Reasons for bariatric surgery. Read more. Cost of bariatric surgery. Bariatric Surgery Perth. About Gastric Band Procedures. Gastric Sleeve as an Alternative to Gastric Banding.
What if I have had a Gastric Band Before? Other procedures that might interest you. At Advance Surgical, Mr Jon Armstrong and the team help people who want to lose weight through bariatric surgery, suffer from an endocrine disorder or need general surgery. Bariatric surgeon Perth. About Advance Surgical. Established in When we established Advance Surgical our motivation was to help those who find that diet and exercise are simply not working for them.
About us. The cost of bariatric surgery. We understand the cost of bariatric surgery may be an issue. We have changed our pricing to be more affordable. Payment plans available. It does not interfere with the absorption of nutrients. Because the physical capacity of the stomach is reduced, the Sleeve restricts the intake of virtually all calories, both solid and liquid.
This makes it more powerful than the Band, and weight loss is more consistent and reliable. However, regular consultations with experienced psychologists and dieticians are still needed to address the underlying dietary and lifestyle factors. The Sleeve can even restrict the intake of soft and liquid calories which makes it more suitable for emotional eaters, especially when combined with the help from experienced psychologists and dieticians to overcome the underlying issues.
The sleeve will also stretch over time for the same reason that the internal pressure is higher , leading to reduced portion control and the possibility of some weight regain, especially if sufficient behavioural and lifestyle improvements have not been made. Disadvantages of the Sleeve include reflux, and stretching in the long term, which could lead to some weight regain.
An advantage of the Sleeve over the Band is that is does not require any adjusting. This means clinic appointments after the surgery can be less frequent- once every 3 months rather than once a month.
This may make the Sleeve more suitable if you live outside of Sydney, or foresee difficulties in getting back to the clinic. Another advantage is that there are virtually no dietary restrictions with the Sleeve- most types of food can continue to be eaten, just in smaller quantities. Although the sleeve does not need adjusting, on-going medical, dietary and psychological support remain just as important.
Because the Sleeve restricts soft and liquid calories better than a Band, the Sleeve usually results in a more consistent reduction in calorie intake overall. Regardless of their differences, both the Band and the Sleeve are far more effective than diets and exercises alone for people with a long-term weight problem. Ongoing participation in multi-disciplinary follow-up after surgery and a commitment toward lifestyle improvement remain the most important factors.
The Roux-Y gastric bypass has the longest track record of any of the modern bariatric procedures. However, despite being an excellent and reliable weight loss tool, it does have a number of side effects.
One of these is the risk of intestinal obstruction related to herniation through the mesentery windows that are necessarily created during a roux-Y. This arrangement gives a strong sense of portion control, and diverts food straight into the lower intestine, preventing food from entering the duodenum. This rearrangement causes favourable changes to the gut hormones, leading to suppression of appetite, and improvement in diabetes.
The gastric bypass may provide greater weight loss and also better long term results than other types of bariatric surgery. The bypassed part of the stomach is attached further down the small intestine, so it still provides the acid and digestive enzymes produced there. With this procedure, a small stomach pouch is created by placing an inflatable band around part of your stomach.
The size of the opening between the pouch and the rest of your stomach affects the amount of weight you lose. Gastric band surgery can be easily reversed by removing the band. Gastric bypass is more complicated than gastric sleeve surgery. This is because gastric bypass is a two-step procedure, while gastric sleeve only involves one step. Both gastric sleeve surgery and gastric bypass are usually done laparoscopically. This involves inserting a lighted scope with a camera called a laparoscope and other tools through several small incisions in your abdomen to perform the surgery.
This requires a much larger incision in your abdomen. This type of incision takes longer to heal than the small laparoscopic incisions. This often means 4 or 5 days in the hospital. According to the American Society for Metabolic and Bariatric Surgery , the risk of a major complication is about 4 percent.
This is much lower than the risk of developing serious obesity-related health complications. The main difference in postoperative diet is the size of your stomach pouch, which affects how much you can eat. Your pouch will stretch over time. One of the biggest advantages, which applies to both gastric sleeve surgery and gastric bypass is that these procedures significantly reduce your risk for obesity-related conditions, such as:.
Talk with your doctor about these factors and whether bariatric surgery is an option for you. Together you can decide if one type of surgery is better suited for you. Gastric sleeve and gastric bypass are both types of bariatric surgery.
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