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.
What does BMI stand for and what does it mean?
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.
Please note: you will need your height and weight.
WEIGHT LOSS SURGERY
Who is eligible for weight loss surgery?
A BMI of 30 or greater. A lower BMI will be considered if there are other co morbidities present.
What are the benefits of weight loss surgery?
Weight loss, reduction in co morbidities such as high blood pressure and Type 2 Diabetes.
What are the risks of weight loss surgery?
As with all surgeries there is always a risk. These will be fully discussed during your consultation.
What types of surgery are available?
Laparoscopic Adjustable Gastric Banding.
Laparoscopic Sleeve Gastrectomy.
Roux -en-Y Gastric Bypass.
Single Anastomosis Duodenal Switch.
Please refer to our Treatments Page
BEFORE WEIGHT LOSS SURGERY
Who will I see in the weeks prior to 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.
Will I need to go on a special diet?
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.
Who will be involved in performing the surgery?
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.
Where can I have the surgery?
Depending on what surgery you are having, Mr Skidmore operates from
Warringal Private Hospital
Knox Private Hospital
Albury Wodonga Private Hospital
Do I need to stop taking my medications before surgery?
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.
Will I need any pre-operative tests?
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.
How long will my surgery go for?
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.
How long will I be in hospital?
Generally, expect to be in hospital for 2 to 3 nights depending on your surgery.
Will I be in pain after my 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.
Will I be able to eat after surgery?
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.
Will I have wounds/scars after surgery?
Despite being a laparoscopic surgery a small port scar may be seen. Over time, depending on your skin they may fade.
Will I lose weight straight away?
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.
Will the surgery improve my health problems?
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.
When can I drink alcohol?
Once off prescribed medication.
When can I drive?
Not within the first week post surgery. Once off strong analgesic medication and feeling able.
When can I fly in a plane?
As for driving, not within the first week post surgery. Overseas travel is not recommended for at least 6 weeks post op.
Will I need to take medication after my surgery?
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.
When can I go back to work?
Generally you will need 1 to 2 weeks off work depending on your surgery and your job.
Will I lose my hair after surgery?
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.
If I have a problem post surgery, who can I contact?
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.
Will I always only be able to eat small portions?
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.
Are there any fees involved with the surgery?
Please call our rooms to discuss fees for bariatric surgery. General surgery has a minimal fee or can be done publically in Sandringham Hospital.
Do I need Health Insurance?
For weight loss surgery, we do require you to have Private Health Insurance which covers bariatric surgery in a private hospital.