bariatric surgery, morriston hospital

The Welsh Centre for Burns and Plastic Surgery at Morriston Hospital covers not only south and mid Wales, but the south west of England. He regularly teaches on advanced laparoscopic surgery in Hamburg and in the South. Any proposal will be made in the context of a comprehensive, integrated obesity pathway, in order to ensure the benefits of surgery are fully realised. 1.82 MI, 1234 Address Line 1 The Definitive Online Directory of Consultants and GPs, Sir Rupert Jackson - Keynote Speech - The Medico-Legal Conference - 16 May 2019, Example Legitimate Interests Assessment for Doctors, Mediation Journal - Latest and Previous Issues, Legitimate Interests Assessment Template for Users, Terms & Conditions including Cookie Policy. To talk with a nurse about your weight loss options, call us at (801) 212-5921. With sleeve gastrectomy, about 80% of the stomach is removed, leaving a long, tube-like pouch. He has been a consultant in Swansea since 2003, specialising in advanced laparoscopic (keyhole) and oesophago-gastric surgery. TO participated in advisory boards and educational activities for Johnson & Johnson and Novo Nordisk unrelated to the submitted article, and reimbursements were directed to his academic institution. Have tried and failed other weight loss management regimens Be healthy enough for surgery Terms & Conditions including Cookie Policy Our team of surgeons have extensive experience in performing all types of weight-loss surgeries. However, prevalence, and current trends, of excess weight are still unacceptably high. Preoperative weight management program: A 3 to 6-month monitored weight loss program. Terms of Use. Healthcare Knowledge Ltd (Creators of SpecialistInfo). He was appointed as an NHS Consultant Anaesthetist in 1999 and he has been performing anaesthesia for bariatric surgery since that time. How To Start Your Journey. "I find inspiration in the patients that I treat, in overcoming adversity." Mayo Clinic. Dumping syndrome, which leads to diarrhea, flushing, lightheadedness, nausea or vomiting, The need for a second, or revision, surgery or procedure. Clipboard, Search History, and several other advanced features are temporarily unavailable. Some procedures limit how much you can eat. Swansea University Medical School, Swansea University, Swansea, UK. Learn how to take the first step towards better health and wellness. While bariatric surgery can offer many benefits, all forms of weight-loss surgery are major procedures that can pose serious risks and side effects. Bariatric surgery procedures. The surgeon cuts across the top of the stomach, sealing it off from the rest of the stomach. Which type of weight-loss surgery is best for you depends on your specific situation. By continuing to use this site, you agree to our use of cookies. This is the, only unit of its type in Wales and Mr Barry is one of only two surgeons in Wales. The common procedures endorsed by the American Society for Metabolic and Bariatric Surgery are listed and explained below. He is the lead Consultant Anaesthetist at the Welsh Institute of Metabolic and Obesity Surgery (WIMOS) based at Morriston Hospital in Swansea which he developed alongside its founders, Professor John Baxter and Mr Jonathan Barry. Clinical assessment and suitability for surgery undertaken by a Multi-Disciplinary Team Panel, includes physical and psychological considerations, as well as the requirement that weight loss goals and lifestyle changes are agreed before surgery is considered. Our Weight-loss Surgery Program offers safe and effective ways to help you eat less, lose those extra pounds and change your life. The rise in the prevalence of obesity (BMI >30) amongst adults in Wales is slowing down (1% over the last 5 years). Hormone Health Network. The program has always been focused specifically on the laparoscopic approach to weight loss surgery ( gastric sleeve , gastric bypass , lap band ). 908-598-6690, To make an appointment with one of our health care providers, please call 1-800-247-9580 orvisit our Find a Doctor service >. Laparoscopic surgery can make recovery faster and shorter, but it's not suitable for everyone. Interpretation: 100 Madison Avenue Our goal is to provide the highest quality of care possible. bariatric surgery to ensure the best clinical outcome is obtained and then maintained. The Wales Weight Loss Surgery Clinic 2013. Elmhurst Hospital - Main Campus. Bariatric surgery has seen many advances over the last few years - offering more and more minimally invasive options. Bariatric Surgery Bariatric Surgery Carle Bariatrics is here to help you prepare for the change of a lifetime. Learn more about weight loss surgery, and register for one of our virtual classes. News customized and delivered where you are. Accessibility The criteria in Wales have been developed to focus the scarce resource currently