Omega Loop Mini Bypass – The decision to have surgery requires careful discussion and consideration. Dr. Andrew Kiingi and his team can explain what each procedure involves and recommend the best one for you.
“Bariatric weight loss surgery has significant health benefits, such as reducing the risk of death from many causes. It is important to lead a healthy lifestyle even after surgery”
Omega Loop Mini Bypass
Omega Loop Surgical Bypass is also known as Mini Gastric Bypass or Single Anastomotic Gastric Bypass. This procedure was developed 20 years ago and is becoming increasingly popular due to its effectiveness in weight loss.
Reasons Why You Might Be Fatigued After Weight Loss Surgery
As a result, you will soon feel full while eating. However, because the intestines are further attached to the stomach, food can essentially pass through the small intestine, and about 200 cm of the small intestine surrounds it. Thanks to this reduction, fewer calories are absorbed after a meal.
Gastric bypass also has a significant impact on a number of digestive hormones. This leads to:
Being overweight or obese is one of the main risk factors for ill health in Australia. The longer you live with obesity, the more it affects your physical health, mental health and well-being.
Unfortunately, diets won’t work for many people, and that’s when bariatric surgery (also known as weight loss or bariatric surgery) can help you achieve lasting results. These surgeries continue to advance through research and technology and are safe and effective.
Laparoscopic Mini Gastric Bypass
Surgery affects hunger and the way the body processes food/calories. After weight loss surgery, the patient is expected to be able to eat a normal, healthy diet (in smaller amounts) every day, participate in normal daily activities, and enjoy a high quality of life.
After completing the preoperative surgical program, everything will be ready for a safe and successful surgery. It is natural to be anxious on the day of surgery. Rest assured that Dr. Andrew Kiingi has a reputation as a thorough surgeon. Try to have a light and relaxed schedule the day before surgery and get a good night’s sleep. Please pay close attention to the diet and fasting instructions from our bariatric anesthesiologist. It is important to note that fasting does not involve chewing gum.
On the day of your surgery, you will be greeted again by Dr Andrew Kiingi and his specialist anaesthetist. Please feel free to ask additional questions. The procedure is performed under general anesthesia. The laparoscopic procedure involves making 6 small incisions (2 cm) in the abdomen. Carbon dioxide will be used to expand your abdomen, allowing the organs to be seen. A special narrow camera called a laparoscope will be inserted through an incision and a video image will be broadcast on a television screen so that Dr. Andrew Kiingi can perform the operation. Other small instruments will be inserted through other incisions as needed to complete the surgery. During surgery, your liver will be slightly lifted to expose your stomach. The stomach will then be carefully freed from the appendages and surrounding organs. Dr Andrew Kiingi will assess whether you have a hiatal hernia and correct it if necessary (read more here). A guide to determine the size of your belly, called a bougie, will then be passed into your stomach. This boogie ensures consistent and accurate sizing of your new smaller stomach pouch. Dr. Andrew Kiingi carefully staples this sizing guide so that each staple forms a tight bond. This stapler will separate the old stomach from the new, smaller stomach pouch. The old stomach is not removed and remains intact in the abdominal cavity, but does not receive food.
Dr. Andrew Kiingi will then accurately measure the small intestine and determine the appropriate length for the bypass (usually 150-200 cm). This loop of intestine then rises up and connects with the small stomach pouch. Then a special leak test is done to make sure everything is tight. Dr. Kiini will then apply a special local anesthetic to minimize post-operative discomfort.
Mini Gastric Bypass Surgery
At the end of the procedure, the incisions are sutured with absorbable sutures and a waterproof bandage is applied. The operation will be over when you wake up and you will stay in the recovery room for a while until you are ready to return to the operating room. Fatigue is usually felt after surgery.
If you have private insurance, it is important to contact your private health insurer to check that your level of cover matches the item numbers we have listed below. Generally, you need a top tier or gold finish and have to go through a waiting period. Medicare only covers a small portion of the cost of the surgery.
If you are uninsured, we are still happy to proceed with the operation. However, we will receive a separate price from the hospital for your private hospital stay. Our practice manager will discuss this during your appointment.
Some patients decide to take advantage of early access to pension funds. These can be privately insured patients who can use the internship program to cover any charges or omissions not covered by their insurance, or uninsured patients who can use the internship program to cover the full amount of the surgical program. We are happy to support this depending on your circumstances.
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Dr. Kiingi is a weight loss specialist and general surgeon with advanced training in minimally invasive surgery and over 16 years of clinical experience. He is also an instructor in surgery for the Royal Australasian College of Surgeons.
