Scottish Government

REVIEW OF BARIATRIC SURGICAL SERVICES IN SCOTLAND
(Weight Loss Surgery for Adults who are Severely Obese)

A REPORT BY A WORKING GROUP OF THE SCOTTISH MEDICAL AND SCIENTIFIC ADVISORY COMMITTEE

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CONTENTS

Terms of Reference
Executive Summary
Summary of Main Recommendations
1. INTRODUCTION
Introduction
Background
Remit
Methodology
Key Aims of the Report
2. BARIATRIC SURGICAL SERVICES IN SCOTLAND
Introduction
Profile of Current Service Provision
Treatment Options
Referral for Surgery
Criteria for Selection
Assessment for Surgery
Types of Surgical Intervention
Risk of Complications
Volume of Surgery
Conclusion
3. PLASTIC SURGERY
Introduction
Types of Surgical Intervention
Pre-operative Considerations
Per-operative Considerations
Post-operative Considerations
4. PRE- AND POST-OPERATIVE CARE AND CONTINUING PATIENT SUPPORT
Introduction
Pre-operative Support
Support During Admission
Immediate Post-operative Support
Continuing Support
Defining Success
Conclusion
5: ECONOMIC CONSIDERATIONS
Introduction
Selected UK Studies
Economic Comparisons of Different Surgical Procedures
Indirect Costs
Conclusion
References
Glossary of Definitions, Acronyms and Abbreviations
APPENDICES
Appendix I: Membership of the Group
Appendix II: List of Contributors
Appendix III: Model Patient Flow Chart
Appendix IV: Model Patient Information Leaflet
Appendix V: Useful Contacts