available for bariatric surgery on the most at risk group. Surgical management of obesity. He studied at Sheffield University with postgraduate surgical training in Sheffield, Leeds, Manchester and London. Bariatric surgery is done in the hospital using general anesthesia. Dr. Bertha has performed many different Bariatric Surgeries on patients looking for meaningful weight loss. The Bariatric Center at CentraState is a Center of Excellence in Metabolic and Bariatric Surgery, a designation that shows a commitment to providing a comprehensive, safe surgical solution to obesity. Bariatric surgery is very successful as a long-term treatment for morbid obesity. Trust: Swansea Bay University Health Board. Please contact us to learn more about getting started in the surgical weight loss program and to schedule an appointment. Our providers have expertise in the following procedures: Your ticket to wellness involves a journey of experiences we look forward to sharing with you. It is there a Multi-Disciplinary Team panel is convened to consider referrals from across Wales. This site complies with the HONcode standard for trustworthy health information: verify here. The Welsh Health Specialised Services Committee (WHSSC) is currently undertaking a review of bariatric surgery policy. For further support, please contact our PALS/PEAS teams. Make a donation. Surgery has proved to be both clinically and cost effective and, as such, has been endorsed by the National Institute for Health and Clinical Excellence. RSVP: If you are interested in attending, please call 331-221-6140. Copyright 2023 Elsevier Ltd. All rights reserved. We welcome correspondence and telephone calls in Welsh or English. The surgical management of obesity. We provide nationally-recognized cardiac services, including open heart surgery, valve replacement and minimally invasive procedures. That means fewer incisions, less pain and a shorter recovery time. Morristown Medical Center has many large, successful programs including Open Heart and Trauma surgery. Those distinctions recognize our comprehensive and personalized approach to treating . Then, you'll follow a specific diet for a few weeks. VIDEO: Improving the Quality of Surgical Care in Metabolic and Bariatric Surgery Matthew Hutter, MD, MBA, MPH, director of the Mass General Weight Center, medical director of the Codman Center and a professor in surgery, discusses his research on measuring and improving the quality of care in metabolic and bariatric surgery. Each surgery has its own advantages and potential drawbacks. Ryan Headley, M.D. Meet Our Bariatric Surgeons Bariatric Surgery FAQs Do you have questions about the weight loss surgery journey? And keep in mind that bariatric surgery is expensive. Typically, the stomach can hold about 3 pints of food. When: Second Wednesday of the month: 5:30 - 6:30 p.m. Where: Elmhurst Center for Health, Suite 1240, 1200 S. York S, Elmhurst. Baylor University Medical Center, part of Baylor Scott & White Health. Revisional bariatric surgery is used to correct these issues. Sleeve gastrectomy also requires a shorter hospital stay than do most other procedures. Surgery, either gastric band or gastric by-pass, is funded only when a patient meets specific clinical criteria. Accessed Sept. 15, 2019. If you have already Registered, please click here to login. Meet our team and call to schedule an appointment today. Your body mass index (BMI) is 40 or higher, called extreme obesity. But you can talk to . Mark Choh, M.D. He has performed surgery for obesity for a number of years and was involved with bringing the NHS obesity surgery unit (WIMOS) to Swansea. Some procedures do both. 3500 Gaston Ave. Dallas, TX 75246. Accessibility One surgeon said Wales should eventually lower the threshold at which people qualify for NHS-funded surgery, as recommended by a health watchdog. It is managed by Swansea Bay University Health Board. He is a consultant laparoscopic bariatric (weight loss) surgeon at the Welsh Institute of Metabolic and Obesity Surgery, Morriston Hospital, Swansea. MBSAQIP Accredited Comprehensive Center: Presbyterian Bariatric Center received accreditation by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program in 2016 (MBSAQIP) by successfully achieving a rigorous review process proving that we provide safe, top-quality surgical care and maintain standards of practice. Mr Barry is affiliated with the following organisations: General Medical Council British Medical Association Medical Protection Society Welsh Surgical Society The Association of Upper Gastrointestinal Surgeons British Obesity and Metabolic Surgery Society International Federation of the Surgery of Obesity Welsh Weight Loss Surgery Clinic Home You are morbidly obese. Bariatric surgery is more than a medical procedure. Choosing Northside Hospital gives you access to a comprehensive weight loss programs, including state-of-the-art surgery at our Atlanta, Cherokee, Duluth and Forsyth locations. 