Dr Andrew Kiingi studied in Sydney, graduated from the University of Otago, New Zealand and was awarded the University’s Gold Medal for General Practice and Distinction in Surgery. He completed surgical training at St Vincent’s Hospital, Melbourne and was awarded a Fellowship (FRACS) of the Royal Australian College of Surgeons. Angrisani L, Santonicola A, Iovino P. The 2016 IFSO global survey: primary, endoluminal and revision procedures. Obes Surg.. 2018; 28:(12)3783-3794 https://doi.org/10.1007/s11695-018-3450-2
Bland CM, Quidley AM, Love BL, Yeager C, McMichael B, Bookstaver PB. Consideration of long-term pharmacotherapy in bariatric surgery patients. Am J Health Syst Pharm. 2016 year; 73:(16)1230-1242 https://doi.org/10.2146/ajhp151062
Carr WRJ, Mahawar KK, Balupuri S, Small PK. An evidence-based algorithm for the management of marginal ulcers after Rouxen-Y gastric bypass. Obes Surg.. 2014; 24:(9)1520-1527 https://doi.org/10.1007/s11695-014-1293-z
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Chakravartty S, Tassinari D, Salerno A, Giorgakis E, Rubino F. What is the mechanism for weight loss maintenance with gastric bypass surgery?. Curr Obes Rep.. 2015; 4:(2)262-268 https://doi.org/10.1007/s13679-015-0158-7
Coblijn UK, Goucham AB, Lagarde SM, Kuiken SD, van Wagensveld BA. Peptic ulcer development after Roux-en-Y gastric bypass, incidence, risk factors and patient presentation: a systematic review. Obes Surg.. 2014; 24:(2)299-309 https://doi.org/10.1007/s11695-013-1118-5
Dardzińska JA, Kaska Ł, Wiśniewski P, Aleksandrowicz-Wrona E, Małgorzewicz S. Fasting and postprandial peptide YY levels in obese patients before and after Roux-en-Y mini gastric bypass. Minerva Chir.. 2017; 72:(1)24-30
De Luca M, Tie T, Ooi G Mini gastric bypass with single anastomotic gastric bypass (MGB-OAGB)-IFSO position. Obes Surg.. 2018; 28:(5)1188-1206 https://doi.org/10.1007/s11695-018-3182-3
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De Raaff CAL, Kalff MC, Coblijn UK Effect of continuous positive airway pressure on postoperative leakage in bariatric surgery. Surg Obes Relat Dis.. 2018; 14:(2)186-190 https://doi.org/10.1016/j.soard.2017.10.017
Hamilton EK, Sims TL, Hamilton TT, Mullican MA, Jones DB, Rector DA. Clinical predictors of leakage after laparoscopic Roux-en-Y gastric bypass in morbid obesity. Surg Endosc.. 2003; 17:(5)679-684 https://doi.org/10.1007/s00464-002-8819-5
Mahawar KK, Himpens J, Shikora SA. First consensus statement on single anastomosis/mini-gastric bypass (OAGB/MGB) using a modified Delphi approach. Obes Surg.. 2018a; 28:(2)303-312 https://doi.org/10.1007/s11695-017-3070-2
Mahawar KK, Kular KS, Parmar S. Perioperative practices for single anastomosis (mini) gastric bypass: a survey of 210 surgeons. Obes Surg.. 2018b; 28:(1)204-211 https://doi.org/10.1007/s11695-017-2831-2
Oagb) “how Do I Do It” Laparoscopic One Anastomosis Gastric Bypass
Mahawar K, Parmar C, Graham Y. Single-anastomosis gastric bypass: key technical features and prevention and management of procedure-related complications.: Epub ahead of print; 2018c https://doi.org/10.23736/S0026-4733.18.07844-6
Mahawar K, Parmar C, Carr WJ, Jennings N, Schroeder N, Small P. Effect of biliopancreatic limb length on severe protein-calorie malnutrition requiring revision surgery after single anastomotic (mini) gastric bypass. J Minimal Access Surg.. 2018d; 14:(1)37-43 https://doi.org/10.4103/jmas.JMAS_198_16
O’Kane M, Parretti HM, Hughes CA Guidelines for the follow-up of patients undergoing bariatric surgery. Clin Obes.. 2016; 6:(3)210-224 https://doi.org/10.1111/cob.12145
Parmar CD, Mahawar KK. Single-anastomosis (mini) gastric bypass is now an accepted bariatric procedure: a systematic review of 12,807 patients. Obes Surg.. 2018; 28:(9)2956-2967 https://doi.org/10.1007/s11695-018-3382-x
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Parmar KD, Mahawar KK, Boyle M. Mini-gastric bypass: first report of 125 consecutive cases from the United Kingdom. Clin Obes.. 2016; 6:(1)61-67 https://doi.org/10.1111/cob.12124
Thorell A, MacCormick AD, Awad S. Guidelines for perioperative care in bariatric surgery: Enhanced Recovery from Surgery Society (ERAS) guidelines. World J Surg.. 2016; 40:(9)2065-2083 https://doi.org/10.1007/s00268-016-3492-3
Thousands of bariatric surgical procedures, including gastric bypass, are performed in the UK each year. Single-anastomosis gastric bypass (OAGB) is increasingly being performed in the UK and nurses can provide care for patients who have undergone this procedure. This article describes the anatomic and physiologic changes associated with OAGB, the routine short- and long-term care of these patients, and the detection and management of complications.
Bariatric surgery is now well established in the UK, with several thousand procedures performed each year (Welbourn et al., 2014). Single-anastomosis gastric bypass (OAGB) is an established bariatric procedure (De Luca et al., 2018; Mahawar et al., 2018a), ranking third in number of cases
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