number will become morbidly obese and develop a myriad of health problems.”
The POSE surgery costs in the region of £6,000, a large outlay for an individual, but a fraction of what the NHS could spend on dealing with the consequences of obesity.
“If you calculate the amount of money spent by the NHS on dealing with people who have developed diabetes, heart problems and everything else which comes with being obese, it would seem to make sense to look at ways of tackling the issue before it gets to that critical stage,” says Prof McMahon. “I have no doubt it would save money in the long-term, but sadly it’s not something which seems to be on the NHS’ agenda.” A nurse signals that Andrea, who will be under general anaesthetic, is ready and the surgeons move into the theatre.
The equipment, cased in a thick tube is fed through her mouth to the stomach area, a small camera showing the image of her insides on half a dozen monitors. Small sections of stomach tissue are grabbed and once both surgeons are happy, it is fixed in place using special sutures. It looks not unlike a medical version of the claw machines you get in amusement arcades.
It takes a little while to get the instruments in the correct position, but once the first fold is completed, the medical team are in their stride. Aside from the regularly bleeping of the machines monitoring Andrea’s heart rate and the occasional compliment handed round for a particularly good tissue grab, the theatre works in near silence.
While the procedure may not result in the major scarring of traditional invasive obesity surgery, it’s not without some risk. Side-effects generally extend to a sore throat and nausea and some have complained of temporary pain in their shoulder, and it is not a miracle cure all.
“The folds reduce the amount of food which can be held in the stomach so it makes patients feel fuller faster,” says Mr Halstead.
“However, to realise the full effects patients still have to commit to diet and exercise; you don’t wake up slim.
“It is too early to estimate the success rate, but patients should begin to see weight loss within the first four weeks and immediately they should experience an earlier feeling of fullness. Surgery is not a quick-fix option, but for people who have tried everything else it can provide a life line.”
An hour and 12 minutes after surgery began, Mr Halstead completes the last and 13th fold and makes a final check of his work. A team in Southampton which has been using the equipment a little longer have reduced the operation time to around 50 minutes.
“What you see on the monitors is deceptive,” he says, pointing to a series of neat, if apparently small folds. “Actually we have reduced the stomach capacity by a significant amount, enough for the patient to feel a real difference straightaway.
“To be able to help patients, while at the same time reducing the risk of infection and reducing pain has to be a good thing.” The day after her surgery, Andrea, who has her own target weight of nine stone, says she feels a little sore. She was allowed to go home in the early evening, but has so far only managed to drink a small amount of water and a cup of tea.
“It’s worth putting up with a little discomfort. I honestly believe that this surgery could change my life and I know there are many other people out there like me who could be helped.
“Since I had my first consultation I never had any doubts that it was something I wanted to go ahead with. It just felt so right. There is a long road ahead, but I feel really positive about the future. I read that after surgery there was one person who not only lost their taste for chocolate, but developed a craving for salad. Now that would be a result.”
__________________
(Article for Yorkshire Evening Post 23/03/2011)
http://www.wlsurgery.com/introduce-yourself-here/133374-pose-surgery-11.html
With new obesity surgery being pioneered in Leeds, Sarah Freeman goes into theatre and meets one of the first patients to put the procedure to the test.
Andrea Shires is 45 years old. While drawing the line at the grapefruit diet, she has tried every other weight loss programme going. At her heaviest she weighed 16 stone and, while the scales fluctuate, last year she thought she’d finally cracked it.
After 10 months on the Lighter Life programme – an updated version of the old Cambridge Diet – she dropped seven stone and a handful of dress sizes. Surviving on the shakes, bars and soups was not easy and when she gradually began to reintroduce food, the weight started to pile back on. Within weeks, the mother-of-three was back to square one.
“My weight has yo-yoed since I was about 10 and I have spent most of my adult life on diets. Last year, I honestly thought I’d beaten it. I spent April to the following February drinking the shakes, I got through Christmas without any problem and I promised myself I was never going to go back to being overweight. But I did and I was at a loss to know what to do.”
When we meet, Andrea is in a private room of the Nuffield Health Hospital Leeds. In a couple of hours she will undergo surgery which she hopes will be the answer to her prayers of the last 35 years.
She is overweight, but bears little resemblance to the images of the morbidly obese which accompany each new report of the nation’s growing waistline. Despite a lifelong battle with her weight, according to guidelines she doesn’t tip the scales enough to qualify for help on the NHS.
“To be eligible I would have to eat to make myself even fatter. It’s not something I have any intention of doing. Also I have read a lot about procedures like gastric bands and bypasses and I don’t really feel comfortable about either, particularly about the bands which often have to be replaced. I guess I had resigned myself to being a full-time dieter.”