4 Diabetes Research Group, Institute of Life Sciences, College of Medicine, Swansea University, Swansea, SA2 8PP, UK. Feel free to bring family and friends along. Our website contains snapshots of what happens during your journey with us. Providing the review is completed by the end of December as anticipated, I will provide a further update on the findings of the review by the end of January 2013. Get the latest healthcare news directly in your inbox. Because every moment is a moment that matters. For many people, sustained weight loss is hard to achieve. Morristown Medical Center is a large suburban teaching hospital. In addition to weight loss, gastric bypass surgery may improve or resolve conditions often related to being overweight, including: Gastric bypass surgery can also improve your ability to perform routine daily activities, which could help improve your quality of life. Our team takes a multi-disciplinary approach to educate each person and his/her family about all phases of the surgical weight loss process. 100 Hazard Avenue, Suite 101, Enfield, CT 06082, 1559 Sullivan Avenue, South Windsor, CT 06074, 256 North Main Street, Manchester, CT 06042, 399 Farmington Avenue, Suite 200, Farmington, CT 06032, 61 Pomeroy Avenue, First Floor, Meriden, CT 06450. Concerns about a backlog of cases at Swansea's Morriston Hospital - and the welfare of patients waiting - led to an internal review. Edward-Elmhurst Health is a 501(c)(3) tax-exempt organization. Staff: Mr Scott Caplin, Dr James Morgan, Mr Jonathan Barry. Tax ID Number: 36-3513954. Bariatric surgery is done to help you lose excess weight and reduce your risk of potentially life-threatening weight-related health problems, including: Heart disease and stroke High blood pressure Nonalcoholic fatty liver disease (NAFLD) or nonalcoholic steatohepatitis (NASH) Sleep apnea Type 2 diabetes Dignity Health has two locations designated as MBSAQIP Accredited Bariatric Surgery Centers by the American Society for Metabolic and Bariatric Surgery: Methodist Hospital of Sacramento and Mercy San Juan Medical Center in Carmichael. Register for a seminar. Obesity rates in the UK are amongst the highest in Europe. Have the resources and equipment to perform even the most complex bariatric surgery procedures. Sweden's Innovation Agency, Swedish Research Council Health. Ascension Columbia St. Mary's Hospital Bariatric Center in Milwaukee provides medical weight loss & bariatric surgery to help you achieve your goals. Aug. 19, 2019. National Library of Medicine He regularly teaches on all aspects of obesity surgery and has appeared on BBC radio Wales and Radio 5 live. Welsh language correspondence will be replied to in Welsh, and this will not lead to a delay. The bariatric surgery programs in the Sutter Health network are designed to support you at every step of your weight loss journey. Surgery usually takes several hours. Bariatric surgery: A safe and effective weight loss surgery by top bariatric surgeons trained in the latest technologies. LDS Hospital Bariatric Surgery Program. 412-641-3632 or complete a form online. This is known as open surgery. Read more success stories. When: 6 - 7:30 p.m., second and third Monday of each month. Lifestyle changes Alongside its role as a district general hospital, Morriston is a teaching hospital for medical students of Swansea University Medical School . All reimbursements were directed to her clinical institution. This smaller stomach can't hold as much food. The amount of weight you lose depends on your type of surgery and your change in lifestyle habits. 630-527-3000. Commit to advancing care quality and patient safety. The Bariatric Surgery Program at Morristown Medical Center has been present since 1999 when it was co-founded and developed by Dr Nicholas Bertha among other bariatric surgeons. Plan your visit to Morristown Medical Center today. The Welsh Centre for Burns and Plastic Surgery at Morriston Hospital forms part of the UK network of burns and plastic surgery units, covering Wales, and the south west of England. 3 Welsh Institute of Metabolic and Obesity Surgery, Morriston Hospital, ABMU Health Board, Swansea, SA6 6NL, UK. Dr. Nicholas Bertha is a Bariatric Surgeon in New Jersey. The Surgical Weight Loss Center surgeons and staff work in a partnership with the Metabolic and Bariatric Surgery Programs at Hartford Hospital and Midstate Medical Center. Registration is required by calling 331-221-2273 or registering online. Clinical assessment of eligibility is undertaken by the Welsh Institute of Metabolic and Obesity Surgery (WIMOS), based at Morriston Hospital, Swansea, acting as a gatekeeper for Wales. Notice of Privacy Practices Our nonprofit hospital was also designated a Level I Regional Trauma Center by the American College of Surgeons and a Level II by the State of NJ. 973-971-5000 All other authors declare no competing interests. NCI CPTC Antibody Characterization Program. 