Bariatric Surgery (Weight Loss Surgery)

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Obesity, an emerging health epidemic around the world, affects approximately 10% of the Australian adult population. It is a risk factor leading to serious medical conditions such as the heart disease, stroke, high blood pressure, diabetes, gallbladder disease, osteoarthritis, sleep apnoea, asthma, some cancers, and gout.

Obesity is caused by several factors such as genetics, overeating, lack of physical exercises, misbalances in metabolism (conversion of the food into body’s energy), and psychological factors such as stress and anxiety.

Body Mass Index (BMI) calculated by dividing your weight in kilograms by your height in metres squared serves as an indicator of healthy weight. For adults, over 20 years a BMI between 18.5 and 25 is considered healthy. If a BMI is between 25 and 30, the person is considered overweight, while people with BMIs over 30 are considered obese. Persons with a body mass index (BMI) of more than 40 are defined as morbidly obese who have a reduced life expectancy of 5–20 years.

While the lifestyle measures such as healthy eating and exercises are the best way to address the obesity problem and restore a healthy weight, for those with the BMI index over 35, it may not be enough. Providing all other treatments have failed, bariatric surgery is the most effective treatment of morbid obesity. Outcomes of the surgical procedure include a sustainable loss of body weight, reduction and sometimes resolution of medical comorbidities, and improved quality of life.

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To assist patients with weight loss our practice is offering Sleeve Gastrectomy surgery.

Dr Mastakov performs Sleeve Gastrectomy surgeries at Sunnybank Private Hospital (Brisbane) and at St Stephen’s Private Hospital (Hervey Bay, QLD).

For privately insured patients we offer an affordable out-of-pocket expenses. Over the first 12 months following surgery, all routine 15 min post-operative reviews that relates to the obesity surgery are bulk billed (No out of pocket costs).

All uninsured patients are encouraged to consider investing in private health cover and wait the 12 month qualifying period. Where applicable, we will provide documentation to support your claim to the Australian Taxation Office (ATO) for accessing your superannuation early on “compassionate grounds” to finance treatment expenses.

Sleeve Gastrectomy

Sleeve Gastrectomy (SG) is a laparoscopic or keyhole surgical procedure, which actually doesn’t include any surgery on the intestines. It is one of the most effective bariatric procedures. By changing the stomach shape from sac to a long narrow gastric tube, SG dramatically reduces the capacity of the stomach from approximately 2L to 100-150 ml.

In addition, the recent studies have shown, the part of the stomach that is removed during sleeve gastrectomy plays a major part in producing the hunger hormone (Grehlin). This further aids in the reduction of appetite and food craving.

The smaller stomach capacity restricts food intake by allowing only a small amount of food to be eaten at any meal. As a result, the patients feel early fullness and satiety while eating just 3 small meals per day. This facilitates weight loss. In addition, regular exercise and healthy food choices are also necessary to optimize the outcome.

Sleeve gastrectomy is becoming increasingly popular and has progressively been performed as a standalone procedure. With satisfactory results in the mid-term the extent of excess weight loss is about 60% (final results may vary on the individual). Risks of the surgical complications such as bleeding and leakage from the cut edge of the remaining stomach are low within 1-3%.

Sleeve gastrectomy (SG), and Roux-en-Y gastric bypass (RYGB) are most effective bariatric surgical procedures.

Further Reading

Better Health Channel
Laparoscopic Sleeve Gastrectomy

The International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO)
Sleeve Gastrectomy

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