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Bariatric & Metabolic Surgery Masterclass – Complete summary Notes by Professor Samir AlSaffar (UK’s Leading Bariatric Surgeon)

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Ace your exams and clinical practice with this concise yet powerful masterpiece by Professor Samir AlSaffar, one of the UK’s most respected bariatric and metabolic surgeons. Covering everything you need—from WHO obesity definitions, updated NICE 2014 eligibility criteria (including the crucial BMI 30–34.9 + recent-onset T2DM pathway), multidisciplinary team requirements, liver-shrinkage diets, and ERAS protocols to detailed breakdowns of all major procedures (Sleeve, Roux-en-Y, OAGB, BPD/DS, SADI-S, and banding) with %EWL, diabetes remission rates, early/late complications, and BOMSS nutritional & biochemical monitoring guidelines. Packed with clear tables, diagrams, and decision-making algorithms, these are the exact notes used by surgical trainees and MRCS/FRCS candidates aiming for distinction.

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Institution
Bariatric Surgery
Course
Bariatric surgery










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Written for

Institution
Bariatric surgery
Course
Bariatric surgery

Document information

Uploaded on
November 27, 2025
Number of pages
23
Written in
2025/2026
Type
Summary

Content preview

Bariatric and metabolic surgery


Samir AlSaffar
Professor of Surgery

, Learning objectives

To know and understand:
•• What is obesity
••What severe and complex obesity is
•• Rationale for surgery and the concept of metabolic surgery
•• Eligibility and NICE guidelines
•• Multidisciplinary assessment
•• The common operations and how they work
•• How to assess and treat perioperative complications
•• Follow-up, nutritional supplements and biochemical monitoring

, Definition:

Overweight and obesity are defined as abnormal or excessive fat
accumulation that presents a risk to health. The World Health Organization
(WHO) defines overweight as a BMI greater than or equal to 25, and obesity
as a BMI greater than or equal to 30.
Body mass index (BMI) = weight (kg)/height (m)2.
Severe and complex obesity is a phrase commonly used for patients with body
mass index (BMI) ≥35 and obesity-related disease, or BMI ≥40 by itself.
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