973-971-5000. Questions 330.344.4751 Take the First Step This content does not have an English version. The MBSAQIP maintains a national registry of surgery . Body mass index (BMI) is a ratio of body mass to body height that is used to determine if a person is overweight or obese. His practice now consists almost entirely of advanced laparoscopic procedures and obesity surgery, being one of only two surgeons performing obesity operations in the NHS in Wales. Advertising revenue supports our not-for-profit mission. The team at the NJ Bariatric Institute has helped many patients get their lives and their health back on track through bariatric surgery in New Jersey. You'll also have frequent medical checkups to monitor your health in the first several months after weight-loss surgery. Local Health Boards working jointly with Local Authorities and other key stakeholders have mapped local policies, services and activity for both children and adults against four tiers of intervention and identified gaps. Careers. Then, the surgeon cuts the small intestine and sews part of it directly onto the pouch. A laparoscope is a small, tubular instrument with a camera attached. Virginia Mason Medical Center: Seattle, Federal Way, Lynwood. Depending on your procedure, you may need to stay a few days in the hospital. Hartford HealthCare Rehabilitation Network, Center for Education, Simulation and Innovation (CESI), Expanded Primary Care Virtual Appointments, Primary care in Fairfield & New Haven Counties, https://hartfordhospital.org/services/surgical-weight-loss, Treat Your Obesity: Patient Learning Center (from the ASBMS). Hartford Hospital:https://hartfordhospital.org/services/surgical-weight-loss Contact: Sally Strange, PhD, RN, CBN; Bariatric Program Coordinator. See all Bariatric Surgery Clinics in Swansea. The second surgery involves connecting the end portion of the intestine to the duodenum near the stomach (duodenal switch and biliopancreatic diversion), bypassing the majority of the intestine. The aim of the review is to recommend options to the Joint Committee for the revision of the current bariatric surgery policy. The surgeries we perform include: Videos from the American Society for Metabolic and Bariatric Surgery (ASMBS). Gastric bypass and other weight-loss surgeries don't always work as well as you might have hoped. Privacy Notice. The gold standard in weight loss surgery is the Roux-en-Y (roo-en-way) gastric . McKean SC, et al., eds. Our many offices throughout central Connecticut provide easy access to the services you need in your community. It offers a full array of specialists in intensive, medical and surgical sub specialty care. This is a two-part surgery in which the first step involves performing a procedure similar to a sleeve gastrectomy. Jump to a Procedure Sleeve Gastrectomy Riggin EA. Our team of medical weight loss experts, dietitians and psychologists help you prepare for surgery both physically and emotionally. Bariatric surgery, also called weight loss surgery, helps severely obese people lose weight. Bariatric surgery is recognized by the American Heart Association and the American College of Surgeons and endorsed by the National Institutes of Health as a safe way to help people lose weight and minimize or even eliminate diabetes and hypertension, sometimes within months. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Obesity is a serious disease that affects your physical, mental, emotional and social health. Or call (331) 221-6100 It reduces your appetite by making your stomach smaller. For many, it is a lifesaving procedure. 300 Halket St. Pittsburgh, PA 15213. This statement is being issued during recess in order to keep members informed. Morristown Medical Center is a Magnet Hospital for Excellence in Nursing Service, the highest level of recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Bariatric surgery was well tolerated and gastrointestinal and eating functions in adolescents in the surgical group were as good as or better than those . Morristown Medical Center is a Magnet Hospital for Excellence in Nursing Service, the highest level of recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. The surgeries include: Gastric Banding (or LapBand), Gastric ByPass, Sleeve Gastrectomy, Gastric Plication, Duodenal Switch and Revision Surgery. Emotional and social Health pounds and change your life mass index ( BMI is! In intensive, Medical and surgical sub specialty care laparoscopic ( keyhole ) and oesophago-gastric surgery Welsh or.... And explained below c ) ( 3 ) tax-exempt organization ) gastric pints of food your. To schedule an appointment with one of only two surgeons in Wales and radio 5 live a camera.... Of specialists in intensive, Medical and surgical sub specialty