407260LBH Health Matters.indd - London Bridge Hospital

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Sinus Clinic | GastroenterologyThe Intra-Gastric Balloon:A New InnovationFor Weight LossObesity is a worldwide problem. The health consequences of being obeseare extensive and include heartburn, high blood pressure, diabetes, heartdisease, arthritis, liver failure and cancer. Being obese shortens lifespan.It is for this reason that the Government has wisely made fighting obesitya national health priority. If you are the 1 in 4 of the UK population whois deemed unhealthily overweight (obese) with a BMI greater than 35kg/m2, (i.e. your weight in kilos divided by your height in metres squared isgreater than 35) and want to lose weight, then help is at hand.Although the initial line of therapy is toalter behaviour in relation to food andto increase the level of exercise, we allknow how difficult that can be. Just likegiving up smoking, it can be difficult tolose weight.Medical help is available and iseffective when used in combinationwith behavioural and diet changes.The treatment ladder would usuallyinvolve advice from a dietician andpsychological support from a mentalhealth professional, if required. Thiswould be followed by the prescription ofmedication that reduce the absorptionof fat from the diet – orlistat or suppressappetite – sirbutramine or rimonabant. Ifthese measures are ineffective, the nextstep is to place into the stomach, withthe help of an endoscopic camera, undersedation, a specially designed, liquid-filled,silicone balloon.This innovation offers a safer, simplerand reversible alternative to restrictivestomach surgery – gastric bands andstomach bypass operations both ofwhich are major procedures requiring ageneral anaesthetic. A general anaestheticmay be particularly hazardous in theobese. These major operations, untilnow, have been the only options offeredto patients after pills have failed. Theadvent of balloon therapy is particularlywelcomed for this reason and becausethe balloon can also be placed in patientscontemplating having other surgery,who need to reduce their operativeobesity-related risks prior to surgery.The endoscopic procedure takes about20 minutes and, after an overnight stay inhospital to ensure tolerance of the balloon,the patient is discharged. Recent publishedevidence shows impressive results withthe balloon. It is designed to stay in thestomach for up to 4-6 months and is alsoremoved endoscopically under sedation.A treatment course would usually involve2 balloons placed sequentially over a 12-month period.Dr Jude Oben offers this innovativetreatment as part of a multi-layeredapproach to obesity treatment at TheLondon Bridge Hospital. Dr Oben isan Oxford and Johns Hopkins trainedConsultant Gastroenterologist/Hepatologistwith sub-specialty interest and researchexpertise in liver disease and obesity.Dr Jude ObenConsultant Gastroentorologist/Hepatologistand General Medicine SpecialistCity Sinus ClinicSinus problems are very common. Some studies suggest 16% ofLondoners may have sinusitis. Sinusitis is often underrated as a medicalcondition. It seriously affects quality of life but fortunately it can betreated very successfully.Sinusitis is an inflammation of thesinuses and sufferers can experience awide variety of symptoms, but it oftenfeels like having a permanent cold.Most patients respond well to medicaltreatment using a combination ofantibiotics, nasal steroid sprays, irrigationsand allergy treatments. Some of thesetreatments only provide temporaryrelief. These patients often benefitfrom further investigations and mayneed surgery in order to address theunderlying cause of their sinusitis.Your SurgeonMr David Roberts FRCS (ORL) isa Consultant Ear, Nose and Throatsurgeon appointed to Guy’s andSt Thomas’ Hospitals NHS Trust. He isaccredited by the Specialist AdvisoryCommittee in Otorhinolarygology– Head and Neck Surgery, and hasbeen awarded his Certificate ofSpecialist Training by the authority ofthe Medical Royal Colleges. He is aFellow of the Royal College of Surgeonsof England and a member of the BritishAssociation of Otorhinolarygology andthe European Rhinology Society. Heis the London Representative to theBritish Rhinological Society.How to Get in TouchThe City Sinus Clinic is held on a Tuesdayevening at 31 Old Broad Street from5pm to 8pm and appointments can bemade by telephoning:GP Liaison on: 020 7234 2120/2009between 9am and 5.30pm, Mondayto Friday. Or by emailing:gpliaisonlbh@hcahealthcare.co.ukCity Sinus Clinic now offers an additionaltechnique for sinus surgeons, BalloonSinuplasty, a new technique for sinusitissufferers. Please turn to page 14 formore details.10
