Dr Jason Wong is a bariatric surgeon who performs both primary and revisional surgery. He is an active member in bariatric forums, professional groups and regularly attends meetings around the world to remain up-to-date. He prides himself on a meticulous surgery, low-complication rate and clear explanations to patients.
Surgery for obesity is a big decision and we understand that it is not for everyone. Your initial consultation is with no obligation, and you can expect an informative initial consultation for you to learn whether bariatric surgery is right for you or not.
Your surgical care plan is based on many individual and co-related factors, and the procedure that is right for YOU will be recommended.
Dr Wong works in partnership with the Moderation Clinic to provide care with a bariatric dietician, psychology and exercise coach. We will help you identify factors that could potentially lead to weight regain in the future, and tailor a program specifically for you to overcome these. This is our bespoke surgical care.
Reflux, stenosis and functional obstruction from a fixed-ring are things that can occur after sleeve or bypass surgery are within the adverse event profile of these procedures.
If these things were to occur, even if years down the track, Dr Wong guarantees to remedy the problem without any out of pocket surgical expense.
The mini gastric bypass is a powerful and effective variant of the classic Roux-en-Y Gastric Bypass except the gastric pouch is more like a sleeve and slightly more intestine is bypassed resulting in a stronger metabolic procedure.
The gold-standard procedure with good track record and efficacy. Even more effective with a fixed ring. The best choice where acid reflux is a major problem.
Sleeve Revision to a Roux-en-Y Gastric Bypass in most cases will resolve proven acid reflux.
Sleeve gastrectomy can be converted into a Mini gastric bypass or Long-BP-Limb gastric bypass to add additional metabolic effects and more powerful weight loss to the sleeve.
At BGOS Dr Wong works in conjunction with the Moderation Clinic to create a bespoke follow-up program for you to address any issues that could potentially lead to weight-regain in the future, affect motivation or affect overall satisfaction.
Our aim is to deliver a program that is cost-effect, yet surpasses any other program because it is always individualised based on your needs.
This session can take around 2 hours, and is an informative and explorative consultation which looks at identifying factors that relate to weight-gain, the role of surgery, recommendations for surgery and information about the bariatric program. Eligiblity for an Eating Disorder Plan or Mental Health Care Plan will be assessed, which will significantly decrease costs of further dietician and psychologist sessions.
Initial assessments by the dietician and psychologist in clinical partnership with Dr Wong are mandatory to be able to proceed with surgery. Factors that contribute to poor eating behaviours or that may potentially contribute to weight-regain in the future are identified and a plan to manage these fornulated.
The outcome from the multidisciplinary team meeting is discussed openly with the patient and input received from the patient into finalising an agreed treatment plan between the patient and the multidisciplinary team.
A deposit is required to proceed with a surgical date and booking. Pre-assessment is performed by the nurse, anaesthetic screening tool administered and pre-admission clinic performed - to ensure safety during your procedure. Patients will be referred to a physician for optimisation if required.
Endoscopy is performed usually a few weeks prior to surgery. Surgery is then performed in accordance with the agreed plan. You will be seen every day in hospital, as long as you are in hospital. Average stay in hospital is 1 to 2 nights.
You will receive a wellness check-up phone-call from our bariatric nurse care coordinator in the days after discharge, then face-to-face review at 2-weeks post-op.
Dietician reviews occur at 2, 4, 6 weeks, 3, 6 and 12 months post-op. Psychology appointments are based on your bespoke care plan.
At completion of the routine program, an exit interview will be performed with our Bariatric Nurse to re-cap with you what you have achieved, what you have learnt and to consolidate ongoing motivation to maintain an active and healthy lifestyle.
Obesity is a chronic condition and beating it isn't a race! Dr Wong has a program specifically designed to enhance your long-term success with surgery as well as maximize your safety. Therefore it is important to follow the process which can take 2-3 weeks at a minimum.
Impulsivity and anxiety are common associations with obesity, and Dr Wong's pathway teaches process, patience and planning which in itself are therapeutic and will help you long-term also.
Selecting a bariatric procedure that is most suitable for you involves a comprehensive discussion with Dr Wong taking into consideration your weight, medical problems, surgical history, eating habits, genetics, funding status, presence of reflux, and of course - your preferences.
It is advised that you keep an open mind as selecting a procedure is not like selecting a pair of shoes where you select the one which you like the most.
Modern bariatric surgery is extremely safe! Major complications occur less than 1% of cases. Complications are seen more commonly with plastic surgery and even surgery for appendicitis. Bariatric surgery cases are performed through keyhole surgery over 99% of the time.
The aim is for you to be able to eat a healthy, balanced diet after bariatric surgery or reduced portion size. Most patients will achieve this, although there may be certain foods that do not agree.
Some patients know someone who has had bariatric surgery in the past and is not able to eat food without vomiting. THIS IS NOT NORMAL, and would indicate that something might not be right. Bariatric surgery which makes someone unable to eat is not effective long-term as it will lead to the development of maladaptive eating behaviours or malnutrition.
Dr Wong keeps a prospective database on all his patients which monitors the incidence of reflux and other potential problems amongst his patients. This is part of the quality control measures at BGOS.
Currently only 3-4% of Dr Wong's sleeve patients have reflux symptoms, with a revision to bypass rate of 1%. Only 1% of patients have occasional bile reflux symptoms after mini-gastric bypass.
These rates of reflux are LOW in comparison to what is generally seen, and is achieved by technical considerations to reduce risk of reflux as well as careful patient and procedure selection.
Obesity is a chronic disease, which means that it needs constant management and it is always at risk of relapse. This risk can be minimized by appropriate procedure choice at the start, and addressing potential factors that contribute to weight gain in conjunction with the surgery and putting a management plan in place for ongoing management of these factors.
Not everything can be fixed by the surgery, and this is a strength of Dr Wong's bariatric program.
It is recommended for no driving for 1 week after surgery. Some patients will still not be fully recovered and require another full or part week to recover sufficiently to drive. You should be off any strong pain medications and be able to react suddenly to unexpected hazards or changes in road condition without causing discomfort or pain to yourself.
There is no such thing as a pre-determined goal weight. You cannot decide what weight you want to become and expect for the surgery to help you become this weight. It does not work this way.
What is most important, is focussing on the healthy eating and lifestyle behaviours that need to be adopted to achieve maximal success with surgery. If you follow these things, you will be guaranteed to do the healthiest that your body will allow through surgery.
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