Lead Surgeon for the
Upper Gastro-Intestinal Surgery Team
North Bristol NHS Trust

Operations

NHS Spire Healthcare

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South West based Consultant in Upper Gastrointestinal and Weight Loss Surgery, providing outstanding care in the following procedures...

What you need to know

  • The duration of recovery after laparoscopic surgery depends on the procedure performed, and can be as short as 1-2 weeks.
  • Patients should refrain from driving until they are comfortably able to look in their blind spot and perform an emergency stop.
  • Worsening postoperative pain suggests a potential abdominal complication, and the patient requires urgent assessment.
  • Although some wound infections after laparoscopic surgery are superficial, some can involve the deeper tissues and might require assessment in hospital, particularly if prosthetic material has been inserted (eg. mesh).
  • Gallstones

    Laparoscopic Cholecystectomy

    The gallbladder is a reservoir for concentrated bile which hangs under the liver; when we eat rich food it contracts, emptying its contents into the duodenum to mix with our food. Gallstones can form in the gallbladder and are the commonest reason for patients to seek the help of an expert Surgeon. Biliary colic and cholecystitis are the commonest conditions resulting from gallstones. Cancers of the gallbladder are very rare. Removal of the gallbladder is a safe and quick operation, often done as a day case procedure. My standard practice includes laparoscopic ultrasound cholangiogram or bile duct exploration as needed.

    Click here for gallstones diet information leaflet.
    Click here for further information.

  • Weight loss surgery

    Laparoscopic Gastric Bypass, Sleeve Gastrectomy and Gastric Banding

    Only expert Bariatric Surgeons should perform weight loss surgery. Having worked in two International Centres of Excellence for Obesity Surgery I regard myself as a member of a team delivering high quality care for surgical patients.

    Completing the south west of England surgical training programme I was awarded a national fellowship in bariatric surgery. I now offer a specialist service in upper gastro-intestinal and bariatric surgery including surgery for type 2 diabetes. I provide the full range of endoscopic and surgical treatments for obesity from gastric balloons to revisional gastric bypass or sleeve gastrectomy surgery.

    Click here for patient liver shrinking diet leaflet.
    Click here for About your Weight loss Procedure leaflet.
    Click here for further information.

  • Type 2 diabetes surgery

    Laparoscopic Gastric Bypass, Sleeve Gastrectomy

    Having trained and worked in two International Centres of Excellence for Metabolic (diabetic) Surgery I was the first Hunterian Professor in metabolic (diabetic) surgery. I now offer a specialist service in upper gastro-intestinal and bariatric surgery including surgery for type 2 diabetes. I provide the full range of endoscopic and surgical treatments for diabetes from gastric balloons to revisional gastric bypass surgery for gastric bands.

Are you suitable for weight loss surgery?

If you BMI is 35 or above (30 with type 2 diabetes), then you may be suitable for weight loss surgery.

Check your BMI
  • Hernia

    All types repaired keyhole techniques

    Hernia surgery has traditionally come under the umbrella of "General Surgery". However, many upper gastrointestinal surgeons have used their expertise in key-hole surgery to develop specialist practices dealing with groin and abdominal wall hernias. I provide the full range of hernia surgery. The majority of this work is performed as day case or within an enhanced recovery short stay programme in order to maximise patient experience whilst maintaining the quality of the service.

    Click here for patient information leaflet.
    Click here for further information.

  • Reflux

    Anti-reflux Surgery

    Often due to a hiatus hernia, acid reflux (heartburn) is very common. Most patients are well treated with medication alone but if this does not control symptoms, key-hole anti-reflux surgery can be very successful. My experience allows me to offer the full range of anti-reflux and dysmotility surgery including para-oesophageal and hiatus hernia repair. I have recently established the state of the art oesophageal physiology unit at North Bristol NHS Trust allowing me to help improve the treatment of reflux disease.

    Click here for patient information leaflet.
    Click here for further information.

  • Endoscopy & Oesophageal Physiology

    OGD including Bravo, Balloons, Stents

    Stomach problems include indigestion, dyspepsia, vomiting, weight loss, poor appetite or upper abdominal pain. As well routine OGD endoscopy I have recently established the state of the art oesophageal physiology unit at North Bristol NHS Trust allowing me to perform high resolution oesophageal manometry and impedence pH studies to improve the treatment of reflux disease. I perform the full range of complex interventional endoscopy including Bravo for wireless pH monitoring.

  • Non-Surgical Weight Loss Balloon System

    The Elipse Balloon

    • Swallowed and filled with 550mL of liquid in 10 minutes without endoscopy or sedation
    • Balloon is self-emptying via a valve that opens at 4 months, allowing the balloon to empty and pass naturally
    • Several single and multi-centre studies completed in Europe and the Middle East in subjects with BMI 27 and above
    • Weight loss ranges from 10-15% TBWL over 4 months, with good weight loss maintenance over one year
    • Excellent safety profile in over 4700 Elipse balloons placed worldwide
    • Highly successful follow-up of patients with connected scale and smart-phone app

    Orbera 365 Balloon

    Requires an OGD Endoscopy to place but can stay in the stomach for 1 year.
    Visit www.orbera.com

Operations

"I have found Mr Osborne to be extremely competent, confident and kind. He listens carefully, explains fully and is professional and reassuring at all times."

Mr Osborne and his team made sure I was well informed on progress and what to expect. I felt he was honest and caring.

Building up trust in Mr Osborne was incredibly important. This was partnership working with patients at it's very best, so thank you!

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