Our Procedures

Which procedure to choose

Dr Atalla has extensive training and experience in a variety of laparoscopic bariatric procedures as well as general surgery.  He will be happy to help you select the right procedure to suit your needs and your desired outcome, whilst taking into consideration any other medical issues you may have.

GASTRIC SLEEVE

The procedure

Gastric sleeve surgery is a restrictive type of procedure that permanently reduces the size of the stomach, thereby limiting food intake as well as the sensation of hunger. The remaining stomach is a tubular pouch that resembles a banana. It works through several mechanisms:

  1. The smaller volume new stomach pouch (average 150-200mls) holds a considerably smaller volume than the normal stomach and helps to significantly reduce the amount of food (and thus calories) that can be consumed each time (you will feel full and satisfied after a small meal).
  2. The greater impact, however, seems to be the effect the surgery has on gut hormones that impact a number of factors including hunger and satiety maintaining the fullness sensation longer (feel full for most of the day after meals).

Short term studies show that the sleeve is as effective as the gastric bypass in terms of weight loss and improvement or remission of diabetes. There is also evidence that suggest the sleeve, similar to the gastric bypass, is effective in improving type 2 diabetes independent of the weight loss. The complication rates of the sleeve fall between those of the adjustable gastric band and the roux-en-y gastric bypass.

This option:

  • Decreases hunger
  • Reduces appetite
  • Improves portion control
  • Reduction in conversion of calories to fat
  • Increases feeling of fullness
  • Enhances satiety and improves dietary choices

Gastric Sleeve

weight loss melbourne sleeve gastrectormy melbourne

Gastric Bypass: Roux-en-Y

The procedure

The Roux-en-Y Gastric Bypass – often called gastric bypass – is considered the ‘gold standard’ of weight loss surgery.

There are two components to the procedure. First, a small stomach pouch is created by dividing the top of the stomach from the rest of the stomach. Next, the first portion of the small intestine is divided, and the bottom end of the divided small intestine is brought up and connected to the newly created small stomach pouch. The procedure is completed by connecting the top portion of the divided small intestine to the small intestine further down so that the stomach acids and digestive enzymes from the bypassed stomach will eventually mix with the food. 

The gastric bypass works through several mechanisms:

  1. Firstly, similar to most bariatric procedures, the newly created stomach pouch is considerably smaller and facilitates significantly smaller meals, which translates into fewer calories consumed.
  2. Additionally, there is a segment of the small intestine that would normally absorb calories as well as nutrients that no longer has food going through it, therefore, there is, to some degree, less absorption of calories and nutrients. 

This option:

  • Produces changes in gut hormones that promote satiety
  • Suppresses hunger
  • Reverses one of the primary mechanisms by which obesity induces type 2 diabetes
  • Affects food choices due to dumping that may be encountered by some with high fat or high sugar intake.

Gastric Bypass: Roux-en-Y

weight loss melbourne adjustable gastric bypass Gastric Bypass Roux-en-Y

Gastric Bypass: Single Anastomosis/mini/omega loop

The procedure

The procedure works both by restricting the amount of food that can be eaten at any one time and altering gut hormones involved in appetite control.  MGBP was first used in the late 1960s but abandoned in the 1970s.  Today, because of developments in laparoscopic (“keyhole”) surgery, MGBP has started to come back into fashion and is being promoted as a quick and effective alternative to standard gastric bypass. 

A longer thinner gastric pouch which is similar to a sleeve gastrectomy, however, the small bowel is attached to the bottom of the sleeve.  This bypasses about 1.5-2.5 metres of the small bowel. This operation is extremely good for diabetic patients.

This option suits:

  • Those who desire similar weight loss results to other procedures with improved recovery rate.
  • Those looking for an effective Type 2 diabetic treatment
  • Those who prefer the idea of a less technical operation

Gastric Bypass

weigth loss melbourne Gastric Mini

Adjustable Gastric Band

The Adjustable Gastric Band involves an inflatable band that is placed around the upper portion of the stomach, creating a small stomach pouch above the band, and the rest of the stomach below the band.

