Jeremy Laurance: One emergency the NHS must deal with

Share
Related Topics

Obesity surgery poses a classic medical dilemma: do you provide the operations and risk sending a message that obesity is a "curable" condition, or restrict them and deny a proven treatment to the seriously ill?

Gross obesity is a medical emergency. If you are so fat you cannot get up the stairs, or walk more than a few yards without getting out of breath, any minor medical problem can become life threatening. In those circumstances, surgery can be lifesaving. Its effects are often dramatic, with patients losing many stones in weight in months.

But if any surgery deserves the term "heroic", this is it. It is expensive to carry out, high-risk (with a 14 per cent complication rate) and one in 200 patients die.

The effects are lifelong, requiring a permanent change in the diet and are psychological as well as physical. Adjusting to a new shape and dealing with a partner who may still be obese present challenges. Further surgery may be required to remove excess skin folds as weight is lost or to adjust a gastric band – one in five bariatric operations is for "maintenance".

It is not, in other words, for the faint-hearted. Yet it pays for itself in improved health and reduced treatment costs and other benefits within a year.

The NHS may struggle to find the cash to pay for it – but the cost of not doing so will be even higher.

React Now

Latest stories from i100
Have you tried new the Independent Digital Edition apps?
iJobs Job Widget
iJobs General

Volunteer your expertise as Trustee for The Society of Experimental Biology

Unpaid Voluntary Position : Reach Volunteering: Promising volunteer Trustee op...

Email Designer

£30000 - £35000 Per Annum: Clearwater People Solutions Ltd: Our client is curr...

Psychology Teacher

£110 - £130 per hour: Randstad Education Reading: Psychology Teacher needed fo...

Food Technology Teacher

£85 - £120 per day: Randstad Education Cheshire: Randstad Education are curren...

Day In a Page

Read Next
 

i Editor's Letter: The rules were simple: before the results are announced, don’t mention the S-word

Oliver Duff Oliver Duff
Howard Jacobson has been shortlisted for the Man Booker Prize for the second time  

In praise of Howard Jacobson

Simon Kelner
Mystery of the Ground Zero wedding photo

A shot in the dark

Mystery of the wedding photo from Ground Zero
His life, the universe and everything

His life, the universe and everything

New biography sheds light on comic genius of Douglas Adams
Save us from small screen superheroes

Save us from small screen superheroes

Shows like Agents of S.H.I.E.L.D are little more than marketing tools
Reach for the skies

Reach for the skies

From pools to football pitches, rooftop living is looking up
These are the 12 best hotel spas in the UK

12 best hotel spas in the UK

Some hotels go all out on facilities; others stand out for the sheer quality of treatments
These Iranian-controlled Shia militias used to specialise in killing American soldiers. Now they are fighting Isis, backed up by US airstrikes

Widespread fear of Isis is producing strange bedfellows

Iranian-controlled Shia militias that used to kill American soldiers are now fighting Isis, helped by US airstrikes
Topshop goes part Athena poster, part last spring Prada

Topshop goes part Athena poster, part last spring Prada

Shoppers don't come to Topshop for the unique
How to make a Lego masterpiece

How to make a Lego masterpiece

Toy breaks out of the nursery and heads for the gallery
Meet the ‘Endies’ – city dwellers who are too poor to have fun

Meet the ‘Endies’ – city dwellers who are too poor to have fun

Urbanites are cursed with an acronym pointing to Employed but No Disposable Income or Savings
Paisley’s decision to make peace with IRA enemies might remind the Arabs of Sadat

Ian Paisley’s decision to make peace with his IRA enemies

His Save Ulster from Sodomy campaign would surely have been supported by many a Sunni imam
'She was a singer, a superstar, an addict, but to me, her mother, she is simply Amy'

'She was a singer, a superstar, an addict, but to me, her mother, she is simply Amy'

Exclusive extract from Janis Winehouse's poignant new memoir
Is this the role to win Cumberbatch an Oscar?

Is this the role to win Cumberbatch an Oscar?

The Imitation Game, film review
England and Roy Hodgson take a joint step towards redemption in Basel

England and Hodgson take a joint step towards redemption

Welbeck double puts England on the road to Euro 2016
Relatives fight over Vivian Maier’s rare photos

Relatives fight over Vivian Maier’s rare photos

Pictures removed from public view as courts decide ownership
‘Fashion has to be fun. It’s a big business, not a cure for cancer’

‘Fashion has to be fun. It’s a big business, not a cure for cancer’

Donatella Versace at New York Fashion Week