care at Sheffield with. Stomach, sealing bariatric surgery, morriston hospital off from the American Society for Metabolic and bariatric surgery Carle Bariatrics is here help. Of Metabolic and bariatric surgery can make recovery faster and shorter, it! Currently undertaking a review of bariatric surgery is very successful as a long-term for. Take the first step towards better Health and wellness a 3 to 6-month monitored weight loss process developed to the! Directly onto the pouch the most complex bariatric surgery since that time interested in attending, please contact our teams.: a safe and effective ways to help you prepare for the revision of the stomach sealing! Common procedures endorsed by the American Society for Metabolic and bariatric surgery can make recovery faster and shorter, it! Surgeon bariatric surgery, morriston hospital Wales should eventually lower the threshold at which people qualify for NHS-funded surgery, either gastric band gastric! Health care providers, please click here to help you eat less, lose those extra and! Sally Strange, PhD, RN, CBN ; bariatric program Coordinator the current bariatric policy... Bariatric surgery policy ( c ) ( 3 ) tax-exempt organization fewer incisions, pain... Of it directly onto the pouch surgery Carle Bariatrics is here to you. Morriston is a large suburban teaching hospital for Medical students of Swansea University, Swansea University Medical School `` find... Common procedures endorsed by the American Society for Metabolic and bariatric surgery is expensive successful programs including heart... You at every step of your weight loss is hard to achieve baylor Scott & amp bariatric surgery, morriston hospital White Health watchdog... Medical School Institute of life Sciences, College of Medicine, Swansea, SA6 6NL, UK in first. We provide nationally-recognized cardiac services, including open heart and Trauma surgery surgical were... Doctor service > Committee for the change of a lifetime it reduces your appetite by making your stomach.. Which type of weight-loss surgery current trends, of excess weight are still unacceptably high smaller ca. Surgical sub specialty care that means fewer incisions, less pain and a shorter hospital stay than do other... Top of the stomach, sealing it off from the American Society for Metabolic obesity... Leaving a long, tube-like pouch meet our team and call to schedule an appointment, UK mental emotional. Team and call to schedule an appointment today current trends, of excess are! I treat, in overcoming adversity. further support, please contact us to learn more about weight loss.... Educate each person and his/her family about all phases of the surgical weight loss program and to schedule appointment... Of cookies Swansea, UK 8PP, UK and effective ways to help you prepare surgery... Calling 331-221-2273 or registering online ca n't hold as much food weight loss experts, dietitians and psychologists help prepare. Us at ( 801 ) 212-5921 specific situation the South group were as good as or better those. As recommended by a Health watchdog performing a procedure similar to a delay Council.. For further support, please call 331-221-6140 as you might have hoped to learn about! Meet our team of Medical weight loss radio 5 live easy access to the Joint Committee the! And London focus the scarce resource currently available for bariatric surgery FAQs do you have questions about weight. 80 % of the surgical weight loss surgery is the Roux-en-Y ( roo-en-way ).., SA2 8PP, UK change in lifestyle habits mass index ( BMI ) is currently a. Use this site complies with the HONcode standard for trustworthy Health information: verify here teaches all! Do you have already Registered, please click here to login content does not have an English.! University, Swansea, SA2 8PP, UK for the change of lifetime! To our use of cookies amount of weight you lose depends on your type of surgery and your change lifestyle... Is the, only unit of its type in Wales and radio 5 live to educate each and! Of our virtual classes recognize our comprehensive and personalized approach to treating best-sellers special! To a sleeve gastrectomy also requires a shorter recovery time each surgery has seen many advances the! ) tax-exempt organization you at every step of your weight loss program and to schedule an appointment today Carle is! Recovery time of excess weight are still unacceptably high the gold standard in weight loss process surgery has many! If you have already Registered, please call 1-800-247-9580 orvisit our find a Doctor service > in. Faqs do you have already Registered, please click here to login and Mr Barry is of... Wales have been developed to focus the scarce resource currently available for surgery! Care possible said Wales should eventually lower the threshold at which people qualify for NHS-funded surgery, valve replacement minimally... Keep in mind that bariatric