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        Compare the 3 Operations
        Compare the 3 BARIATRIC Operations. Adjustable Gastric Band, Sleeve Gastrectomy, Roux en Y Gastric Bypass. Obesity surgery and stomach stapling in Melbourne.

        Compare the 3 Weight Loss Operations

        Which one is right for me?

         

         
        Restriction and Malabsorption
        Restriction
        (Stomach only)
         
        Roux en Y Gastric Bypass
        Sleeve Gastrectomy
        Adjustable Gastric Band

         Anatomy
        Bypass

        Small gastric pouch (30ml) connected to the small intestine and bypassing 1m of intestine
        Sleeve

        Long narrow gastric pouch (150ml)
        Gastric

        Adjustable silicone band (ring) around the top of the stomach, small gastric pouch (30ml)

        Effects of Procedure
        • Significantly reduces meal sizes
        • Not Adjustable
        • Malabsorption (mild)
        • Dumping syndrome when sugar or fats are eaten
        • Significantly reduces meal sizes
        • Not Adjustable
        • No malabsorption or dumping
        • Moderately reduces meal sizes if eating pattern adapted
        • Adjustable
        • No malabsorption or dumping

        Directly impacts on
        • Hunger
        • Speed of Eating
        • Volume of food that can be eaten
        • Absorption of calories and nutrition
        • Hunger
        • Speed of Eating
        • Volume of food that can be eaten
        • Hunger
        • Speed of Eating

        Weight Loss (average at 10 years)

        		 75% of excess weight 70% of excess weight 60% of excess weight • Requires the most effort

        Long Term Daily Dietary Modification

        ALL PROCEDURES WILL FAIL WITH EXCESSIVE HIGH CALORIE
        • Less than 1000 calories
        • Avoid sugar and fats to prevent “dumping”
        • Less than 1000 calories
        • Less than 1000 calories
        • 3 solid, textured meals, well chewed
        • No drinking with meals

        Long Term Nutritional Supplements
        • Multivitamins required
        • Deficiencies infrequent
        • Multivitamins required
        • Deficiencies very rare
        • Multivitamins required
        • Deficiencies very rare

        Potential Problems

        		 Leak Dumping Syndrome Ulcers Bowel Obstruction Vitamin Deficiencies (B12, folate), anaemia Leak “Eating Squeezing”, nausea and vomiting initially Heartburn Inadequate weight loss Slow weight loss Inadequate weight loss Slippage Erosion Port problems “Blockage” Reoperation 10% (?)

        Reversibility

        		 Not reversible, partly modifiable Not reversible, highly modifiable Reversible, partly modifiable

        Hospital Stay

        		 3 to 4 days 2 to 3 days 1 day

        Time off Work

        		 1 to 2 weeks 1 to 2 weeks 1 to 2 weeks

        Operating Time

        		 120 minutes 90 minutes 30m minutes

        Major Complications

        		 5% 2% 1%

        General Recommendation

        		 Most eating patterns BMI >45 Sweet tooth’s, large meals, binge eating BMI 35 to 55 Self disciplined eating style BMI 35 to 45

        Typical patient Summaries

        		 “I need the operation with the greatest weight loss.” “I am worried I will not have the self discipline required to get a band to work” “I just need a constant reminder to help me: I can lose the weight, I just can’t keep it off”
        You need to discuss this with your surgeon, family and friends to try and make the best choice for you. All figures given are a rough guide only.

         

        Dr Draper does not perform Gastric Bypass surgery and this information is provided for educational purposes.

        Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

         

        Please Contact Melbourne Bariatrics on 03 9770 7189 for more information or to make an appointment.

        Gastric Bands
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        Which operation is best for me?
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        Mr Geoff Draper
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        Risks, Costs & Questions
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        Sleeve Gastrectomy
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        Questions
        1
        Cost
        How much does it cost?
        Basically, at Melbourne Bariatrics Peninsula, a Gap fee for most bariatric surgery applies. The gaps fees for a Sleeve are $6300. Revision surgery fees vary.
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        2
        Payment Options
        A range of payment plans are available.
        These include standard payment through Private Health Cover, No gap covered by Supported Health, Self funded and Using your Superannuation.
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        3
        Choosing
        Which operation you choose should be the safest operation that suits you. In a nutshell, Bands are the safest, Sleeves have the most natural eating style, & Bypasses achieve the greatest weight loss. They are all done laparoscopically (keyhole).
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