Nutritional InformationCARBOHYDRATESThis includes all the sugars and starches(carbohydrate) within the food.SUGARSThe ‘sugars’ content will includenaturally-occurring sugars such asmilk sugars (lactose) and fruit sugars(fructose), plus any added sugars(dextrose, sucrose). Avoid products withlots of added sugars, check by readingthe ingredients list.FATThis includes saturated fat,polyunsaturated fat and monounsaturatedfat. Limit all fats, especially saturated fat.Polyunsaturated and monounsaturatedare healthier choices.Susan KeanOutpatient DieticianPROTEINPeople generally tend to eat moreprotein than we require in our diet.Try and choose protein sources lower infat, especially saturated fat.ENERGYNUTRITIONAL INFORMATION TYPICAL VALUESENERGYFIBREPer 100gFoods labelled wholegrain, wholemeal,wholewheat, will have high fibre content.Foods that contain fruit, vegetables,beans and pulses will also provide fibre.Kilojoules (kj) and calories (kcal) are ameasure of energy. If you are trying tolose weight, then choose foods with alower energy value.Per serving212kj/50kcal 424kj/100kcalPROTEIN 1.9g 100kcalCARBOHYDRATES 10.1g 20.1g(OF WHICH SUGARS) (1.7g) (3.3g)FAT 0.2g 0.4g(OF WHICH SATURATES) (0.1g) (0.3g)FIBRE 0.6g 1.3gSODIUM 0.4g 0.8gSODIUM OR SALTAPPROPRIATE AMOUNTS OFFAT, SUGAR AND SODIUM (SALT)PER 100G OF A PRODUCTHighSalt consists of sodium chloride and isadded to most manufactured foods. Mostlabels show sodium and salt content.Salt = sodium x 2.5. The recommendedintake of sodium is 2.4g per daytherefore = 6g of salt.LowTOTAL FAT 20g 3gSATURATED FAT 5g1gSUGAR 10g 2gSODIUM (SALT) 0.5g 0.1gHealthy LivingLondon Bridge HolisticsLondon Bridge Holistics is a team of complementary health practitionersworking with the patients in the Oncology Department. The Consultants,Hospital and Pharmacy approve all the therapists and therapies. Treatmentsare available Monday to Friday, and four free sessions are given to theOncology patients as part of their overall care at the hospital.The origins of London Bridge Holistics are humble, with one practitioner going fromroom to room to see if anyone wanted a massage or homeopathy. The response wasmore than one person could handle, and soon more practitioners were brought inuntil someone was available each day of the week. With the recent renovations in theChemo Day Unit, London Bridge Holistics has its own dedicated treatment room and astaff of six practitioners. A brief description of the offered treatments is given below.ReflexologyGentle pressure is applied to the feetto stimulate the nerve endings, whichboosts the body’s immune system andencourages detoxification. The treatmentwill trigger an enhanced state ofrelaxation, allowing the body to healand balance itself.AromatherapyAromatherapy uses pure Essential Oils,which affect the body by being absorbedinto the blood stream through the skinor registered by the Olfactory nervewhen we breathe in. Using both methodsin a treatment ensures a physical and anemotional response from the body, thiseffect is governed by the choice of oilsprepared by the practitioner.Massage TherapyVarious techniques and pressures areused in massage to free muscular knotsand blocks in the nervous system.Massage has a long tradition as a healingtherapy and has been used by manycultures for centuries, providing physicaland emotional comfort.HomeopathyHomeopathic remedies help support themind and body by enhancing immunity.Various organs can be assisted in healingand overall energy is improved. Negativeside effects of chemotherapy can belessened and the remedies will notinterfere with treatment. Homeopathycan be used safely alongside anyconventional medication.ReikiReiki is an ancient form of healing, drawingon the universal life energy that flowsthrough all living creatures. The personreceiving Reiki feels a deep sense ofrelaxation as the energy moves to releasestress, while activating healing from within.Indian Head MassageIndian Head Massage focuses on theupper body where most people storetheir stress. This massage induces a senseof peace, whilst also promoting alertness.The immune system is stimulated as stressmelts away.Treatments are available to all hospital patients, buta letter of approval from your Consultant must bepresented prior to treatment. Unfortunately, wewill not be able to treat without this.To make an appointment, please phone theChemo Day Unit on 020 7234 2422. Prices varydepending on the type and duration of yourchosen treatment. If you would like to speak to thetherapist before treatment, please ask the ChemoDay Unit reception for the contact details.Adrianna HolmanRegistered HomeopathComplementary Therapy Lead Practitionerfor London Bridge Holistics11
Page 2 and 3: IntroductionWelcomeWelcome to the n
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407260LBH Health Matters.indd - London Bridge Hospital

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