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  • Q&A with Australian Health Practitioners

    I am looking at sleeve banding. What should I know before I start?

    Related Topic
    Obesity
    I am 143 kg (have just lost 10 kg) My height is 167 cm. I have had a struggle with losing weight most of my adult life. At 67, am I a good candidate for sleeve banding or should I keep trying to lose weight and keep it off by dieting?
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    Mr Niruben Rajasagaram

    Bariatric (Obesity) Surgeon, General Surgeon, Upper GI Surgeon (Abdominal)

    Niruben Rajasagaram - Consultant Bariatric, Oesophagogastric & General Surgeon. He specialises in benign/malignant conditions that affect the upper gastrointestinal tract, as well as obesity and … View Profile

    Hi, based on your information your BMI is 51 (well within the morbid obesity category). The current established guidelines for bariatric / metabolic surgery places an upper age limit of 65 for patients to be considered for surgery. (A guide only)

    In saying this there is a lot of published data about surgery being done for patients above the age of 65. Within the bariatric surgical community many surgeons including myself would consider you for surgery depending on what your exact situation is not just based solely on your weight and BMI. As to what type of operation that is a discussion that needs to be had on a one to one basis to understand how you would want this journey to take place for yourself. 

    The reality is you will find it a constant battle to try ad maintain sustained weight loss, so i would recommend having a consultation with a specialist who would be well placed to give you a plan as to how to manage this. 

    Kind regards

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  • Kirsty Woods

    Exercise Physiologist

    Hi I’m Kirsty Woods,I would like to use my experience, expertise and passion to help you reach your weight, energy and health goalsI have been … View Profile

    Not my area of specialty but you may wish to explore fastining protocols before considering surgery. You may find this website by DR fung of interest: https://intensivedietarymanagement.com

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    Dr Jason Wong

    Bariatric (Obesity) Surgeon, General Surgeon, Laparoscopic Surgeon, Upper GI Surgeon (Abdominal)

    Jason Wong is a skilled Laparoscopic and Bariatric Surgeon with expertise in sleeve and gastric bypass surgery, gallbladder, hernia, endoscopic pilonidal, antireflux and emergency general … View Profile

    A banded sleeve gastrectomy is not a standard bariatric procedure, and one that I would not recommended to a patient. 

    Your BMI qualifies you for bariatric surgery, and whilst your age is on the higher side, you would potentially gain multiple health improvements through significant weight loss, and many bariatric surgeons would still consider you for surgery despite you being over 65.

    When it comes to choosing a bariatric procedure, whilst it is important to do some research before hand, it is always best to go through a formal consultation with a bariatric surgeon who performs several different procedures so that an appropriate procedure can be determined based on your particular situation and comorbidities.

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