https://surgicalweightlosscentre.com.au/The Surgical Weight Loss Centre is a multi-procedural, multidisciplinary bariatric surgery practice, where treatment is tailored to the individual needs of each patient.
Weight Loss Surgery… It’s not just about the
Obesity has overtaken smoking as the leading cause of premature death and
illness in Australia. Obesity has become the single biggest threat to public health
in Australia. The obesity crisis is not on its way – it is already here.
Obesity is no longer considered just a cosmetic issue, brought on by a lack of self-
discipline. It is a complex condition with biological, genetic, behavioural, social,
cultural, and environmental influences. The human body is made to survive in
situations where food is scarce and high physical activity is the norm. However, in
this day and age much of humanity is faced with just the opposite. Food is
overabundant and physical activity is actually a break from the normal daily
routine. As a society, we experience high levels of stress, anxiety, and depression,
fewer opportunities for physical activity and greater exposure to marketing of
Why BMI is Used as a Starting Point in the
Surgical Management of Obesity
Obesity has overtaken smoking as the leading cause of preventable disease and
premature death in Australia.
It is therefore important to be able to easily identify people who are most likely to
Once identified, people in this group can be further assessed to determine if and
how they would benefit from having their obesity treated.
The World Health Organisation (WHO) defines obesity by the percentage body fat,
over 25% for men and over 35% for women.
What does that mean in laymans terms? If more than a quarter of a man‟s body if
made up of fat, then he has obesity. If more than a third (roughly) of a women‟s
body is made up of fat, then she has obesity.
How do we identify people with obesity?
A good screening tool to identify people with obesity would be
Based on information that most people already know or can easily find out
without needing difficult or expensive equipment
A reliable indicator of actually having obesity to maintains public trust in the
oThat is, it would be best if most of the people identified by the
screening tool would turn out to actually have obesity on further
testing and relatively few people are incorrectly categorised as having
BMI meets all of these criteria.
BMI = weight in kilograms
Height in metres x height in metres
Take home message:
BMI is not used because it is perfect or the most accurate measurement for every
person in the population. BMI is not a diagnostic tool.
BMI is a good starting point to identify people with obesity so they can be further
assessed to determine if and how they would benefit from having their obesity
KEY THINGS TO LOOK FOR WHEN CHOOSING A SURGICAL
WEIGHT LOSS CENTRE:
Studies show that surgeries performed by an experienced surgeon result in fewer
complications. Your surgeon should have extensive experience operating on the
upper gastrointestinal tract and performing the specific procedure you are
undertaking. No single weight loss surgery procedure is best for everyone. If a
surgeon only performs one procedure, ask why.
Weight loss surgery procedures evolve with technology. Your surgeon should
actively participate in continuing education specific to bariatric surgery and groups
such as the International Federation for the Surgery of Obesity (IFSO).
Anaesthetic and perioperative care also contribute to an un-complicated recovery
from bariatric surgery. It is essential that the whole team has substantial training
and experience specific to the treatment of bariatric surgery patients.
THOROUGH MEDICAL ASSESSMENT BEFORE SURGERY:
All surgeries have risks and benefits, including bariatric surgery. Obesity related
health complications can put people with obesity into a higher risk category for
surgery. Pre-operative assessment is key to maximising safety. Your surgeon
should rigorously assess and investigate your health. This includes arranging
reviews and investigations by other specialists, such as cardiologists or
gastroenterologists, to manage any existing conditions before, during and after the
operation to ensure your safety.
What often surprises people is that more than a third of candidates for bariatric
surgery have „high calorie malnutrition‟, with vitamin and mineral deficiencies
present before surgery. A detailed nutritional screening is required before surgery.
SPECIALISED BARIATRIC DIETITIAN:
Bariatric surgery reduces the volume of food that can be eaten. The quality of the
food consumed and compliance with recommended supplements remains the
choice of the patient, making nutritional care and food choice important lifelong.
Specialised dietetic advice is essential at each phase:
Before surgery: to identify factors that may impact on your long-term
success, such as your dietary beliefs and behaviours, cultural background.
After surgery: to support and troubleshoot your transition from liquids to
puree and then back onto solids to ensure your nutrient requirements match
your appetite within the texture permitted.
Over the long-term they monitoring and prevent nutrient deficiencies and
maximise weight loss. Symptoms of vitamin and mineral deficiency are
commonly non-specific, and most characteristic physical findings are seen
late in the course of nutrient deficiency.
Dr Jacobus (Jorrie) Jordaan MB ChB MMed Surg (Pret) (Hons) FCS(SA)
FRACS is a Specialist Upper Gastrointestinal and Endocrine surgeon with
25 years of experience. Having performed many thousands of advanced and
complicated surgical operations, he is among Australia‟s most experienced
specialists in minimally invasive weight loss (bariatric) surgery. Dr Jordaan
is professionally known for his meticulous surgical technique and attention
to detail, his exceptionally low complication rate, his ethical conduct and
remarkable overall patient care.
Emotional support is vital. Most people in society have developed their eating
patterns over time to meet more than just their physical needs but also for comfort,
for socialisation, to combat boredom or to overcome fatigue. Sometimes, obesity
has psychological causes that need to be addressed. A psychologist can assist
patients to identify and overcome potential barriers that may hinder their weight
BARIATRIC NURSE COORDINATOR:
It is important that the whole treatment process runs smoothly. A bariatric nurse
can case manage each patient to coordinate the appointments and information
streams involved and ensure nothing is forgotten.
Ongoing coordinated care that links with the bariatric dietitian and others involved
in the weight management team maximises the health benefits for the patient by
preventing nutrient deficiencies and maximising long term weight loss.
“It is important to take the time to get to know your patients so you can understand
their struggles, determine what they need to succeed and make a commitment to
supporting them to successful, long-term weight loss.” Says Dr Jordaan.
“We ensure our patients have accesses to lifelong support through wellness
workshops, psychology support groups, dietetic reviews and follow-ups with
bariatric nurses to monitor nutrition profiles.”
“With the right dedication and support, people can turn their life around and
achieve permanent weight control for a healthy future.”
For more information, contact us here or call (07) 5556 8888.