Experience long-lasting transformation with vertical gastric sleeve surgery
Deciding to have surgery requires careful thought and discussion. Dr Andrew Kiyingi and his team can explain what each procedure involves & recommend the best one for you.
What is Gastric Sleeve Surgery?
The sleeve gastrectomy (otherwise known as the vertical sleeve gastrectomy or the gastric sleeve) is the most common weight-loss surgical procedure in Australia and worldwide. In fact, it makes up over 70% of all weight loss surgery procedures in Australia, so it’s nice to know you are not alone. With experience in well over 1000 successful cases, Dr Andrew Kiyingi is one of the leading bariatric surgeons specialising in gastric sleeve surgery in Perth and Western Australia.
A sleeve gastrectomy is a weight-loss surgical procedure on your stomach performed through small keyhole incisions which:
- Firstly, reduces the size of the stomach, leaving you with a new small narrow stomach about the size and shape of a banana (approximately 150ml)
- Secondly, reduces the level of the body’s hunger hormone called Ghrelin
During the sleeve gastrectomy procedure, Dr Andrew Kiyingi passes a narrow flexible tube into your stomach. This is called a “bougie” and this acts as a sizing guide for your new stomach. He then carefully staples along this sizing guide so that each staple forms a tight seal. This technique ensures that all the sleeve gastrectomy surgeries Dr Andrew Kiyingi performs are measured to the correct size to maximise success and minimise complications.
If the gastric sleeve is made too tight, problems such as swallowing and vomiting can develop. Conversely, if the sleeve gastrectomy is too loose and your stomach volume is too large, this can result in poor weight loss or very early weight regain.
The sleeve gastrectomy procedure achieves weight loss by allowing you to:
- Eat smaller meals of normal food and still feel full
- Feel less hungry between meals
Following your gastric sleeve surgery, you can expect to lose weight over the first 12 to 18 months. After which you will maintain your new lower weight through a healthy active lifestyle and enjoy a great quality of life.
Sleeve Gastrectomy is Not Just Weight Loss. It’s Health Gain.
Being overweight or obese is one of the leading risk factors for ill health in Australia. The longer you live with obesity, the greater the negative effect on your physical health, mental health, and wellbeing. In fact, there are over 230 medical conditions linked to obesity and many people may not even be aware that they already suffer from them.
- Type 2 diabetes
- Infertility both male and male
- Obstructive sleep apnoea
- Heart disease
- High blood pressure (hypertension)
- Joint problems such as osteoarthritis and gout
- Some cancers including breast and colon (bowel) cancer
- Polycystic ovarian syndrome
- Liver disease
Just to name a few. Many of these conditions will have a long-term impact on your quality of life and shorten your life expectancy. Bariatric surgery (also known as weight loss or obesity surgery) can help you achieve lasting results. These surgical procedures have continued to advance with research and technology and are safe and effective.
Guide to Gastric Sleeve Perth
Benefits of Sleeve Gastrectomy for Weight Loss
There are many benefits of a Gastric Sleeve for weight loss including:
- 60 – 70% Excess weight loss expected. Many however can exceed this.
- Sleeve gastrectomy surgery is safe and very effective. It Is very different from the stomach stapling procedures used in the past.
- The operation time is shorter than gastric bypass.
- Patients can eat a wide variety of normal everyday food choices compared to the old fashioned lap gastric banding.
- No foreign material is implanted such as gastric band or minimiser rings.
- Less nutritional concerns or complications compared to the gastric bypass.
- Studies reveal an improvement or remission of obesity-related conditions such as sleep apnoea and type 2 diabetes.
- The food follows the normal digestive pathway.
Risks of Gastric Sleeve Surgery for Weight Loss
All surgical procedures no matter how big or small have associated risks. At Perth Bariatric Surgery our passion has and will always be putting your safety first through our experience and thorough approach to your surgical care.
You can be reassured that the sleeve gastrectomy procedure is safe, and the overall risks are exceptionally low. However, it is important to be aware there are risks (or disadvantages) of sleeve gastrectomy surgery and how they might affect your journey.
These may include:
- 1% risk of leakage from the staple line during the first 8 weeks of healing
- 1% risk of major bleeding
- Even though reflux (also known as heartburn) is common without surgery, some patient may develop these symptoms following sleeve gastrectomy surgery
Nutritional deficiencies can occur particularly if someone does not take their multivitamins. Our team at Perth Bariatric Surgery will recommend the best multivitamin options to prevent this.
