Mayo Weight Loss Surgery

About Weight Loss Surgery

Illnesses frequently associated with being overweight or obese include:

• Type II diabetes
• Obstructive sleep apnoea
• Hypertension (high blood pressure)
• High cholesterol
• Back and joint problems.

Laparoscopic bariatric procedures include laparoscopic sleeve gastrectomy, laparoscopic Roux en Y gastric bypass and laparoscopic mini bypass.

All laparoscopic procedures are carried out through five keyhole incisions in the patient’s abdomen. Patients generally stay two nights in hospital and on discharge, are asked to adhere to a liquid diet for 2 weeks.

Prior to surgery, patients have at least one consultation with our Dietitian to discuss the best way to achieve optimum results from surgery. In addition, patients undergo blood tests to identify any vitamin or nutrient deficiencies with a view to treatment and prevention into the long term. It is important that patients continue long term Dietitian follow up.

Dietitian

Judith Fox has worked in the Manning / Great Lakes area for many years and has extensive experience as a Dietitian specialising in Weight Loss Management.

Judith is now joining Dr Smith and his team, supporting weight loss surgery.

Laparoscopic sleeve gastrectomy (LSG)

The aim of a LSG is to decrease the stomach (gastric volume) so that patients feel full and satisfied after only eating a very small meal. Patients may also report a decrease in appetite due to changes in the level of hunger hormones. LSG is irreversible. The normal flow of food through the gastrointestinal system is maintained with an LSG.

Roux-en Y gastric bypass

Roux-en Y gastric bypass combines the restrictive features of a laparoscopic sleeve gastrectomy with an additional metabolic effect of bypassing the small intestine. The stomach is divided in two and food passes through the small stomach into the intestine bypassing a good deal of intestine resulting in a powerful metabolic effect. Laparoscopic Roux-en Y gastric bypass is the most well established of all bypass procedures having been performed for over 50 years. LRYGB is likely to be more effective against diabetes than a sleeve gastrectomy and may be a more appropriate choice then a sleeve gastrectomy in a patient who suffers from gastroesophageal reflux disease. The video below outlines the steps of a laparoscopic Roux-en Y gastric bypass.

Laparoscopic mini bypass

Laparoscopic mini bypass is similar to a laparoscopic Roux-en Y gastric bypass with the important difference that there is only one anastomosis (join). This operation may result in fewer short and long term complications then a Roux-en Y gastric bypass.

For patients undergoing bariatric surgery, the results are often life-transforming. I’m really excited to start working with the teams at both hospitals and to be providing this service for the communities on the Mid North Coast”
- Associate Professor Smith

GREAT SERVICE, I would recommend. Ease of service and being near home. No city to battle with and cost effective".
- Sandra, Patient

Source: Dr Levent Efe, courtesy of IFSO