Our experienced and integrated, multidisciplinary team provides a holistic approach to gastric sleeve surgery.

Topic: Gastric sleeve Canberra

Sleeve gastrectomy, gastric sleeve Canberra

Our doctors provide medical care and perform interventions or surgery. Our psychologist ensures you are mentally prepared for the ensuing changes before surgery. Our dietitians will prepare a personalised program so you feel empowered to manage your transition to your new eating habits after surgery.

Quick facts about gastric sleeve

  • A sleeve gastrectomy or gastric sleeve is a surgical weight loss procedure during which most of the stomach is removed (up to 80%).
  • In order to be eligible for gastric sleeve surgery, you need to have a BMI higher than 35, or a BMI higher than 30 with associated metabolic conditions.
  • After your surgery, you will be guided to follow a diet over 6 weeks before you can eat solids again.
  • Smaller and more frequent meals, with a focus on sipping fluids between meals will be an essential habit to cultivate for safe and enduring weight loss. 3 months after surgery, you may have lost about 20 to 30% of your excess weight, and about 70 to 80% after a year.

Weight loss surgery is far from the easy way out. Capital Metabolic Clinic is your ideal support network, as our doctors, dietitians and psychologist collaborate to make sure you are ready for this big change in your life.

Dr Calista Spiro

Dr Calista Spiro

Bariatric surgeon Canberra

Ready for change?

capital metabolic clinic - ready for change?

Why is gastric sleeve surgery so effective?

There are two things that you can expect to happen after having had a sleeve gastrectomy:

  •  You will not be able to eat large portions. 6 weeks after surgery, you will start eating solids again, but the surgery restricts the portion sizes you can eat.
  • Your metabolic hormones will experience a change in regulation. Complex hormonal signaling will allow permissive weight loss without hunger for a period of 18 months.
Many of our patients find that after years of weight loss struggles, sometimes even decades, this is the first time they are able to lose a significant amount of weight and keep it off long-term
Dr Emily Lewis

Dr Emily Lewis

Dietitian Capital Metabolic Clinic

Am I a candidate?

When you have a BMI of >30 with a medical illness related to excess weight, you are a candidate for gastric sleeve surgery. If your BMI is higher than 35 even without a related medical condition, you are also a candidate for gastric sleeve surgery.

Medical conditions linked to obesity typically include:

  • High blood pressure
  • High cholesterol
  • Type 2 diabetes
  • Sleep apnoea
  • Asthma
  • Arthritis
  • Soft tissue infections

For your own safety, our team will screen you for any potential barriers or contraindications for surgery. In other words, we will screen to see if weight loss surgery may not be safe for you.

Contraindications include:

  • Patients who are not committed to multi-disciplinary care and follow-up
  • Patients with unresolved eating disorders or unstable psychological conditions
  • Patients who are current smokers or recreational drug users
  • Patients who have uncontrolled medical conditions.

If there is a contraindication, we will give you the opportunity for further treatment and assessment before a final decision is made. Other medical, endoscopic and surgical options will also be available to patients.

We believe in optimising your health before surgery. We strongly believe that this will lead to better outcomes.
Dr Jung Le Qui

Dr Jung Le-Qui

Bariatrician Capital Metabolic Clinic

I am eligible from a BMI perspective. What’s next?

First, you will be assessed by the surgeon. Then you will meet the bariatrician, the psychologist and the dietitian. 

Members of the team need to give a green light for surgery. This ensures that patients are prepared for major surgery, and are ready to reap the rewards
Chris Thompson

Mr Chris Thompson

Psychologist Capital Metabolic Clinic

This is a safety mechanism we put in place for your own safety. If you are mentally not ready for sleeve surgery, you will not get the best outcomes, which makes the risks of surgery outweigh the benefits. This multidisciplinary, holistic approach is pivotal for your health, both before and after your weight loss surgery.

Once you have been consented and surgery is booked, our dietitians will guide you through a Very Low Energy Diet, abbreviated as VLED. It is a pre-operative diet based on calorie restriction that will reduce the fat content of the liver, making it less prone to injury during a sleeve gastrectomy. It often includes products such as soups, shakes and protein bars. Everyone is different, and our dietitians will ensure you are getting an individualised amount of protein and calories before surgery.

Sleeve gastrectomy, gastric sleeve Canberra

Ongoing support: before, during and after surgery

Whenever you meet other people who have had a sleeve gastrectomy, they will tell you it’s a weight loss journey. Your lifestyle habits will change dramatically and you will be keen to talk to people who understand the journey you are on.
Capital Metabolic Clinic strives to provide the latest in evidence based surgery with our enhanced recovery after surgery program. ERAS reduces complications and empowers patients with knowledge of their surgical journey.
Dr Calista Spiro

Dr Calista Spiro

Bariatric surgeon Canberra

It is important to consult with your dietitian to find the correct supplement regime long-term, this is highly individual and depends on both your surgery and your diet.
Sarah White, dietititan Canberra

Sarah White

Dietitian Canberra Metabolic Clinic

Additional calcium supplementation is often required as bariatric surgery reduces the reabsorption of calcium in the kidneys. In patients with osteoporosis, osteopaenia or menopause, bone health is especially important to maintain.

Diet after surgery

After surgery, your diet will look like this:
  • Week 1-2: fluid diet
  • Week 3-4: puree diet
  • Week 5-8: soft diet
  • After week 8: diet as tolerated.
Our dietitian will explain this new regime prior to your surgery, giving you time to begin changing routines. Small meals frequently are important. In the first three to six months typical volumes are ¼ to ½ cup. You are encouraged to engage with our dietitians to support you.

So, are you ready for a change?

Losing 70 to 80% of excess weight will be a huge change to your life. You have read through a lot of information and process that surgery has risks but also benefits that far outweigh them.

Harnessing the advantage of the rapid weight loss requires the knowledge of maintenance. Our experienced clinicians and allied health professionals can equip you with the knowledge required to keep the weight off by adopting sustainable strategies for health.
Dr Calista Spiro

Dr Calisto Spiro

Bariatric surgeon Canberra

Conventional weight loss methods offer a slow and steady pace of weight loss that takes years and are often undone by short periods of non-compliance. Weight loss surgery provides rapid weight loss that encourages patients to keep working hard to maintain their goals. The magnitude of weight loss and effects on weight-related medical issues is unmatched by conventional and medical weight loss.

So, are you ready for a change? The team at Capital Metabolic Clinic looks forward to supporting you on your weight loss journey.

Ready for change?

capital metabolic clinic - ready for change?