Success is generally achieved by surgery however it does require dedication and assistance from the patient to achieve those ends. The aim is to assist in the loss of roughly two thirds of excess body weight reducing the BMI down to approximately 27. The target weight must be attainable and maintainable.

Disclaimer: Results may vary from person to person.

Here are some of the things we will consider when evaluating your candidacy for obesity surgery. The gastric sleeve system may be right for you if

• You are at least 18 years old
• Your BMI is 30 or higher or you weigh at least twice your ideal weight or you weigh at least 70 pounds (about 30 kg) more than your ideal weight
• You have been overweight for more than 5 years
• Your serious attempts to lose weight have had only short-term success
• You do not have any other disease that may have caused your obesity
• You are prepared to make substantial changes in your eating habits and lifestyle
• You are willing to continue being monitored by the specialist who is treating you
• You do not drink alcohol in excess
• You are willing to add exercise to your daily regime
• You are willing to make changes to your eating habits

If you do not meet the BMI or weight criteria, you still may be considered for an alternative weight loss procedure. Please consult our clinical staff for further information on other programs that we offer.

Listed below are some contra-indications for the Gastric Sleeve Procedure. If you have any of the following conditions, please discuss them with your physician during your initial consultation:

• You have an inflammatory disease or condition of the gastrointestinal tract, such as ulcers, severe oesophagitis, or Crohn’s disease
• You have severe heart or lung disease that makes you a poor candidate for surgery
• You have some other disease that makes you a poor candidate for surgery
• You have a problem that could cause bleeding in the oesophagus or stomach. This might include oesophageal or gastric varices (a dilated vein). It might also be something such as congenital or acquired intestinal telangiectasia (dilation of a small blood vessel)
• You have portal hypertension
• Your oesophagus, stomach, or intestine is not normal (congenital or acquired). For instance you might have a narrowed opening
• You have or have experienced an intra-operative gastric injury, such as a gastric perforation at or near the location of the intended band placement
• You have cirrhosis
• You have chronic pancreatitis
• You are pregnant. (If you become pregnant after the gastric band has been placed, the band may need to be deflated. The same is true if you need more nutrition for any other reason, such as becoming seriously ill. In rare cases, removal may be needed.)
• You are addicted to alcohol or drugs
• You are under 18 years of age
• You have an infection anywhere in your body or one that could contaminate the surgical area
• You are on chronic, long-term steroid treatment
• You cannot or do not want to follow the dietary rules that come with this procedure
• You might be allergic to materials in the device
• You cannot tolerate pain from an implanted device
• You or someone in your family has an autoimmune connective tissue disease. such as systemic lupus erythematosus or scleroderma.

The same is true if you have symptoms of one of these diseases

If you do not meet the BMI or weight criteria, you still may be considered for an alternative weight loss procedure. Please consult our clinical staff for further information on other programs that we offer.

All surgeries have elements of risk and danger and modern surgeons are very familiar with the risk factors involved with their specialty. But obesity is also very risky! Obese patients tend to have considerable risks to their health and lives and a reduction in weight by surgery assists in reducing these risks.

Listed below are some potential risks of surgery and how we aim to minimise them:

• Fasting before surgery dehydrates patients, they are asleep, and the patient is operated upon in a semi-sitting position using pressure of inert gas to allow enough space for the surgeon to view the stomach safely. All of these factors increase risk. An experienced surgeon will rehydrate a patient with an intravenous drip, inject a blood-thinning agent under the patient’s skin and use calf massaging stockings and early mobilization to reduce the risks of clotting in veins.
• Pneumonia and breathing problems may occur. A respiratory implement called aTriflo, comprising three balls, will be provided to increase lung function, to diminish these problems.
• Infection: antibiotics will be used intravenously during the operation and hospital stay to decrease the risk of infection, for all skin is potentially infected with a patient’s own skin bacteria and those bugs living in hair follicles, for example, can never be truly sterilized. Wherever possible, the surgeon will assess and reduce these risks. A foreign, though inert, material is being implanted about the stomach with the reservoir in the fatty tissue of the abdominal wall which may be at risk of local infection.
• Bleeding within the abdominal cavity, technical problems with large fragile liver tissue, and previous surgery are common intra-operative problems. Further more obese patients are at a higher risk of suffering from heart and lung problems during and after surgery such as heart attacks or a need for assistance to breathe, requiring admission to the Intensive Care Unit.
• The placement of the band requires dissection behind the stomach often almost a metre from the surface and damage can occasionally occur to the gullet or stomach wall during this. Such damage may lead to a need to change the operation to an open one, and for the repair of a perofration, which would negate the implanting of a band about the upper stomach.
• The band is, by necessity, a little tight about the stomach and this varies with the size of the patient and the amount of fat about the upper stomach. Effort is made to make sure this is not too tight for this may induce early vomiting, which is not ideal. This may allow the stomach to slip up through the band, narrowing the passage so that the patient incessantly vomits. This is called slippage and can lead to further surgery to reposition the band in position.
• The band might be able to be undone in some cases though it can also lead to the total replacement of the band. Whilst this slippage is more common early after surgery, before the band is cemented in place by scarring, it can occur years later if constant attention to the rule of eating, small volumes chewed well, are ignored.

All care is taken to avoid the problems mentioned but still they might occasionally occur. Surgery is a dangerous occupation and it is vital that you, the patient, understand the process of decision and choices that are available to you to lose weight. There is also a need to understand how to maintain that loss.

Yes you can have surgery without any private health insurance. However, it is expensive as the private hospital charges can be reasonably high.

There are very strict guidelines for Bariatric surgery, however they vary depending on the type of bariatric procedure you choose. This could be discussed during your initial consultation.

Yes. There is a process involved and we can facilitate this.

The cost depends on the type of bariatric procedure and whether you are privately insured or not. Once again a writing quote is provided to all the patients at the end of the initial consultation and it is up to the patient whether or not they chose to proceed with the surgery.

Yes, following the initial consultation with the surgeon, you will be referred to a dietitian, exercise physiologist and a psychologist for further consultation.

Your first 2 consultation post surgical care are free.

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This is not uncommon after abdominal surgery as gas is sometimes left in the abdominal cavity despite the best efforts to remove it afterwards. This creates pressure under the diaphragm near the phrenic nerve causing irritation.

If you feel your pain is excessive please contact our team immediately. If your pain is life threatening please call 000 immediately.

Regular follow-ups are required every 1-2 months for the first 6 months, then 3 -6 monthly to check on the progress.