Weight Loss Consultation Western Australia

  Why choose the Laparoscopic Sleeve Gastrectomy?Your quality of eating with the gastric sleeve is superior to the band or bypass. For example, patients with the sleeve can eat any food once the staple line has healed and in small volumes.*With a gastric sleeve the amount of weight reduction is in the region of 60-70% of excess weight over the first 1-2 years with a modest regain long term!*Gastric sleeve surgery is a good option for FIFO workers and/or people living in remote areas because it is a “set and forget” operation which requires less post op follow up or nutritional supplements.*There is no malabsorption of nutrients.*There are no long term risks of slippage or erosion which are associated with the band.*Operative risks are slightly higher than the adjustable gastric band but lower than the gastric bypass.* The operative risks decrease with your surgeon’s experience. Dr Padovan has performed over 400 sleeve gastrectomies.With gastric sleeve surgery the staple line leak is the most serious complication occurring in 1-2% of the patients.* Of note, Dr. Padovan’s leak rate is currently 0.2% despite the fact he performs a lot of complicated revisional surgery.Laparoscopic Sleeve Gastrectomy is a good revisional surgery option for patients who have the adjustable gastric band and have regained weight or have experienced complications.* This can be done as a single stage or a two stage procedure depending upon the amount of scar tissue encountered intraoperatively in the area where the band was.If there is weight regain with the gastric sleeve, a gastric bypass can be performed, often laparoscopically as well.*

When we do the Gastric Bypass surgery, Roux en-Y, we want to make a very small pouch out of the upper stomach, to restrict the amount of food which can be eaten. That pouch is separated from the rest of the stomach, which is bypassed, by creating a new pathway into the intestines. This pathway is called a “Roux en-Y” (named after the French surgeon, Dr. Roux, who first described this reconstruction in the 1800’s). The bowel is cut, and reconstructed in a Y configuration, so that two parts of the GI tract can feed into one. Whether we do the gastric bypass surgery through an incision, or laparoscopically, the basic methods, anatomy, and the results are the same, although the instruments differ. Here’s how we do the gastric bypass surgical procedure laparoscopically .

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