Gastric Sleeve Perth

Gastric Sleeve Surgery for Weight Loss

“Weight loss (Bariatric) Surgery has significant health benefits such as reducing the risk of death from many causes. It is important to maintain a healthy lifestyle even after surgery”


Gastric Sleeve surgery (also known as Sleeve Gastrectomy) is one of the most commonly performed weight loss procedures.

It involves a key hole (laparoscopic) surgery procedure that involves permanently removing a portion (approximately three quarters) of the stomach. It does not involve any re-routing of the intestine. As a result, the stomach size becomes much smaller (approximately 150mls), allowing the patient to feel full after eating only a small meal. Food passes as normal down the oesophagus, through the resized stomach and into the small intestine.

Gastric sleeve surgery also leads to a reduction in the body’s hunger hormone called Ghrelin. As a result, patients also feel less hungry between meals.

Gastric Sleeve Surgery

Your Gastric Sleeve Procedure

Your Gastric Sleeve Procedure

Following the completion of the preoperative surgery programme everything will be in place for safe and successful surgery. It is natural to be anxious on the day of surgery. Rest assured that our Perth based surgeon Dr. Andrew Kiyingi has a reputation as a meticulous surgeon. Try to have light and relaxed schedule the day prior to surgery and good night sleep. Please pay extra special attention to the diet and fasting instructions from our Specialist Bariatric Anaethetist. It’s important to note that fasting includes no chewing gum.

On the day of gastric surgery in Perth, you will be again greeted by Dr. Andrew Kiyingi and his Specialist Anaethetist. Please feel free to ask any additional questions. The procedure is performed under general anaesthesia.

The key-hole (laparoscopic) procedure involves making 5 small incisions (2cm) on your abdomen. Carbon dioxide gas will be used to expand your abdomen, allowing the organs to be seen. A special narrow camera called laparoscope, will be inserted through one incision and a video image will be relayed to a tv screen to allow Dr. Andrew Kiyingi to perform the surgery. Further small instruments will be inserted through the other incisions as required to complete the operation.  During surgery your liver will be gently lifted up to reveal the stomach. The stomach will then be carefully freed from its attachments and surrounding organs. Dr. Andrew Kiyingi will assess if you have a Hiatus Hernia defect and repair it if required (read more here). A stomach sizing guide called a bougie will then be passed into your stomach. This bougie ensures consistent and accurate sizing of your new gastric sleeve. Dr. Andrew Kiyingi with then carefully staples along this sizing guide ensuring that each staple forms a tight seal. This stapler 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 procedure, the incisions are closed with dissolving sutures and covered with a waterproof dressing. The operation will be complete when you wake up and you will stay in the recovery unit for some time till you are ready to return to the surgical ward. It is common to feel tired after surgery.

Gastric Sleeve After Care

Gastric Sleeve After Care

Following surgery Dr. Andrew Kiyingi will review you daily. The average length of stay is about 2 nights, however, this can vary.

  • You will be kept comfortable with pain relief and anti-nausea medications and encouraged to do some gentle walking. Many will generally report very little pain following surgery. Please feel free to inform the health care team if there is any way in which we can make your stay more comfortable.

  • The after-surgery diet information will have already be provided to you by our specialist dietician. Initially this will involve a clear fluid diet provided by the hospital. Some patients prefer to also bring some additional drinks of their choice.

Dr. Andrew Kiyingi will review you again when it’s time for discharge and answer any of your questions. Once you arrive home you can begin taking your twice-daily chewable multivitamin (BN Brand only).

It is will be important to follow the dietary, protein and fluid advice provided by our Perth specialist dietician and surgeon. Many patients enjoy causal comfortable walks each day. We know that you will have enough on your mind at this part of your recovery and we generally recommend hiding your scales for now.

MBS Item Number: Gastric Sleeve Surgery

MBS Item Number: Gastric Sleeve Surgery

For Private Health Insurance, you may want to note the below MBS item number:

MBS Item Number: 31575 Laparoscopic Sleeve Gastrectomy (or Gastric Sleeve)

Benefits & Risks of Gastric Sleeve Surgery

There are many Benefits. Advantages of Gastric Sleeve Surgery include:

  • 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 that gastric bypass is very well tolerated.
  • Patients can eat a wide variety of normal everyday food choices compared to lap gastric banding.
  • No foreign material is implanted such as gastric band.
  • Less nutritional concerns or complications compared to the gastric bypass.
  • Studies reveal in improvement or remission of obesity related conditions such as sleep apnoea and type 2 diabetes.


There are some risks to be aware of. Disadvantages of Gastric Sleeve Surgery include:

  • 1% risk of major bleeding or leakage from the staple line during the first 8 weeks of healing.
  • Some patient may develop reflux (heartburn) or those with reflux (heartburn) may notice their symptoms may worsen.
  • Nutritional deficiencies can occur particularly if someone does not take their multivitamins

Cost of Gastric Sleeve Surgery Perth

“During your consultation our Practice Manager will outline the cost involved for surgery and aftercare.”

Privately Insured

If you are Privately Insured, it is important to contact your private health insurer to check that your level of cover is adequate for the item numbers we have listed below. Generally, you will require top level or gold cover and should have completed the waiting period. Medicare cover only a small portion of the surgery fees.


If you are Uninsured, we are still happy to proceed with surgery. However, we will receive a separate quote from the hospital for your private hospital stay. Our practice manager will discuss this during your appointment.

Superannuation Funds

Some patients choose to utilise early access of Superannuation funds. These may be privately insured patients who may use Superannuation to cover any fees or gaps not covered by their insurance, or uninsured patients who may use Superannuation to cover the full surgery programme amount. We are happy to support in this depending on your circumstances.