Gastric Sleeve Surgery Brisbane

Laparoscopic Sleeve Gastrectomy,
Weight Loss  Surgery With No Intestinal Bypass!

Gastric sleeve surgery (also known as a laparoscopic sleeve gastrectomy) is weight loss surgery where around 80% of the stomach is removed. The pouch that is created allows for normal stomach function, but with a reduced amount of food that can be consumed.

First performed by Doug Hess in 1988, gastric sleeve surgery is now very common, with patients usually losing around 70% of their excess weight in the first 12 months.

Gastric sleeve surgery cost

Our Fees – Private Hospital
Uninsured – $8,650
Insured – $4,990 out of pocket

Our Fees – Public Hospital
$8,400

 

 

Laparoscopic sleeve gastrectomy surgery is becoming the preferred option for many patients seeking surgical weight loss and at Lap Surgery Brisbane, we are happy to provide gastric sleeve surgery Brisbane wide to people who need it. When choosing  to undergo a sleeve gastrectomy, most patients benefit from the biggest advantage – no intestinal bypass!

Gastric sleeve surgery is a good option for individuals who are either extremely overweight or whose medical condition would rule out other forms of surgery. When undergoing this procedure, patients do not experience the complications of intestinal bypass including intestinal obstruction, osteoporosis, anaemia, vitamin deficiency and protein deficiency.

With our dedicated and experienced surgeons on hand providing Laparoscopic sleeve gastrectomy surgery, you will be on your path to dramatic weight loss and a healthier lifestyle in no time.

Visit our Gastric sleeve diet page to find out more about preparing for this procedure.

 

What is Gastric Sleeve Surgery?

Laparoscopic sleeve gastrectomy (LSG) as a stand-alone technique is a newer, innovative weight loss surgery. Previously known as vertical sleeve or ‘sleeve,’ laparoscopic sleeve gastrectomy, this procedure involves removing 85% – 90% of the stomach without changing the intestinal tract. The new pouch that is created significantly reduces the volume of food that can be consumed while still allowing the stomach to function normally.

The part of the stomach that is removed contains cells that produce the hunger hormone Ghrelin. By drastically reducing the production of Ghrelin, the appetite and sensation of hunger is markedly reduced or eliminated.

Patients will lose on average 70% of their excess weight following sleeve gastrectomy. This weight loss tends to occur in the first 9-12 months following gastric sleeve surgery.

 

How Does Gastric Sleeve Surgery Work?

The sleeve gastrectomy appears to work in three distinct ways:

1. The major reduction in stomach capacity allows patients to become full and satisfied with a much smaller meal, providing portion control.

2. Levels of the hunger hormone Ghrelin are reduced by 50-65%. This is because the removed part of the stomach is rich in cells that make that hormone. Patients consistently report feeling less hungry between their meals as a result of this.

3. There appears to be a change in the way that fatty foods are handled by the digestive track. Patients frequently report losing their taste for foods high in sugar and fat such as chocolate, fried food and soft drink. These foods tend to make them feel more bloated, unsettled, or queasy. Dietitians like this aspect of the sleeve as it helps patients adopt healthier eating habits.

Diagram of a laparoscopic sleeve gastrectomy.

Benefits of Sleeve Gastrectomy

• Extremely effective with weight loss equal or better than the Roux-n-Y gastric bypass surgery and laparoscopic lap band surgery.
• No adjustments needed.
• Safer alternative for medically high-risk patients and patients with a very high BMI greater than 200 kg.
• Great procedure for low BMI patients (30-40) who often lose more than 90% of their excess weight.
• Resolution of diabetes in more than 90% of patients.
• Resolution of obstructive sleep apnea for more than 95% of patients.
• Resolution of hyperlipidemia (high cholesterol and triglycerides) in over 80% of patients.
• Resolution of hypertension in over 80% of patients.
• The portion of the stomach that produces the hormone that stimulates hunger (Ghrelin) is removed.
• The stomach is dramatically reduced in volume yet also functions normally.
• No dumping syndrome because the pylorus is preserved.
• Drugs such as aspirin, ibuprofen, steroids and NSAIDs are not problematic, thus minimising the potential for ulcers.
• No intestinal bypass and therefore there is little or no chance of nutritional and vitamin deficiencies.
• Most patients with a BMI of 30-50 achieve their goal weight within 12 months following surgery.
• No foreign body or implanted devices.
• 99% leave the hospital within 2 days.
• Out of the area and out of state patients are easily accommodated and may qualify for airfare and hotel coverage.

 

Why Choose Sleeve Gastrectomy over Lap Band Surgery?

