Weight Loss Options

Non-surgical options

What is it?

The most common approach to weight loss:

1. Eating less and eating sensibly

2. Exercising more

How does it work?

Small lifestyle changes to diet and exercise can translate to great health benefits.

Is it reversible?

Yes

Adjustability

Not applicable.

Outcomes

Unfortunately, diet, fitness and medication to treat obesity offer only short-term results. Studies show that obese patients on diets, exercise programmes or weight loss medications lose approximately 10% of their body weight, but tend to regain two-thirds within one year – and most of the weight within 5 years.

What are the risks?

While temporary weight loss can help, the
’yo-yo effect’ can make it harder to lose weight in the future.

Gastric Banding Procedure

What is it?

Laparoscopic Gastric Banding is the placement of a band around the top of the stomach through keyhole surgery. The Gastric Band is made of silicone and a balloon lines the inside. An access port, connected to the Gastric Band by tubing, is placed in the abdomen wall, which allows saline solution to be added or removed to change the size of the band.

How does it work?

The Gastric Band is designed to induce weight loss by applying a constant, gentle pressure to the top part of the stomach, encouraging satiety (a sense of fullness) even without food. By sending this signal of satiety to the brain, it limits the amount a person can eat.

Is it reversible?

Yes: As the procedure is done laparoscopically, there is no major opening of the abdomen required, no cutting or potentially permanent alteration to the stomach or intestines.

Adjustability

Can be quickly, easily and non-surgically adjusted to affect weight loss results, during a brief doctor’s office visit.

Outcomes

Patients can lose up to an average of 27kg of their excess weight in 12 months, and a recent study shows that the Gastric Band is a
long-term option with sustained weight loss at 17 years. It is now the most common form of weight control surgery in Australia, with over 100,000 Gastric Banding Procedures being performed in Australia since 1994.

What are the risks

Complications can include:

  • Acid reflux and vomiting
  • Band slippage
  • Stomach obstruction.

ORBERA® Managed Weight Loss Program

What is it?

The ORBERA® Managed Weight Loss Program is a unique and effective non-surgical weight loss program where a soft, expandable intragastric balloon, is temporarily inserted into the stomach for a maximum of six months. It is less invasive than bariatric surgeries, and is designed to help you control your hunger and change your lifestyle, giving you the kickstart you need to get started on your weight loss journey.

Recent studies have shown that the OBRERA® intragastric balloon is proven to be 80% more effective at 12 months than diet & exercise alone. Patients who continued follow-up visits with their clinic at 12 months, maintained their weight loss 80% more than patients who didn’t stay in regular contact with their clinic.

How does it work?

Once in place, the intragastric balloon is filled with saline to partially fill the stomach, helping the person to feel less hungry, so that they may consume smaller portions of food and experience similar satiety to what they would have previously experienced after consuming a larger meal. Most weight is lost in the first three months, but because the intragastric balloon stays in for six months, you will learn the right amount of food to eat to maintain your new weight long-term. During the six months and beyond, you will also work with your support team of weight loss experts on a personalised plan to help you achieve your weight loss goals.

Is it reversible?

Yes: The intragastric balloon is placed in the stomach for a maximum of six months. If needed, your doctor can remove it at any time.

Adjustability

The intragastric balloon is not adjustable but it can be filled between 400 to 700 mL to suit your requirements.

Outcomes

With ORBERA®, provided you follow the program correctly, you can expect to lose up to 10-15kg.* However, as with any process of change it all depends on you and how closely you follow your diet and adopt long-term lifestyle changes.

What are the risks

Complications can include:

  • Vomiting
  • Rejection of a foreign object by the stomach
  • Balloon leaks
  • Balloon deflation.

*Weight loss results vary from person to person.

Gastric Sleeve Surgery (Sleeve Gastrectomy)

What is it?

Sleeve Gastrectomy (also known as Gastric Sleeve surgery) is a relatively new approach to weight loss surgery. Originally, it was the first stage of a far more complicated Gastric Bypass operation, but is now becoming more popular as a stand-alone procedure.

How does it work?