Do I Qualify for Sleeve Gastrectomy Surgery? (Eligibility)
Gastric sleeve surgery is not one size fits all. This is because we are all individually different. We all have different weight challenges, medical conditions, and lifestyles. The sleeve gastrectomy is one of many weight loss surgery options. Our focus for gastric sleeve at Perth Bariatric Surgery is to take your personal history and tailor the right laparoscopic keyhole surgery option for you. In general terms, there are some factors that will influence your eligibility for gastric sleeve weight loss surgery:
Gastric sleeve surgery may be considered if your BMI (Body Mass Index) is greater than 35. However, in selected cases, if your BMI is between 30.1 to 34.9 and you have associated serious weight related medical conditions, then you may also be considered for bariatric surgery depending on your medical assessment.
Weight Related Medical Conditions
This refers to serious medical conditions that you may have developed as a result of your increasing weight. Examples include type 2 diabetes, obstructive sleep apnoea, high cholesterol, high blood pressure, etc. Sleeve gastrectomy surgery often leads to resolution of many of these conditions which improves the overall benefit of surgery.
Desire & Commitment
Surgery is not the easy way out. Understanding that a long term strict commitment to our pre and post-surgery programme will impact the safety and success of your surgery. Dr Andrew Kiyingi and the team at Perth Bariatric Surgery will be there to encourage you every step of the way.
Weight loss surgery is a very powerful tool that offers has significant health benefits such as reducing the risk of death from many causes. However, surgery only works in partnership with your healthy diet choices and an active lifestyle in the weeks after surgery. Gastric sleeve surgery reduces how much you can but not what you choose to eat.
Calculate Your BMI
- Under 18.5 – you are very underweight and possibly malnourished.
- 18.5 to 24.9 – you have a healthy weight range for young and middle-aged adults.
- 25.0 to 29.9 – you are overweight.
- Over 30 – you are obese.
How to Prepare for Gastric Sleeve Surgery in Perth
Preparing for bariatric surgery can be a bit like preparing for a marathon. It starts with conditioning your body for surgery. It is important to start developing your daily healthy habits as early as possible to improve your physical and mental health.
Gastric Sleeve Perth: 5 Top Pre-Surgery Tips:
- 1. Clear out the tempting unhealthy food options at home and replace them with healthy alternatives.
- 2. Closely follow the advice from our team. Some of our recommendations may be new and even challenging, however our goal is for your ultimate success.
- 3. Stop smoking or vaping completely at a minimum of 6-8 weeks before surgery.
- 4. Conditions such as excess alcohol, drug dependence, unstable mental health and eating disorders require specialist management complete treatment before surgery can be considered.
- 5. Improve your sleep hygiene with a regular good nights sleep.
Diet Preparation Before Sleeve Gastrectomy Surgery
In addition to making healthy diet changes in the lead up to surgery our Bariatric Dietician (dietitian) will perform a full nutritional review and offer further advice. You may also be recommended to undertake a Very Low-Calorie Diet (VLCD) or “Liver Shrinkage Diet. This diet makes your surgery safer by shrinking the liver size, in some cases down by 20% and also kick start the body’s weight loss. This diet involves replacing meals with a Optifast soups, shakes, bars and vegetables.
Read the blog Dr Andrew Kiyingi’s Ultimate Guide To A Gastric Sleeve Diet (Before Surgery) to know more.
The Sleeve Gastrectomy Patient Journey
The FIRST step is simply getting in touch with us at Admin@perthbariatricsurgery.com.au and requesting a consultation. It’s that easy.
During the journey you will meet our whole team including Dr Andrew Kiyingi and our specialist dietician and physician. We will organise the necessary medical investigations required for your safe surgery.
What happens on the day of your gastric sleeve surgery?
- After the completion of the pre-operative surgery programme, you will be ready for a safe and successful sleeve gastrectomy procedure. It is perfectly normal to be nervous on the day of surgery. Dr Andrew Kiyingi’s reputation as a meticulous surgeon should help to relieve some of these anxieties.
- Try to have a light and relaxed schedule on the day prior to surgery and a good night’s sleep. Please pay extra attention to the diet and fasting instructions from our Bariatric Anaesthetist and please understand that fasting includes no chewing gum.
- Feel free to ask further questions when you will be again greeted by Dr Andrew Kiyingi and his team on the day of surgery.
What happens on during your Sleeve Gastrectomy Operation?
- The sleeve gastrectomy is performed under general anaesthesia.
- Dr Kiyingi will make 5 small (key-hole) incisions (2cm) on your abdomen. To see organs clearly, carbon dioxide gas will be used to expand your abdomen.
- An instrument with a special narrow camera called a laparoscope, will be inserted through one incision to send pictures on a tv screen or monitor. It will allow Dr Andrew Kiyingi to perform the surgery.