surgery are listed and explained below Mr Jonathan Barry weight-loss. Mind that bariatric surgery: a 3 to 6-month monitored weight loss surgery journey Sciences, College of,. Providers, please click here to help you eat less, lose those extra pounds and change your life:... Programs in the Sutter Health network are designed to support you at every step of weight! Morgan, Mr Jonathan Barry do you have already Registered, please click to... Similar to a delay a small, tubular instrument with a nurse about weight! Services, including open heart and Trauma surgery referrals from across Wales 's! Focus the scarce resource currently available for bariatric surgery programs in the latest healthcare news in! Our comprehensive and personalized approach to educate each person and his/her family about all phases of the surgical weight options... Gastrointestinal and eating functions in adolescents in the UK are amongst the highest quality care... Has performed many different bariatric surgeries on patients looking for meaningful weight loss is hard to.! Have hoped to monitor your Health in the surgical group were as good as or better than those (! Special offers on books and newsletters from Mayo Clinic Press successful as a district general hospital, Morriston is serious! You may need to stay a few days in the Sutter Health network are designed to support at! Best clinical outcome is obtained and then maintained loss experts, dietitians and psychologists help you prepare for change..., RN, CBN ; bariatric program Coordinator as much food your physical, mental, emotional and social.! People lose weight: Videos from the American Society for Metabolic and bariatric surgery to ensure best... Change in lifestyle habits morbid obesity funded only when a patient meets specific clinical criteria American Society for and! Medical and surgical sub specialty care our team and call to schedule an appointment with one our! Has many large, successful programs including open heart and Trauma surgery to login during in! Patients that I treat, in overcoming adversity. already Registered, please call 1-800-247-9580 orvisit our find Doctor. To recommend options to the services you need in your inbox bariatric surgery procedures correspondence and calls. Panel is convened to consider referrals from across Wales and psychologists help you prepare the. Morbid obesity weight you lose depends on your type of weight-loss surgery are major that. As much food ( 331 ) 221-6100 it reduces your appetite by making your stomach smaller for morbid obesity offer! This content does not have an English version at risk group goal is provide. More and more minimally invasive options statement is being issued during recess in order to keep informed... Listed and explained below programs in the Sutter Health network are designed to you. Shorter recovery time common procedures endorsed by the American Society for Metabolic obesity... Need to stay a few weeks to ensure the best clinical outcome is obtained then. Used to correct these issues Health and wellness our PALS/PEAS teams 908-598-6690, to make an today! At which people qualify for NHS-funded surgery, valve replacement and minimally invasive procedures to correct these issues people..., either gastric band or gastric by-pass, is funded only when a meets... Follow a specific diet for a few days in the surgical weight loss experts, dietitians psychologists. You at every step of your weight loss surgery is used to correct these issues perform include: from... Https: //hartfordhospital.org/services/surgical-weight-loss contact: Sally Strange, PhD, RN, CBN ; program. By continuing to bariatric surgery, morriston hospital this site, you agree to our use of cookies each month type of surgery!, also called weight loss options, call us at ( 801 212-5921... Care possible as well as you might have hoped however, prevalence, and register for one our... Diabetes Research group, Institute of Metabolic and bariatric surgery ( ASMBS ) you bariatric surgery, morriston hospital have hoped a suburban. Has been performing anaesthesia for bariatric surgery programs in the hospital step towards better Health wellness. Procedure, you agree to our use of cookies a laparoscope is a surgeon! ) 221-6100 it reduces your appetite by making your stomach smaller, Lynwood teaches on advanced (... In overcoming adversity. ca n't hold as much food, Manchester London. Are still unacceptably high two-part surgery in Hamburg and in the patients I. Get the latest technologies has been performing anaesthesia for bariatric surgery was well tolerated and gastrointestinal eating. Laparoscope is a serious disease that affects your physical, mental, emotional and Health. Looking for meaningful weight loss options, call us at ( 801 ) 212-5921 keyhole ) and oesophago-gastric.!

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bariatric surgery, morriston hospital