As per NCBI reports, it is found that bariatric surgery is a safe procedure with low mortality and morbidity rates, having a risk rate of 0.4% and postoperative complications of 3.4 to 5.1%.
Bariatric surgery, also known as weight loss surgery, provides long-lasting results and helps manage weight effectively. It is considered a boon for obese patients who struggle with traditional weight loss methods.
This type of surgery is commonly referred to as either gastric bypass or gastric sleeve. Undergoing bariatric surgery significantly alters the digestive system and stomach, reducing the amount of food you can consume at one time. Patients learn to adapt to smaller portion sizes, which is a critical component of sustained weight loss.
However, it’s important to note that bariatric surgery isn’t suitable for everyone. Specific eligibility criteria must be met before undergoing the procedure. Read on to explore these criteria and determine if bariatric surgery is the right option for you.
About Dr. Niruben Rajasagaram
Dr. Niruben Rajasagaram is a bariatric surgeon based in Melbourne, known for his expertise in performing advanced weight loss surgeries, including gastric bypass and gastric sleeve procedures. With a patient-centric approach, Dr. Rajasagaram has helped numerous individuals achieve their health and weight loss goals safely.
Dr. Rajasagaram’s weight loss centre is patient foccussed with a team that offers complete pre-and post-surgical care for each patient.
Qualifying Criteria for This Weight-Loss Revolution
To be eligible for gastrectomy, patients must meet the following criteria:
- BMI: Between 30-35 with at least two health issues like diabetes, hypertension, sleep apnea, or heart disease, or over 35 with or without these conditions.
- Past Weight Loss Attempts: A history of unsuccessful weight loss efforts.
- Obesity Risks: Obesity must pose serious health risks.
- Medical Safety: No severe health issues that could make surgery unsafe.
- Mental Health: Psychological conditions like depression should be stable to avoid risks during or after surgery.
- Age: Meet the specific age requirements for the procedure.
- Motivation: Be committed to maintaining a healthy lifestyle after weight loss.
Types of Bariatric Surgery
Bariatric surgeries vary, each with its pros and cons. Consult your doctor to choose the best option for you. Here’s a quick overview:
1. Roux-en-Y Gastric Bypass
- Common and reversible.
- Reduces stomach size and limits calorie absorption.
- Surgeon creates a small stomach pouch and connects it to the middle of the small intestine, bypassing most of the stomach and the first intestine section.
- Results in less food intake and significant weight loss.
2. Sleeve Gastrectomy
- Most common and not reversible
- Removes about 80% of the stomach, leaving a tube-shaped pouch.
- Smaller stomach reduces food intake and lowers hunger hormone (ghrelin) levels.
- No intestinal rerouting and shorter hospital stay.
3. Biliopancreatic Diversion with Duodenal Switch (BPD/DS)
- Two-step surgery: first, a sleeve gastrectomy; second, rerouting the intestine.
- Limits food intake and reduces nutrient absorption.
- Highly effective but carries higher risks like malnutrition and vitamin deficiencies.
4. Single-Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S)
- Similar to BPD/DS but simpler.
- Involves a sleeve gastrectomy and a bypass of most of the small intestine, reducing calorie absorption.
- Effective for significant weight loss.
Choosing the Right Surgery
Your surgeon will consider factors like BMI, eating habits, health issues, and risks to determine the best option for you.
Screening Patients for Bariatric Surgery
Patients undergoing bariatric surgery must go through several steps to ensure the procedure is safe and successful. Here’s an overview of the screening process:
Initial Consultation
The journey starts with a consultation where the surgeon reviews the patient’s medical history, previous weight loss efforts, and current health conditions.
BMI Calculation
The patient’s height and weight are measured to calculate their BMI. A BMI of 30 or higher (or 35+ with health conditions) typically qualifies for bariatric surgery.
You can use our tool to calculate your BMI: BMI Calculator
Physical Examination
A thorough physical exam is conducted to assess the patient’s overall health and check for obesity-related conditions.
Psychological Evaluation
A psychological assessment determines the patient’s emotional readiness for surgery. It also identifies any need for additional support or counseling before or after the procedure.
Nutritional Assessment
A dietitian evaluates the patient’s nutritional status, identifying deficiencies and recommending a tailored diet plan for pre- and post-surgery.
Medical Tests
Patients undergo tests like blood work, ECG, and imaging studies to evaluate their health and identify potential risks.
Patient Education and Consent
The patient is informed about the surgery options, risks, benefits, and required lifestyle changes. They must provide informed consent before proceeding.
Insurance and Financial Review
The patient’s insurance coverage is reviewed, and payment options are discussed to ensure financial preparedness for the surgery. There is an option to use your superannuation or avail of an interest free payment plan at Mr.Niruben’s weight loss surgery centre.
Weight loss surgery can be a life-changing solution for individuals struggling with obesity, but it’s essential to meet the eligibility requirements and commit to long-term lifestyle changes. If you are considering bariatric surgery, consulting with an experienced specialist is the first step toward achieving sustainable results.
Why Choose Dr. Niruben Rajasagaram?
Dr. Niruben Rajasagaram is a trusted weight loss surgeon in Melbourne, known for his patient-centred approach and commitment to long-term success. With extensive experience in gastric sleeve, gastric bypass, and gastric band surgery, he provides personalised treatment plans customised to each patient’s needs. From pre-surgical assessments to post-operative care, Dr. Niruben ensures that every patient receives comprehensive support throughout their weight loss journey.
If you’re ready to take control of your health, schedule a consultation with Dr. Niruben Rajasagaram today and explore the best weight loss surgery options for you.