Published 27/06/2016 | 02:30
5Wicklow Rose Jane Harrison lost 13 stone after gastric band surgery
Jane Harrison will compete in this year's Rose of Tralee. Photo: Colin O'Riordan.
Wicklow Rose Jane Harrison (26) had battled with her weight most of her life. In February 2011, however, aged 21 and weighing 23 stone, she had gastric band surgery to assist her weight-loss.
"I feel like there is a huge stigma to weight-loss surgery. It is something that scares me to talk about, but at the same time I would like people to know that it is definitely not the easy way out," Jane says.
"I remember lying there in pain thinking I would never put myself through it again. It is definitely a wake-up call. There are thousands of people getting it done every year and many people are afraid to say it, in case they might be looked at as cheaters almost.
"It was the hardest route I have tried and I tried them all; I tried liquid diets, I tried dietitians, everything."
55Jane Harrison before her gastric band surgery.
Jane's weight began to decrease rapidly in the year-and-a-half that followed her surgery, but her mindset remained the same, causing her self-esteem to plummet even further.
"At that point I still had not dealt with the real problems that had led to my weight gain," Jane explains. "So I lost 13 stone, but had yet to acknowledge that the overeating and the unhealthy lifestyle were caused by my self-esteem issues.
"I lost the weight and then became obsessed with trying to maintain it; I was going to external people and things to get my happiness because overeating was no longer an option for me.
"You just turn those destructive habits to something else unless you really deal with it," Jane adds. "I felt so defeated when I managed to get down to 10 stone at one point and would go out and get a few compliments, but I would go home and still feel empty."
Over time, Jane learned to address the self-esteem issues she had developed in childhood: "From the age of 12 I was going to nutritionists and child dietitians. So my weight was an issue throughout my entire childhood."
"My parents were my backbone growing up and they knew I just couldn't get my overeating under control even throughout my teens and they helped me try every angle.
55Wicklow Rose Jane Harrison lost 13 stone after gastric band surgery
"I went on a liquid diet once for 16 weeks and I lost about four stone in six weeks, but I put it back on in double, everything was just short term because there was something not right underneath it all.
"From about maybe 13, when you start going out to discos and everybody is wearing fab clothes that you cannot, that is when you start to realise 'well maybe I am a bit different,' but I have always had the best group of friends and family around me so I was never bullied as such, but you would hear comments and jabs."
Being overweight for such a long period left Jane feeling like she was still the overweight person in every room.
"I lost quite a lot of the weight following the surgery, but I found that I just wasn't that happy still," Jane explains. "I thought that someday, I was just going to wake up at my goal weight and be a happier person. I thought the weight and the taunting was the problem, but it wasn't, the issue was the way I looked at myself; after years of being overweight, I just didn't feel like I was worth anything and I felt as if I still needed approval from people."
Happily, Jane has now learned to care less about what others think. "It's not that I don't care anymore - because everyone cares to a certain extent about what other people think of them - but I don't let it get to me anymore," she says. "I know that I am not going to be everyone's piece of cake, but what I have realised over time is that nobody is; you cannot please everyone.
"When you are overweight for so long you think weight loss is the answer to everything," Jane says.
"I was always living for the 'when' so 'when I lose a bit more weight I will do this or that,' but now I am at a stage where I don't put things off.
"I could have said 'I will lose three stone and I will apply for the Rose of Tralee next year,' but why? What is the difference? One very important thing I have learned is to try and accept who you are while you are losing weight because I did not, and I hit a low as a result of that."
Over time, Jane's mind has thankfully caught up with her body.
55Wicklow Rose Jane Harrison lost 13 stone after gastric band surgery
"It took some big realisations and I definitely had to get in touch with myself a lot more. I got into spirituality and meditation and began to just work out what I want in life," Jane explains. "Now I know my triggers and when I've disconnected from the path I am on and I know how to get back on it."
Jane, who put off going to college after school because of her low self-esteem, is now enrolled on a college course in Communications and will represent Wicklow in the 2016 Rose of Tralee.
"I have decided to go for things I want now and not hold myself back and that is a huge part of why I entered the Rose of Tralee. I am definitely not at my dream weight and there are 100 things I would like to change about my figure, and I will still go to the gym and attempt to, but it doesn't consume me anymore like it did a few years ago," she says.