The procedure

The common explanation of how this device works is:

  1. with the smaller stomach pouch, eating just a small amount of food will satisfy hunger and promote the feeling of fullness.
  2. The feeling of fullness depends upon the size of the opening between the pouch and the remainder of the stomach created by the gastric band.
  3. The size of the stomach opening can be adjusted by filling the band with sterile saline, which is injected through a port placed under the skin.

Reducing the size of the opening is done gradually over time with repeated adjustments or “fills.” The notion that the band is a restrictive procedure (works by restricting how much food can be consumed per meal and by restricting the emptying of the food through the band) has been challenged by studies that show the food passes rather quickly through the band, and that absence of hunger or feeling of being satisfied was not related to food remaining in the pouch above the band. What is known is that there is no malabsorption; the food is digested and absorbed as it would be normally. 

This option:

  • Reduces hunger
  • Improves feeling of satiety
  • Decreases the amount of calories that are consumed

Gastric Band

Weight Loss Melbourne Adjustable gatric band

Gastric Ballon

The procedure

The gastric balloon weight loss procedure involves placing a balloon filled with saline solution into the stomach, which fills up a significant area and reduces the space available for food. This non-surgical approach is a safe and quick method of shedding extra weight, while eliminating the need for incisions or stitches and the scars they leave behind. This method:

  1. May serve as an alternative to weight loss surgeries or
  2. Can be incorporated into a staged treatment plan for those at high risk for surgery

This option:

  • Promotes feeling of fullness
  • Impacts hunger
  • May lead to significant weight loss depending on lifestyle changes

Gastric Ballon

Gastric Balloon Weight Loss Surgery
weel4

Still Have Questions

We believe that informed patients are better equipped to make decisions regarding their weight loss journey and well-being.