The possibility there may be one last option came when she read an article about a brand new type of weight loss surgery in a local newspaper. Nuffield surgeons are among the first in Europe to offer the procedure, which unlike most obesity surgery requires no incision, has a quicker recovery rate – if all goes well Andrea will be back at home by the evening – and leaves no visible scars.
Primary Obesity Surgery, Endolumenal, known as POSE, has been pioneered to help those struggling to control their weight but whose Body Mass Index hasn’t yet reached 50 – the point at which NHS surgery becomes available.
It’s early days. Andrea will only be the seventh person to undergo the procedure in Leeds and across the country, cases total around 25. However, the initial results of the surgery, which involves reducing the size of the stomach using specialist instruments inserted via the mouth, appear positive.
While Andrea is being prepared for the operation, which should last a little over an hour, surgeons James Halstead and Professor Michael McMahon grab a quick coffee in the staff room.
“There is an underlying misconception, not just in this country, that people can control their weight,” says Prof McMahon.
“They can’t and until we understand that we are never going to solve the problem of obesity.
“People diet, some are successful, but the vast majority struggle to maintain long-term results and a significant number will become morbidly obese and develop a myriad of health problems.”
The POSE surgery costs in the region of £6,000, a large outlay for an individual, but a fraction of what the NHS could spend on dealing with the consequences of obesity.
“If you calculate the amount of money spent by the NHS on dealing with people who have developed diabetes, heart problems and everything else which comes with being obese, it would seem to make sense to look at ways of tackling the issue before it gets to that critical stage,” says Prof McMahon. “I have no doubt it would save money in the long-term, but sadly it’s not something which seems to be on the NHS’ agenda.” A nurse signals that Andrea, who will be under general anaesthetic, is ready and the surgeons move into the theatre.
The equipment, cased in a thick tube is fed through her mouth to the stomach area, a small camera showing the image of her insides on half a dozen monitors. Small sections of stomach tissue are grabbed and once both surgeons are happy, it is fixed in place using special sutures. It looks not unlike a medical version of the claw machines you get in amusement arcades.
It takes a little while to get the instruments in the correct position, but once the first fold is completed, the medical team are in their stride. Aside from the regularly bleeping of the machines monitoring Andrea’s heart rate and the occasional compliment handed round for a particularly good tissue grab, the theatre works in near silence.
While the procedure may not result in the major scarring of traditional invasive obesity surgery, it’s not without some risk. Side-effects generally extend to a sore throat and nausea and some have complained of temporary pain in their shoulder, and it is not a miracle cure all.
“The folds reduce the amount of food which can be held in the stomach so it makes patients feel fuller faster,” says Mr Halstead.
“However, to realise the full effects patients still have to commit to diet and exercise; you don’t wake up slim.
“It is too early to estimate the success rate, but patients should begin to see weight loss within the first four weeks and immediately they should experience an earlier feeling of fullness. Surgery is not a quick-fix option, but for people who have tried everything else it can provide a life line.”
An hour and 12 minutes after surgery began, Mr Halstead completes the last and 13th fold and makes a final check of his work. A team in Southampton which has been using the equipment a little longer have reduced the operation time to around 50 minutes.
“What you see on the monitors is deceptive,” he says, pointing to a series of neat, if apparently small folds. “Actually we have reduced the stomach capacity by a significant amount, enough for the patient to feel a real difference straightaway.
“To be able to help patients, while at the same time reducing the risk of infection and reducing pain has to be a good thing.” The day after her surgery, Andrea, who has her own target weight of nine stone, says she feels a little sore. She was allowed to go home in the early evening, but has so far only managed to drink a small amount of water and a cup of tea.
“It’s worth putting up with a little discomfort. I honestly believe that this surgery could change my life and I know there are many other people out there like me who could be helped.
“Since I had my first consultation I never had any doubts that it was something I wanted to go ahead with. It just felt so right. There is a long road ahead, but I feel really positive about the future. I read that after surgery there was one person who not only lost their taste for chocolate, but developed a craving for salad. Now that would be a result.”
__________________
Thanks for putting this article up Kevin,
I read this in the Yorkshire Post a couple of days ago and it's an interesting read, albeit a good bit of publicity for a new procedure and of course the Nuffield.
The photo that went with it was a bit scary. Prof McMahon wielding what looks like a pneumatic drill........LOL
Roll on the 6th. Went out this morning and bought some "liquids" to put in the cupboard in preparation!!!
I read this in the Yorkshire Post a couple of days ago and it's an interesting read, albeit a good bit of publicity for a new procedure and of course the Nuffield.
The photo that went with it was a bit scary. Prof McMahon wielding what looks like a pneumatic drill........LOL
Roll on the 6th. Went out this morning and bought some "liquids" to put in the cupboard in preparation!!!