- Additional small instruments will be inserted through the other small incisions as required to complete the operation.
- During gastric sleeve surgery, your liver will be gently lifted up and the stomach will then be carefully unbound from its attachments and surrounding organs.
- A stomach sizing guide called a bougie will be passed into your stomach, to ensure consistent and precise sizing of your new gastric sleeve.
- Dr Andrew Kiyingi, will then carefully staple along this sizing guide ensuring that each staple forms a tight seal. This will divide the old stomach from the new gastric sleeve.
- Once the old stomach is removed through one of your keyhole incisions, Dr Andrew Kiyingi will apply special local anaesthesia to minimise any discomfort following surgery.
- At the end of the bariatric sleeve procedure, the incisions are closed with dissolving sutures and covered with a waterproof dressing.
- When you wake up, you will stay in the recovery unit for some time until you are ready to return to the surgical ward. It is normal to feel tired after surgery.
Your Gastric Sleeve Surgery After Care
- Dr Andrew Kiyingi will review you daily after your gastric sleeve operation. The average length of stay is about 2 nights, though this can vary and will be assessed on a case-by-case basis.
- You will be kept relaxed with anti-nausea medications and pain relief. You will also be encouraged to do some gentle walking. Generally, patients report very little pain following surgery. However, we always try to make your stay more comfortable, so please feel free to inform the health care team if there is anything we can do.
- Our specialist dietician will provide you with after-surgery diet information. Initially, this will involve a clear fluid diet provided by the hospital. For some patients, you can also bring some additional clear drinks of your choice.
- Dr Andrew Kiyingi will review you again at the time of your hospital discharge and answer your additional questions. Once you arrive home you can begin taking your twice-daily chewable multivitamin (BN Brand only).
- It will be essential to follow the dietary, protein and fluid advice suggested by our experienced dietician and surgeon. Many patients enjoy casual comfortable walks each day. We know that you will have enough on your mind at this part of your recovery, so we generally recommend hiding your scales for now!
- Our comprehensive after care follow up programme will involve regular scheduled appointments with the whole team at Perth Bariatric Surgery (over the subsequent weeks, months, and years). During this time, we will monitor your progress and perform the necessary checks.
Diet after Your Gastric Sleeve
Firstly, rest assured that you will be able to comfortably eat normal everyday food once your gastric sleeve has healed after 8-10 weeks following surgery. You should not expect to suffer with recurrent vomiting unlike old fashioned weight loss procedures such as the gastric band.
Our specialist dietician will provide you with a staged diet plan, starting with a high protein fluid diet for the first 2 weeks following surgery. From then you will follow the plan and slowly upgrade food textures over approximately 2 weekly intervals over 8 – 10 weeks till you resume a normal diet. Strictly adhering to this post gastric sleeve surgery diet plan is critical to avoid complications from surgery in the weeks after surgery.
Cost of Gastric Sleeve Perth
Similar to other private surgical procedures, weight loss surgery across Australia does involve a gap. Following your consultation with Dr Andrew Kiyingi, we will provide you with an individualised quote.
Our payment options include:
Privately Insured Gastric Sleeve Surgery
If you have top level/gold private health insurance, then generally gastric sleeve surgery should be covered in your policy. You will need to contact your health insurer and confirm this. Otherwise, if not, you will need to upgrade your cover to the appropriate level and complete your health insurers waiting period to be privately covered.
Uninsured Gastric Sleeve Surgery
If you are uninsured, you may consider self-funding the full cost of surgery. This would include the cost of your private hospital stay. However, being uninsured can come with limitations, as such not all sleeve gastrectomy patients are appropriate or approved for uninsured funding. This can be discussed during your gastric sleeve consultation with Dr Andrew Kiyingi.
Superannuation Fund Gastric Sleeve Surgery
In some cases, your superannuation funds can be accessed to fund your gastric sleeve surgery, much like a self-funding patient. There are some guidelines that determine your eligibility to fund surgery using superannuation. Dr Andrew Kiyingi does accept patients who self-fund using superannuation; however, this is generally approved on a case-by-case basis.
MBS Item Number: Gastric Sleeve Surgery
Please note the below MBS item number for Private Health Insurance:
MBS Item Number: 31575 Laparoscopic Sleeve Gastrectomy (or Gastric Sleeve)
Frequently Asked Questions (FAQs)
What is a sleeve gastrectomy procedure?
A sleeve gastrectomy (also known as gastric sleeve surgery or bariatric sleeve), is a laparoscopic keyhole surgery in which the surgeon removes around 75% of the patient’s stomach. This leaves what is often referred to as a small “sleeve” of the remaining stomach, which then connects to the intestines of the patient. Ultimately, it aims to reduce the amount of food that the stomach can hold, helping to reduce the appetite of patients, and leading to more benefits in the long term.
