Frequently Asked Questions
Am I a candidate for obesity surgery?
There are a number of widely accepted Selection Criteria which make a patient suitable for Bariatric or weight loss surgery:
- Weight greater than 45kg above the ideal body weight for sex, and height.
- BMI > 40 by itself or >35 if there is an associated obesity illness, such as diabetes or sleep apnoea.
- Reasonable attempts at other weight loss techniques Age 18-65.
- Obesity related health problems.
- No psychiatric or drug dependency problems.
- A capacity to understand the risks and commitment associated with the surgery.
- Pregnancy not anticipated in the first two years following surgery.
There is considerable flexibility in these guidelines. A lower BMI between 30-35 can be accepted if comorbidities exist. We also take into account the highest weight reached to qualify for surgery.
What do I bring to my first consultation?
Your referral letter and any past medical history, list of your current medication and any previous x rays or any previous tests.
Do I need to stop smoking prior to weight loss surgery?
We do not proceed with surgery til you cease smoking 6 weeks prior to surgery. We do direct you to the appropriate avenues to help you quit smoking. Obesity and smoking are the two leading causes of death. If you are an obese and a smoker your health is at a stake, let alone after surgery. We have operated on many smokers after we help them quit and they have had great success. They are grateful that we helped them in treating both problems hand in hand.
Can the gastric band be removed?
Yes, an adjustable gastric banding device can be removed. In most cases, this can be done laparoscopically. The stomach generally returns to its original shape once the band is removed. After the removal, though, you may soon go back up to your original weight or even gain more. We then recommend in this situation to consider another bariatric procedure such as sleeve gastrectomy or Roux en y gastric bypass procedure.
Do I have to be careful with the access port just underneath my skin?
There are no restrictions based on the access port. It is placed under the skin in the abdominal wall, and once the incisions have healed it should not cause discomfort or limit your movements or any physical exercise. The only sensation you may have from the port is when you go in for adjustments. If you feel persistent discomfort in the port area, let us know as soon as possible.
Does weight loss surgery limit any physical activity?
Neither adjustable gastric banding device nor any other bariatric procedure hamper physical activity including aerobics, stretching and strenuous exercise.
Does weight loss surgery require frequent office visits after surgery?
Check-ups are a normal and a very important part of all weight loss surgery as follow-up visits are the key to long term success, that is why at our practice (OCQ) we offer these visits indefinitely on bulk billing basis.
How do the weight-loss results with sleeve gastrectomy compare to those with a gastric bypass?
You should focus on long-term weight loss rather than comparing results on the short term, however both procedures have a comparable weight loss results with the bypass probably more effective on the long term. Remember that it is important to lose weight gradually while reducing obesity-related risks and improving your health.
How does obesity surgery affect pregnancy?
Becoming pregnant can be easier as you lose weight. Your menstrual cycle may become more regular. Usually you do not need to eat more while you are pregnant. We recommend strict guidance by a dietician, and your obstetrician through out your pregnancy with the focus on you and your baby’s well being.
How does the body adjust after weight loss surgery?
With less food and calorie intake, the body compensate by burning the stored body fat to cater for the energy deficit caused by the reduced food intake. This process produces ketones, which are used as a fuel. To avoid burning muscles rather than fat, exercise and eating more, less carbohydrates are the key to preserve muscles especially in the first 6 months after surgery. Eventually the weight plateaued at a healthy level on its own pace.