Hi all (and hi again Von, Thinkingman and Eastbruce)
I had my surgery on the 8th March so I'm on day 17 now. I had my procedure with Prof McMahon @ Leeds Nuffield at a cost of £6800 and the Prof and the nurses were excellent throughout.
I seem to have had it a little easier than you guys cause I was back to 100% after a week. Sore throat was gone, stomach felt fine and the mild pain I had in my shoulder had completely disappeared.
I had 11 anchors put in so I must have had a relatively large stomach but I wanted as many as he could get in there so I was happy. I only had a bmi of 33.something (I weighed 13st 9 @ 5'4) so I haven't got a massive amount to lose. I have had a few nasty comments about me having surgery to deal with such a low amount of weight but I have been up and down all my life and I come from a family of obese people. I'm the 7th person to have wls in my family now but the only one to have the pose!
Well, it's going well so far because I have now lost 17lbs! I lost 12lbs in the first week, 3lbs in the second and I've already lost 2lbs since my weigh in on Tuesday. I'm now at 12st 6lbs and I feel great already.
The Prof told me that because the stomach needs to form scar tissue to shrink to the smallest capacity it can, I have been completely compliant with the diet advice. I was told 2 weeks liquid, 2 weeks mashed/pureed and then 2 weeks very soft foods. I have started eating weetabix/oatmeal, mashed potato and mashed veg now but I'm going to keep off the solids for the full 6 weeks as I've spent a lot of money and gone through an operation so I need to protect my investment and make it work! I have no doubts that I could eat different foods now without it causing me any discomfort - and as much as I would love to eat something I could chew - I don't think it's worth the risk.
I don't know what this op has done to my brain but it seems to have re-programmed it and given me this willpower that in all honesty I didn't think I was going to have enough of. I thought it was a pointless op if you have to change the way you think about food but it really does make you think differently. In my opinion anyway.
Von, they just gave me an ecg and blood tests at the pre-assessment so nothing to worry about. The nurses are so lovely at Nuffield so they'll get you through the big day. I woke up feeling rough and slightly regretful if I'm being honest but 3 days later I felt on top of the world. At least it will all be over and you won't have the anxiety of it all.
Well, I'm off to have my mashed potato now! I'm mixing it with a cheese triangle today for a bit of variety lol.
Protein shakes are a must if you can get them down you - they're fantastic. Also, I've found that carrying a jar of smooth peanut butter has helped too. You can suck it down to practically nothing and it's 25% protein and good calories. It almost feels like a bit of a treat too.
Good luck all and well done on the weight loss so far to all the post-ops
I had my surgery on the 8th March so I'm on day 17 now. I had my procedure with Prof McMahon @ Leeds Nuffield at a cost of £6800 and the Prof and the nurses were excellent throughout.
I seem to have had it a little easier than you guys cause I was back to 100% after a week. Sore throat was gone, stomach felt fine and the mild pain I had in my shoulder had completely disappeared.
I had 11 anchors put in so I must have had a relatively large stomach but I wanted as many as he could get in there so I was happy. I only had a bmi of 33.something (I weighed 13st 9 @ 5'4) so I haven't got a massive amount to lose. I have had a few nasty comments about me having surgery to deal with such a low amount of weight but I have been up and down all my life and I come from a family of obese people. I'm the 7th person to have wls in my family now but the only one to have the pose!
Well, it's going well so far because I have now lost 17lbs! I lost 12lbs in the first week, 3lbs in the second and I've already lost 2lbs since my weigh in on Tuesday. I'm now at 12st 6lbs and I feel great already.
The Prof told me that because the stomach needs to form scar tissue to shrink to the smallest capacity it can, I have been completely compliant with the diet advice. I was told 2 weeks liquid, 2 weeks mashed/pureed and then 2 weeks very soft foods. I have started eating weetabix/oatmeal, mashed potato and mashed veg now but I'm going to keep off the solids for the full 6 weeks as I've spent a lot of money and gone through an operation so I need to protect my investment and make it work! I have no doubts that I could eat different foods now without it causing me any discomfort - and as much as I would love to eat something I could chew - I don't think it's worth the risk.
I don't know what this op has done to my brain but it seems to have re-programmed it and given me this willpower that in all honesty I didn't think I was going to have enough of. I thought it was a pointless op if you have to change the way you think about food but it really does make you think differently. In my opinion anyway.
Von, they just gave me an ecg and blood tests at the pre-assessment so nothing to worry about. The nurses are so lovely at Nuffield so they'll get you through the big day. I woke up feeling rough and slightly regretful if I'm being honest but 3 days later I felt on top of the world. At least it will all be over and you won't have the anxiety of it all.
Well, I'm off to have my mashed potato now! I'm mixing it with a cheese triangle today for a bit of variety lol.
Protein shakes are a must if you can get them down you - they're fantastic. Also, I've found that carrying a jar of smooth peanut butter has helped too. You can suck it down to practically nothing and it's 25% protein and good calories. It almost feels like a bit of a treat too.