Is a sleeve gastrectomy permanent?
Yes a sleeve gastrectomy is a permanent procedure, as the “outer” portion of the stomach is permanently removed leaving behind a stomach that is 75-80% smaller. The permanent change in the stomach following gastric sleeve surgery provides more durable long term weight loss results compared to less effective “temporary” weight loss options such as medications and gastric banding.
Will I be in a lot of pain after gastric sleeve surgery?
Dr Andrew Kiyingi patients routinely experience some of the lowest pain level among Perth gastric sleeve patients. Effectively managing pain is a priority during your operation. Following years of experience, Dr Andrew Kiyingi’s has fine-tuned his pain management protocol and most patients would expect to only require simple pain relief within 72hrs of surgery.
What is the Average operating time sleeve gastrectomy surgery?
What is the Average recovery time off work sleeve gastrectomy surgery?
What is the Average length of stay in hospital after gastric sleeve surgery?
When can I drive After sleeve gastrectomy surgery?
Which hospitals does Dr Andrew Kiyingi perform bariatric surgery?
Dr Andrew Kiyingi performs bariatric surgery at St John of God Subiaco (Subiaco), The Mount Hospital (Perth CBD), St John of God Murdoch (Murdoch) , St John of God Mt Lawley (Mt Lawley).
Note that you may be allocated a SPECIFIC hospital depending on your underlying medical conditions and date of surgery.
What are the staples used during gastric sleeve surgery made of?
Medical-grade titanium. They are miniature staples, unlike the staples in your office. A single cartridge of the stapling device fires 108 staples. Don’t worry they are so small that you won’t set off any metal detectors.
How do I avoid regaining weight after Gastric Sleeve Surgery?
This is a very complex topic; however, good healthy food habits everyday are the key preventing weight regain after Sleeve Gastrectomy surgery. Attending regular ongoing follow-ups with your surgical team has been shown to reduce the risk of regaining weight. Also, avoiding habits of snacking and high sugar and high alcohol foods is important. Weight loss surgery is only the start of your weight loss journey. If you go back to your old eating habits, then you may find that your weight returns also.
Will I need a General Anaesthetic for Gastric Sleeve Surgery?
All weight loss surgery including sleeve gastrectomy is performed under general anaesthetic which means you will be completely asleep and when you wake up the operation will be complete.
Even though general anaesthetic is very safe, at Perth Bariatric Surgery undertake additional medical preparation is to ensure you are fully prepared.
Is a sleeve gastrectomy and lap band the same thing?
No. Whilst the sleeve gastrectomy procedure involves the removal of part of the stomach, a lap band surgery instead involves the placement of a tight silicone band around the stomach. This band then creates two different sections in the stomach: a smaller upper pouch, and a larger lower section. The band itself can be adjusted over time, to help tighten the band and increase the efficacy, or may even be removed altogether.
A sleeve gastrectomy is a more effective weight loss surgery than lap band surgery, without the additional complications of lap band surgery such as extreme vomiting and food intolerance.
Is sleeve gastrectomy arthroscopic or laparoscopic?
A sleeve gastrectomy a laparoscopic procedure, which refers to “key-hole”, not arthroscopic procedure which refers to inside a joint (arth = joint). Gastric Sleeve surgery is a minimally invasive operation, where the surgeon only needs to make a few small incisions.
Can I still get pregnant after a sleeve gastrectomy?
Yes, you can still get pregnant after a sleeve gastrectomy procedure, though it is recommended that you wait at least 18 months before trying to get pregnant. This allows an adequate amount of time for your weight to stabilise after the surgery, ensuring you can have a healthy and safe pregnancy. In some circumstances, if a woman’s infertility was related to her obesity, a gastric sleeve operation can actually help increase fertility.
What is the best place for Gastric Sleeve Surgery in Perth?
Will I need to undertake a special diet BEFORE Gastric Sleeve Surgery?
In preparation for sleeve gastrectomy surgery we will organise an appointment with our dietician who guide you with the best nutritional choices leading up to surgery. In some cases (not all), a special “liver shrinkage diet may be required” See more about “Diet Prior to Gastric Sleeve Surgery”.
Will I need to undertake a special diet AFTER Gastric Sleeve Surgery?
After gastric sleeve surgery we will guide you through a special 6–8-week diet which will allow your stomach to heal safely. During this time you will progress through different food textures and eventually end up on normal “everyday” food,” See more about “Diet AFTER to Gastric Sleeve Surgery”.