Frequently Asked Questions
Technically a BMI of 30 or greater is characterised as obese. Individual co morbidities also need to be considered in conjunction with a person’s BMI. So BMI and medical history need to be considered on an individual basis.
Body Mass Index.
When considering weight loss surgery it is important to understand your BMI.
Your BMI is an estimate of your body fat using your height and weight.
Please refer to our table to check whether you are considered to be overweight.
To calculate your BMI refer to the BMI calculator.
Please note: you will need your height and weight.
WEIGHT LOSS SURGERY
A BMI of 30 or greater. A lower BMI will be considered if there are other co morbidities present.
Weight loss, reduction in co morbidities such as high blood pressure and Type 2 Diabetes.
As with all surgeries there is always a risk. These will be fully discussed during your consultation.
- Roux -en-Y Gastric Bypass.
- Laparoscopic Sleeve Gastrectomy.
- Laparoscopic Adjustable Gastric Banding
- Single Anastomosis Duodenal Switch.
- Please refer to our Treatments Page
BEFORE WEIGHT LOSS SURGERY
Following your initial appointment with one of our surgeons, you will then see our dietitian, at least two weeks prior to your surgery. You will also have an appointment with our physician and a further consent appointment with the surgeon.
Depending on your BMI you will need to start a strict pre-operative diet approximately 2 to 4 weeks before your surgery. This will be discussed at your pre operative dietetic appointment.
Mr Adam Skidmore or one of our other very qualified surgeons will perform your surgery. There will also be an assistant surgeon and an anaesthetist as well as speciality trained nurses.
Depending on what surgery you are having, Mr Skidmore operates from
- Warringal Private Hospital
- Albury Wodonga Private Hospital
- Northpark Private Hospital
This will depend on what medication you are on. Patients on anticoagulants such as Warfarin will need to alter this medication prior to your surgery. You will be advised if and when to stop your current medications.
Depending on your surgery you may need to have a gastroscopy. This will be discussed at your appointment with Mr Skidmore.
You will also be required to have a blood test prior to your pre operative Dietitian appointment.
In some cases our physician may request further test related to co morbidities.
Dependent on surgery selection and whether or not that surgery is revisional or primary.
As a general rule:
- LSG: 1-1.5 hours
- RYGB: 1.5- 2 hours
- LAGB: 45mins - 1 hour
- Duodenal Switch: 2 - 3 hours.
Generally, expect to be in hospital for 2 to 3 nights depending on your surgery.
You may have some post operative pain which will be controlled with analgesia in the hospital. You will also be sent home with the analgesia.
Yes you will be able to eat, however your amounts will be greatly reduced. You will also be on a strict fluid diet which we will discuss in consultation. You will begin a gradual progression back to a normal diet.
Despite being a laparoscopic surgery a small port scar may be seen. Over time, depending on your skin they may fade.
Weight loss will be gradual but will begin straight away. Long term success is variable and relies on you working in conjunction with your operation.
High blood pressure and Type 2 Diabetes (on medication) are two conditions that need to be monitored post weight loss surgery. With weight loss some medications may need to be adjusted or even ceased.
Once off prescribed medication.
Not within the first week post surgery. Once off strong analgesic medication and feeling able.
As for driving, not within the first week post surgery. Overseas travel is not recommended for at least 6 weeks post op.
You will be required to take a Multivitamin, vitamin b12 and a Proton Pump Inhibitor such as Nexium. You will be advised of your medications before your discharge from hospital.
Generally you will need 1 to 2 weeks off work depending on your surgery and your job.
If you have a RYGB there is a possibility you will experience some hair loss. Prevention will be discussed and our dietitian will discuss supplements with you.
For general problems please contact the Practice Nurse via mobile. If there is an urgent medical problem present to Knox Private Hospital Emergency or call 000.
Portion size will gradually increase however portions will/should remain smaller than you are able to eat now. Contact our rooms for one of our Meal Request Cards enabling you to order smaller portions/ from the children’s menu.
Please call our rooms to discuss fees for bariatric surgery. General surgery has a minimal fee or can be done publically in Sandringham Hospital.
For weight loss surgery, we do require you to have Private Health Insurance which covers bariatric surgery in a private hospital.
You are able to access your superannuation to pay for your out of pocket fees however you do still need Private Health Insurance that will cover the procedure as a private patient in a private hospital.
All our applications for early release of super are organised by SuperCare, who will assist you in the process. If you wish to access your super please let one of our staff know so we can provide your details to SuperCare.
For more information please visit the SuperCare website: https://mysupercare.com.au/our-services/bariatric/
Skype is available on portable devices, such as a phone or tablet, as well as on a desktop computer. If you do not already have Skype set up on your selected device please follow the instructions in the following link: https://www.skype.com/en/get-skype/download-skype-for-desktop/.
The username required for your appointment will be provided in your admission paperwork.
Currently we offer Skype appointments for patients who reside more than 3 hours from the rooms for Physician, Dietetics and Exercise Physiology appointments.