weel4

What Our Patients Say

Tilly Goldsmith
Tilly Goldsmith
24/11/2023
I had weight loss surgery earlier this year and I have already lost 50 kg. My life has completely changed and I cannot recommend this surgery and the team at Better Life Surgery enough! Dr Mo is extremely professional and an amazing advocate for his patients, I thoroughly respect the intention and care he applies in his work.
Kim Andrews
Kim Andrews
20/11/2023
It was a scary step but well overweight with heart problems and borderline diabetes it was something i really wanted to do for my wellbeing and its been a fantastic journey that i approached with a positive attitude one i will never forget from my first consultation with the amazing Dr Atolla who was very kind and wise to the great support from Bec on dietary needs and the cheery chats and support from Mary-ann the lovely admin lady that keeps it all moving smoothly pre-op and post -op support from Bec that was simple and not complicated , the surgery , recovery then post-op i wont say it was all a breeze but with the support from the team i kept motoring on looking toward the outcome and YES !!! Febuary was my surgery ive lost around 25kg my heart meds have been reduced my sugars are awesome i feel 10yrs younger and i must say 😊 look 10yrs younger too the best decision ever thank you so much to the team your Awesome !!!! Dont hesitate anyone im 57 wish i had of met the team earlier ❤️
Janet Congues
Janet Congues
16/11/2023
In 2019, I had an accident where, the short version is that I have ended up with Osteoarthritis in my right ankle & sub-Talar joints & needed fusion. Pain levels were 5-6/10, chronic and worsening. PTSD & brain-fog affected my well-being, ability to read and work. It was a struggle to walk 400m. Two weeks post gastric sleeve surgery my pain levels were down to 2-3/10 and often negligible & while it was about 3-400m too far, I was able to walk from my favorite café to home (1.8km) with no debilitating pain or consequences. Three weeks post surgery, I had read a novel from cover to cover and started back at work. Lo and behold! I am now almost seven weeks post surgery, I am working productively three days a week (like I used to before the accident), I am looking to spend time with my friends, my PTSD testing results have improved, I am driving locally again and I am walking almost daily around my block (1.2km) with no debilitating pain or consequences. I never dreamt that my world would or could turn around like this so soon. I cannot thank Mo, Maryanne, Haley (EP), Becky (Dietician) & Rod (Psychologist) enough for playing such a pivotal role in helping me to regain my sense of who I am. This holistic approach to major surgery has been an incredible experience & I feel blest that I have had such an incredible, professional & caring team to work with, who enable me to recapture the person in me I thought I had lost. While I have lost significant weight, for me this journey has meant so much more and I look forward to seeing the overall weight-loss progress over the coming year. Now two years down the track and I have finally stabilised and added 5kg. But overall I lost 45kg with the surgery and am extremely happy with the outcome. I cannot thank Mo enough for working with me. Through this surgery, I have improved my health and mobility so much much that when I underwent hindfoot fusion of the subtalar and ankle joints in January 2023, my recovery was near perfect and this week, I was finally able to walk around the lake with a single crutch (2km) during rehab and with no pain repercussions. Last week, I even walked 800+ metres without the crutch - my EP held on to it though. I am so grateful to work with a surgeon and his team who take a wholistic approach and are more focused on a person's overall health and well-being. So incredibly grateful.
Carolann Cosgriff
Carolann Cosgriff
14/11/2023
BETTER LIFE SURGERY Absolutely outstanding! Mo Atalla is a wonderful surgeon, and his staff are always helpful and kind. They ensured I had a smooth prep, surgery, and follow-up with my procedure (Roux En Y Gastric Bypass). I am so glad I chose Better Life Surgery and would highly recommend them to anyone with no qualms whatsoever. Mo Atalla is incredible. Not only has he taken great care of my health, but also he is lovely to speak with at every appointment, and actually listens to you. It’s rare to find a doctor that combines such personal touches and care for a patient as a person with outstanding quality of medical care. Mo gets it! From his excellent treatment, curiosity, investigative mind and ability to connect, you know where you stand immediately and what next steps look like. Mo is terrific. Knowledgeable, sensitive, informative, I immediately felt at ease and felt confident in receiving expert medical care. Marianne is amazing like a balm for your soul always kind and caring always goes the extra mile guiding and nurturing along the way. I can't thank you enough for the special, excellent care you have provided and for the unique gift you are to your patients. Thank you so much for the great care and surgery you performed on me. I walked away, very impressed with the overall experience. I highly recommend becoming his patient! 10/10 ⭐️⭐️⭐️⭐️⭐️
Jenna
Jenna
14/11/2023
Highly recommend Mo and the team at BetterLife surgery. Mo and his team of professionals were reassuring, professional and highly supportive from the beginning and throughout the whole process. I appreciate having been referred to Mo for this journey as he is a fantastic and caring surgeon.
Patricia Pate
Patricia Pate
30/10/2023
Excellent services over several years' by Mr. Mohamed Atalla and his kind and caring Receptionist, Mary Ann, at his Shepparton Clinic. We are so very privileged to have Mr. Atalla as my elderly husband's (John) skilful surgeon and can't thank him enough for his care, kindness and talent always. Very sincerely 'THANK YOU' Mr. Atalla. Patricia and John Pate.
Simone Franza
Simone Franza
19/10/2023
Dr Atalla and his team provide the highest level of knowledge, love and support during your journey. The holistic nature makes you feel so comfortable and the level of care makes you feel understood and supported. I highly recommend. <3
Stacey Raeshelle
Stacey Raeshelle
18/10/2023
When starting this journey I set on my decision and had all my duck in order for it to happen but the nervous and all the other emotions where all consuming until I met Mo, Bec and Marianne . These will be your three biggest supporters. This team truly cares, I had seen other surgeons but never truly aligned goals, expectations and personalities with so find who you are comfortable with. I started out at 118 kg pre op and 6 months post op my weight is 82kg. 36kg down and 16kg away from my goal. My whole self has changed no more anxiety when I leave the house, constantly worried about the people around me looking and laughing. I an no longer constantly hyper aware of my body and how I look etc. I’m now peaceful, happy, comfortable in my own skin and daily movement is no longer a struggle. I would do this process all over again to get my life back and I would go straight to better life surgery team. You’re amazing and look forward to future appointments.
Nicki Scott
Nicki Scott
12/10/2023
Mo and the team have been so very supportive on my weightloss journey. I can’t recommend them enough 🙂 I hav a new lease on life, self esteem back and more energy.
Lynne Davis
Lynne Davis
07/08/2023
Everyone was beautiful, helpful and kind. I have no hesitation in recommending Better life Surgery

Your Better Life Starts Here

Book your appointment today!

Enter your details below or call us on 1300 046 046