Unlike gastric band surgery (Lap Band) which requires adjustments every 4-6 weeks following the procedure (until the perfect degree of restriction is reached – on average this means 4-5 adjustments), there are no adjustments required following a sleeve gastrectomy.

Because there is no prosthetic device involved with the sleeve gastrectomy, the long-term risks associated with this procedure are fewer than Gastric Banding.

Patients also enjoy a fuller variety of foods than they may do following a Gastric Band.

 

How Much Weight Will I Lose with Gastric Sleeve Surgery?

When choosing this type of weight loss surgery, about 70% of excess weight is lost for most patients. This usually occurs over the first 9-12 months after gastric sleeve surgery.

Patients can often lose most of their excess weight following sleeve gastrectomy surgery if they also adopt healthy eating habits and regular physical activity following their surgery. Certainly patients who adopt healthy eating behaviour with regular physical activity following surgery will usually lose more weight than patients who are less active and have unhealthy eating behaviours and unhealthy diets.

For example, if you have a height of 163cm and weigh 133kg, your BMI is 50.1, and your excess weight is 67kg – therefore, in this particular case following gastric sleeve surgery, you would be expected to lose 47kg on average. Some patients will lose more than this, and few patients will lose less than this weight.

What to Expect After Gastric Sleeve Surgery

A Sleeve Gastrectomy does not require the same degree of follow up as with the Gastric Band and it does not require any adjustments once it has been created. Therefore it is a good option for people living in remote areas because it is a “set and forget” operation which requires little post op follow up.

If you live outside Brisbane, Dr Braun will ask that you stay in Brisbane for a total of at least 1 week (preferably 2 weeks) from the date of your surgery before returning home. This allows us to be able to help you in the event of a staple line leak.

Dr Braun usually sees his patients daily while an inpatient, then at 12 weeks after discharge from hospital and at regular times for the first 12 months.  After this, patients are then reviewed yearly. Patients who live outside of Brisbane can have their follow up consultations performed over Skype.

Our nurse also sees his patients at approximately two weeks after discharge, as well as our dietitian and psychiatrist at regular intervals for the first 12 months

Patients usually have a blood test performed 6-12 months after their surgery, and then yearly after this to monitor for any abnormalities or deficiencies of any vitamins or minerals. It is recommended that all patients take a daily multivitamin following Sleeve Gastrectomy surgery in order to reduce the chance of any vitamin or mineral deficiency

 

What are the Risks of Gastric Sleeve Surgery?

Because the stomach itself has to be divided, there are some additional risks over Gastric Banding in the early post-operative period however there is a very low chance of experiencing these side-effects or complications.

One problem that may occur is gastric fluid leaking through the staple line. This complication only appears in 1% of patients and usually occurs within the first few days after surgery, but may occur within 2 weeks following the procedure. Common early symptoms include fevers or abdominal pain in the early postoperative period.

Recovery may take several weeks following this complication. Early treatment is the key to managing this problem successfully, so it is important to be on the watch for these symptoms and return back to the hospital without delay if concerns exist.

Other unusual complications that can occur include internal injuries, bleeding, blood clots in the leg veins or lungs, infections in the abdomen, chest or wounds, and allergic reactions to anaesthesia or medication. Precautions are taken in all patients to reduce these risks to the absolute minimum.

There are very few long term problems following sleeve gastrectomy that have been reported to date. One uncommon problem that may occur is that the gastric sleeve may stretch, leading to late weight regain. This may occur if a person regularly tries to eat more than the stomach can comfortably hold.

It is important that a person having the sleeve gastrectomy respects their new smaller stomach and avoids overeating. As with all weight loss procedures, there is a need to complement the surgery with changes in eating behaviours, lifestyle, and exercise levels.

In the event of a significant increase in the stomach capacity over time, there are a number of rescue procedures that have been proposed to make the stomach smaller again.

 

Contact Us For Gastric Sleeve Surgery Brisbane

If you think it is time to take real steps towards losing weight, it may be time to consider Gastric Sleeve Surgery as an option for you. To gain a better understanding of your personal weight-loss needs, please use our BMI Calculator on the right of every page, to determine your current Body Mass Index.

If you are interested in pursuing any of our laparoscopic procedures, or any other surgical weight loss solution with Lap Surgery Brisbane, located in North Brisbane, please complete our registration form and return it to us either by email, post, fax, or simply pop in and meet our friendly staff.

With over 1500 successful weight loss surgeries, we perform Gastric Sleeve surgery Brisbane and Australia wide.

To schedule a surgical consultation with Dr Braun, please contact us or call direct on 07 3353 9694.