With Gastric Sleeve surgery, using a small stapling device, around two thirds of the stomach is removed laparoscopically, via a small tube. The residual stomach capacity is around 200 mls.

Is it reversible?

No: Due to stomach cutting and removal, this procedure is considered permanent and cannot be reversed.

Adjustability

Since such a large part of the stomach is removed during the procedure, there are not really any "adjustments" to be made.

Outcomes

Gastric Sleeve surgery is believed to work by two main mechanisms:

1. Decreasing the stomach size and thus increasing the sensation of fullness.

2. Decreasing appetite. Appetite reduction apparently occurs because the level of the
so-called ‘hunger hormone’ is reduced.

What are the risks

Complications can include:

  • Risk of possible staple-line leakage
  • Gastric remnant dilation
  • Suture line bleeding
  • Leakage and gastric strictures
  • Risk of gastric reflux.

Gastric Bypass

What is it?

Gastric Bypass has been available for more than 35 years and is still a commonly used surgery in the United States. Gastric Bypass is traditionally done with a long incision in the abdomen, but can also be performed laparoscopically. It involves cutting the stomach off near the top so that a smaller pouch may be made, which is reconnected to the small intestine.

How does it work?

Two commonly used gastric bypass techniques are:

1. Roux-En-Y Bypass

2. Sleeve Gastrectomy

Roux-En-Y Bypass involves creating a small stomach pouch that is then attached to a
Y-shaped section of the small intestine. With this method, most of the stomach and top portions of the small intestine are bypassed. This procedure reduces the absorption of nutrients and therefore calorie intake. It is done through a major opening of the abdomen, requires staples and is irreversible.

Sleeve Gastrectomy is a newer method of Gastric Bypass, which removes two- thirds of the lateral stomach to form a new tube-shaped stomach. Sleeve Gastrectomy is often used as a primary operation to further bypass procedures for super obese (BMI of 60+) people who may need more radical bypass in the future.

Is it reversible?

No

Adjustability

To make any "adjustments" or to improve weight loss results, additional surgery may be necessary.

Outcomes

May offer more rapid initial weight loss but some patients with Gastric Bypass will regain some weight over time. After about three years, weight loss is comparable to Gastric Banding Procedure.

What are the risks

Complications can include:

  • Nausea and vomiting
  • Separation of staples (major revisional surgery)
  • Leaks from staple lines (major revisional surgery
  • Higher risk of short term death following surgery when compared to Gastric Banding Procedure.

Gastric Plication

What is it?

Laparoscopic Gastric Plication, also known as Laparoscopic Greater Curvature Plication, is similar to Sleeve Gastrectomy surgery, but without the need for removing part of the stomach.

How does it work?

In this procedure, the stomach is reduced by cutting the greater omentum, part of the lining of the abdominal cavity and the short blood vessels supplying the stomach. Then the greater curvature of the stomach is folded inward using multiple rows of sutures. This creates a tube, similar to that seen in Sleeve Gastrectomy.

Is it reversible?

Yes

Adjustability

To make any "adjustments" or to improve weight loss results, additional surgery may be necessary.

Outcomes

The percentile of excess weight lost appears similar to that seen with other restrictive methods. However, this technique requires greater expertise and is more time consuming.

What are the risks

Not enough published data exists on this new procedure.

Proven Weight Loss Solutions

If you're ready for lasting results, Gastric Banding Procedure or the ORBERA® Weight Loss Program might just be right for you. Stop finding excuses and start planning to take action today.

Gastric Banding Procedure

The Gastric Banding Procedure not only helps you lose weight but can help resolve or improve other health problems such as diabetes and arthritis. Start your weight loss journey here.

Orbera®

By helping you control your hunger and change your lifestyle, the ORBERA® Weight Loss Program can give you the kickstart you need to get started on your weight loss journey.

Success stories

GBP Success Story

Listen to what real people who have struggled with their weight for years have to say about their experience with Gastric Banding Procedure.

ORBERA® Success Story

Find out how the ORBERA® Weight Loss Program has helped people lose weight and gain a new lease on life.

Take the quiz

Sometimes it’s hard to work out what weight loss option is going to work for you. By taking this quick quiz the decision might just be a little bit easier.