It also makes it a lot harder to cheat on the high-calorie liquids which band patients learn to do because you will get to a certain volume, you will feel full and you’ll need to pause. You have to have a water bottle with you and you’re drinking small amounts frequently and that’s how you get your food in. That also means that you can’t go out on a hot Perth day and expect to scull a litre of water when you get home. And the coffee is getting cold by the time you finished it. So you will get to half a mug of coffee to begin with and you will feel full. Typically, that will be an entrée size portion and that entrée is going to feel to you like a main course.Īlso unlike a band, there is now an absolute volume limitation even to liquids. What You Can Eat & DrinkĪnd that means that unlike a band, we would expect you to be able to eat bread and steak and chicken, all the things that a band patient struggles with you can still eat but in much smaller amounts. And that means that unlike an adjustable gastric band where you have a restriction at the top part of the stomach even though it’s adjustable at any one time it is fixed, this is a dynamic sphincter that opens and closes rhythmically. The outlet of your now skinny stomach is still the normal pyloric valve or sphincter that opens and closes rhythmically. So your stomach starts off looking a little bit like that in shape and size. The sleeve gastrectomy I like to think of as an example of a reductive operation rather than a restriction operation which is like the adjustable gastric band or malabsorptive operation which are the bypasses.Īnd by reductive operation, I mean that by keyhole surgery, we staple off and permanently remove about 90% of your stomach, converting you from what is typically a one and a half litre stomach bag down to about a 100 ml stomach tube. Since 2003, we’ve done well over 1,600 sleeves. It represents well over 80% of the first-time bariatric operations done. And it has become the most dominant operation in Australia particularly for first-time surgeries.
Sleeve gastrectomy has been done around the world since about 2000 and we’ve been doing it here since 2003.
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