What to Know About Single Anastomosis Gastric Bypass Sydney

What to Know About Single Anastomosis Gastric Bypass Sydney

Obesity is costing the U.K. over £100 billion every year, from the strain  of treating its many complications to loss of jobs due to being unfit for  work. And at the alarming rate it’s going, the National Health Service  (NHS) predicts that 60% of adult males, 50% of adult females, and 25%  of children under 16 will be obese by 2050. 

As of this writing, there’s much talk about weight loss jabs being the key  to avoiding such a bleak future. Some users are even swearing by their  effects, with one user reportedly losing four stones (56 lbs/25.4 kg)  within a year of regular use. However, studies show that jabs alone  aren’t enough, and access to them under an NHS-funded program  remains limited. 

Like other health conditions, managing obesity involves a series of  treatments and lifestyle changes. Severe cases often undergo more  invasive treatments, one example being single anastomosis gastric 

bypass surgery. Read further to learn everything you need to know  about this effective weight loss surgery procedure. 

Combines Two Means of Surgical Weight  Loss 

Experts state that weight loss surgery generally works in one of two  ways: 

• Restrictive: The surgery initiates weight loss by reducing the stomach’s capacity and rate of food intake, leading to eating less  food to feel full. One example is laparoscopic sleeve gastrectomy  (also called gastric sleeve surgery).  

• Malabsorptive: The surgery initiates weight loss by shortening  the food’s journey along the digestive tract, giving the body less  time to derive calories and nutrients from it. The procedure also  involves some degree of stomach reduction.  

Opting for one over the other carries risks. Restrictive procedures may help patients lose weight without sacrificing nutrients, but without self control, people can regain their lost weight. Meanwhile, malabsorptive  procedures have been shown to be more effective in weight loss but are  more complicated to perform and carry a higher risk of malnutrition. 

Single anastomosis gastric bypass Sydney, more popularly known as  single loop gastric bypass Sydney, combines both mechanisms. By creating a stomach pouch and rerouting parts of the small intestine, the  surgery achieves longer-lasting weight loss effects. This makes it ideal  for cases involving poorly managed diabetes or abnormal fat levels. 

These changes in the digestive pathway also affect the production of  hormones related to hunger. A 2024 study published in the International  Journal of Surgery reported that ghrelin and resistin levels dropped by  15% and 71%, respectively, a year after the surgery. Ghrelin is known  for inducing hunger, while resistin is linked to insulin resistance. 

Not for Everyone 

Despite the promise of long-term weight loss, single anastomosis  gastric bypass isn’t for everyone with unhealthy weights. At the end of  the day, it’s still an invasive procedure that needs to consider the  patient’s state carefully.

The National Institute for Health and Care Excellence (NICE) guidelines  oversee a person’s eligibility for any form of weight loss surgery in the  U.K. Medical practitioners are obligated to evaluate eligibility based on  several criteria, not the least of which is their body mass index (BMI),  which determines if a person’s weight is ideal for their height. 

BMI Range

Evaluation

Less than 18.5

Underweight

18.5 to 24.9

Healthy weight

25.0 to 29.9

Overweight

30.0 to 39.9

Obese

40.0 and over

Severely obese


Note: The chart only applies to adults aged 18 and over. The NHS  advises certain people (e.g., pregnant women, people with eating  disorders) not to rely on BMI as a reference. 

Under NICE guidelines, practitioners can offer a comprehensive assessment for weight loss surgery if the patient is severely obese and  agrees to undergo a long-term follow-up after the procedure. The  minimum BMI can go as low as 35.5 if the operation can improve the  following conditions (list isn’t exhaustive): 

• Cardiovascular disease  

• Any form of hypertension  

• Non-alcoholic fatty liver disease 

• Obstructive sleep apnoea  

• Type 2 diabetes mellitus (T2DM) 

Meanwhile, obese patients are eligible for an expedited assessment if  they’re diagnosed with T2DM within the past decade. Certain racial  groups (e.g., Asians, African-Caribbean) can qualify with a BMI that’s  lower than the standard threshold by 2.5. 

Keep in mind that bariatric surgeons don’t decide solely on BMI, as it  isn’t a perfect metric. One of its biggest disadvantages is that it can’t  discern fat from muscle, meaning athletes and bodybuilders may get  inaccurate readings. The assessment serves to delve deep into a  

person’s medical history, which is a far more reliable source of  information. 

Nutritional Deficiency is a Risk 

Single anastomosis gastric bypass isn’t without its drawbacks. As the  surgery limits food intake and the absorption of calories and nutrients,  patients may struggle to satisfy their daily vitamin and mineral intake. 

Researchers at the Medical University of Vienna studied 120 patients  who underwent the surgery and found that all developed at least one  deficiency. The most common were in Vitamins A and D; others include 

Vitamins B12 and E, calcium, ferritin, and folic acid. It should be noted  that many of the patients already had deficiencies before the operation. 

The study also indicates that these problems typically occur within the  first two years after the surgery, which is also when the body loses the  most weight. If not managed, nutritional deficiency can lead to a host of  health problems. 

Deficiency

Health Effects

Vitamin A

Dry eyes, loss of vision, poor pregnancy outcomes

Vitamin B12

Folate deficiency anaemia, problems with memory

Vitamin D

Various bone disorders, muscle weakness, heart problems

Vitamin E

Reduced night vision and senses, limb and truncal ataxia

Calcium

Same as the health effects of Vitamin D deficiency

Ferritin

Iron deficiency anaemia, restless legs syndrome

Folic acid

Megaloblastic anaemia, complications during pregnancy


As such, it isn’t unusual for bariatric surgeons to work with dietitians.  Planning a patient’s diet and nutrition after the procedure is a no brainer, whether by prescribing multivitamin supplements or developing  a better diet plan. 

Conclusion 

The obesity crisis will continue to worsen unless everyone takes action.  As the government enacts plans to avoid the 2050 prediction from  becoming reality, the obese can turn to one anastomosis gastric bypass  surgery Sydney to help get their life back on a healthy track. See a  

bariatric surgeon right away to begin your journey toward a better  quality of life.

Disclaimer

The content of this blog post is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment. Information regarding supplements has not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease. Individual results may vary.

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