"When I go down to Tralee, it is going to be two weeks of food and drink and that doesn't freak me out at all, whereas two years ago the prospect of not having complete control over what I am eating would have really freaked me out," Jane admits. "I have a healthy approach to food and exercise now and I know what foods I can have and what I cannot have; I think when you just realise you want to be happy for yourself rather than others, that is when everything really clicks into place
He said that the long-term results from LABG had been achieved without any significant technological innovation of the device in the last 20 years
"Low BMI patients are a target population that as metabolic surgeons we need to take care of to prevent future morbid obese patients"
Thursday, September 15, 2016 - 09:21
Owen Haskins - Editor in chief, Bariatric News
Patients who have a BMI30.0-34.0 (class 1) and who are suffering from a significant obesity-related health burden should be offered bariatric surgery, according to Luigi Angrisani, S Giovanni Bosco Hospital, Naples, Italy. In his presentation, ‘Low BMI patients: a target population to take care of to prevent future morbid obese patients, he cited a 2014 a Position Statement from the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) (Obesity Surgery. Bariatric Surgery in Class I Obesity – A Position Statement from the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) 2014), which states:“A clinical decision should be based on a more comprehensive evaluation of the patient’s current global health and on a more reliable prediction of future morbidity and mortality.”
Angrisani added that such a decision should take into account “more than just a patient’s BMI.”
He said that there an array of intragastric balloons (eg.Heliosphere Bag, Reshape Dual-balloon, Orbera, Spatz Adjustable Balloon System) and endoluminal procedures (eg. Apollo Overstitch, POSE and Endobarrier) that have shown weight loss in the short-term however, these devices/procedures have not yet proved long-term efficacy.
In comparison, the LAGB procedure has demonstrated long-term efficacy. Angrisani explained that in his own centre, between January 1996 and December 2015 they have carried out 107 bariatric procedures on obese patients with BMI≤35, and 32 patients received a LAGB. The ten year outcomes from these patients revealed on average patients lost 14kgs and the BMI was reduced from 33.78 to 29.6, with 40.2 average %EWL. Moreover, only three patients (9.3%) had their band removed.
He said that the long-term results from LABG had been achieved without any significant technological innovation of the device in the last 20 years (design, profile, material) or with little evolution of our knowledge in the last 15 years, such as the ability to calculate the ‘neo-pylorus’ diameter at time of band adjustment.
“Despite this lack of knowledge, the LAGB still remains an effective procedure and has demonstrated a high efficacy in low BMI and adolescents patients,” he concluded. “The LAGB has several advantages compared to more invasive procedures such as the absence of mortality and malnutrition, with no need for vitamin supplementation. Low BMI patients are a target population that as metabolic surgeons we need to take care of to prevent future morbid obese patients.”
NDR-UK has launched two innovative new resources, developed by specialist dietetic colleagues at NHS Ayrshire and Arran, Scotland. The comprehensive, 80 page book is designed to support patients before and after gastric sleeve and gastric bypass surgery (not gastric band surgery - for information on this, please see resource 9014).
According to NDR-UK, the recipes have all been tried and tested and are easy to prepare and cook. They are high in protein and low in fat and calories. The ingredients are all easily sourced and the recipes are suitable for all the family. They are divided into breakfasts, soups, lunches, main meals and desserts. There are at least seven recipes in each section (for a week’s meals). All recipes are coded for different consistencies, whether able to be frozen and if vegetarian. The recipes have handy hints and are nutritionally analysed for a small, bariatric sized portion.
"In NHS Ayrshire and Arran we use the recipe books to support our pre-operative practical cooking session. The groups really enjoy these sessions, we find it encourages them to do more home cooking and to increase their awareness of portion sizes and optimal consistencies at different stages post-surgery. They are also really good fun!" said Pam Lindsay, Bariatric Dietitian, University Hospital Ayr, and co-author of 'Recipes for Life'
The book will soon be available to be purchased by the public, advising that is should be used in conjunction with the information given by a Specialist Bariatric Dietitian.
For further information, to view a sample or to order 'Recipies for Life' (9016), please click here
This 16 page booklet is for people preparing for bariatric surgery who need to follow a diet high in protein and low in calories (kcal), carbohydrate and fat for two weeks before their surgery. Three options of the 800kcal diet (often called the 'Liver Shrinkage Diet'): using normal consistency foods, soft/liquid meals or meal replacement drinks.
For further information, to view a sample or to order 'Pre-operative 800kcal diet' (9015), please click here