Good luck all and well done on the weight loss so far to all the post-ops
Hi everyone thats me almost had pose for a week, still feeling great , actually wondering now if they actually did it! Cant see the shoulder pain coming now.still living on yoghurts ,mouse, friut juices, and soups, i guess i wont feel any restriction till i start eating real food...albeit getting bored with the liquid thing, i cant say im hungry..p.s. Nearly a stone down allready thanks to pre op and liquids ..
Kevin1708
Century Club
Famous eh ! Well done and good luck with the rest of your journey x
I put a really long thread on here about my surgery and they haven't added it
Hi Niffnash,
I wonder if it's because it's your first post? I seem to recall someone else having problems with forst posts.:cry:
Please try again as we are so keen to find out how it's all going with post posers!!
Today is 4 weeks since my procedure and I am feeling much better, in fact today I started the diet my doctor recommended. He advised plenty of protein and lower carb vegetable choices, along with cutting way back on sugar & grains. I'm still surprised at how little I can eat before feeling full.
Stillbig you are recovering so quickly - I'm really happy for you!
I did the same as Thinkingman and only stayed on the liquid diet for about a week, skipped the pureed phase entirely and just skipped ahead to soft foods.
Kevin1708 - thanks for posting the article, very informative!
Stillbig you are recovering so quickly - I'm really happy for you!
I did the same as Thinkingman and only stayed on the liquid diet for about a week, skipped the pureed phase entirely and just skipped ahead to soft foods.
Kevin1708 - thanks for posting the article, very informative!
hi everyone, still doing well.still on liquids, starting to now get the occasional wee rumble of hunger which is fine after a yoghurt or drink, another week of this then i think i will give soft food a go, i agree with thinkingman on this if you chew your soft foods well no need to puree...
Hi Niffnash,
As you say, not long now, although I'm mentally prepared now, can think of little else (although try not to) and can't wait (I think...lol).
How are you doing? I know you tried to post your story and nothing happened but I would still be very interested to know how you are doing?
Would you say that you feel a definite fullness much sooner than you normally would? Has it helped you to be more aware of what you eat or are you still eating the same but a lot less?
.......and the big question, what is the rate of weight loss? Is it slow and steady?
8 days and counting down....
As you say, not long now, although I'm mentally prepared now, can think of little else (although try not to) and can't wait (I think...lol).
How are you doing? I know you tried to post your story and nothing happened but I would still be very interested to know how you are doing?
Would you say that you feel a definite fullness much sooner than you normally would? Has it helped you to be more aware of what you eat or are you still eating the same but a lot less?
.......and the big question, what is the rate of weight loss? Is it slow and steady?
8 days and counting down....
Hi Von,
they printed my thread after a couple of days so if you scroll up you should see it
With regards to thinking of nothing else - I can totally empathise on that point as I was stressed and irritable from the time I decided on wls. It completely took over my thoughts too. But hey, just think - in 10 days it will all be over. I think that's been the best bit of my op to be honest - the fact that I don't have it looming over me anymore and I'm on my way to Slimville!
Please let us know how you get on, Prof McMahon is fantastic so you've nothing at all to worry about.
they printed my thread after a couple of days so if you scroll up you should see it
With regards to thinking of nothing else - I can totally empathise on that point as I was stressed and irritable from the time I decided on wls. It completely took over my thoughts too. But hey, just think - in 10 days it will all be over. I think that's been the best bit of my op to be honest - the fact that I don't have it looming over me anymore and I'm on my way to Slimville!
Please let us know how you get on, Prof McMahon is fantastic so you've nothing at all to worry about.
Oh I'm so glad they printed it and that you pointed it out to me.
It's answered all my questions and more.
I know what it's like to be 13 stone, as I was that for so many of my younger years (20's and 30's) and felt so awful so I know exactly where you are coming from.
However, now I'm 3 stone heavier (and older and a little bit more resigned), I shall be thrilled just to lose the 3 stone (the Prof said as long as I was aware that I may only get to 13 stone, he was happy with my choice of surgery).
I'm hoping that having lost that amount that I shall choose/be able to keep the ball rolling and lose a bit more if I can.
Only time will tell but it's an exciting thought none the less
It's answered all my questions and more.
I know what it's like to be 13 stone, as I was that for so many of my younger years (20's and 30's) and felt so awful so I know exactly where you are coming from.
However, now I'm 3 stone heavier (and older and a little bit more resigned), I shall be thrilled just to lose the 3 stone (the Prof said as long as I was aware that I may only get to 13 stone, he was happy with my choice of surgery).
I'm hoping that having lost that amount that I shall choose/be able to keep the ball rolling and lose a bit more if I can.
Only time will tell but it's an exciting thought none the less
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