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
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Still Have Questions

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

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What Our Patients Say

Cam Kervin
Cam Kervin
11/04/2024
I found the whole process very informative which helped me to choose the right weight loss surgery for me. From the ever helpful Marianne keeping me up to date on the process and Mo Atalla gave me all the info I needed to make an informed decisions. I could not recommend BetterLife surgery enough.
Franco Gargiulo
Franco Gargiulo
08/04/2024
The attention of Mr Atalla and Marianne was excellent, my operation was a success, I definitely recommend this clinic
Melissa Carson
Melissa Carson
26/03/2024
Mo and his team have changed my life forever. Dealing with me in a holistic way when looking at the reasons behind my weight gain and life long struggles has been amazing. Other surgeons saw me as $$ only. My dietician could have given more tips earlier throughout my journey but Mo’s nursing team were amazing and stepped in to help. Marianne is always on the ball coordinating all aspects of my care. 32kgs down and lost forever and hoping another 10kg coming up.
Brendon Beard
Brendon Beard
25/03/2024
I highly recommend Mr Attala. So far I have had a colonoscopy, gastroscopy and gastric sleeve surgery. Next up is having my gall bladder out. On all occasions I found Mr Attala calm, professional and non-judgemental, making a reasonably scary process a lot more reassuring and easier to process. I was fully informed and felt safe and comfortable in his hands. Mr Atalla also has a great team working with him. Marianne handles all appointments, paperwork and all the fiddly details, promptly and efficiently, and keeps you up to date with all the details. Bec, a nurse practitioner / dietician specialises in weight loss dietetics, and is there to assist both before and after the surgery. Bec is also calm, professional, non-judgemental and is practical and realistic in expectations of your diet transition after the surgery. If you are looking for weight loss surgery, look no further.
Jim Simpson
Jim Simpson
22/03/2024
Had Gastric Sleeve surgery with Mo Atalla in October 2023. The whole process went very smoothly, not just down to his skills as a surgeon, but with the professionalism and care of him all his team. From initial consultation through to post-op follow ups, the holistic approach involving surgeon, dietician, nurse practicioner, and admin, provided all the advice and reassurance I needed (also had access to a psychologist through the practice, but didn't use). There were no unwelcome surprises either financially or surgery-wise. A special mention to the Practice Manager, Marianne, who was terrific in keeping me completely informed throughout the process and handling any queries. I was fortunate in that there were no complications (in no small part due to the above), but am sure that if there had been, they would have been very well handled. I would recommend the procedure to anyone wanting to change their life with weight-loss surgery, and could not recommend Mo and his team more highly. Thanks & Well Done to All
samantha biles
samantha biles
19/03/2024
Their is not enough stars available to give Mo and his team, they are super amazing. The whole process was made so easy. Mo is so attentive to his patients, talks you through everything, nothing left unsaid and makes you feel at ease, and Marianne WOW I adore her, she is available to assist at any time, she is so knowledgeable, caring and helpful, always makes herself available throughout the process. They really are the dream team. To them you are not just a number, they actually care about you, before during and well after surgery. My surgery was much harder than Mo thought, it certainly tested his skills, but he did not give up on me and got the job done with great success. One year on I am down 32kg and cannot be happier. I would highly recommend to anyone wanting to look at having weight loss surgery. So much love for Mo and his team, I thank you all from the bottom of my heart.
Jacinta
Jacinta
04/03/2024
I first saw Mr Atalla for a General Surgery procedure back in 2021. Even though I live in Melbourne I travelled to Echuca for the procedure as through research I found him to be the best at what he does. As my first point of contact, his Practice Manager Marianne was absolutely wonderful. The professionalism & information she provided whilst booking my appointment was also one of the reasons I chose him. Mr Atalla was amazing at my consultation appointment & Marianne was so kind & helpful. The whole process was smooth & put me at ease Mr Atalla is now my go to General Surgeon for all general procedures. I couldn’t recommend Mr Atalla & his Practice Manager Marianne enough.
Liz McDonald
Liz McDonald
26/02/2024
I’ve spent years trying to find the right path toward being healthy & happy with myself. For a long time I was stuck on a loop taking me nowhere. I focused on medical labels that defined me as disabled thanks to my rheumatoid arthritis, (this was just an excuse to stay stuck). Then I found Mo Atallas website & decided to visit him & see what he could offer me. From the moment I walked into his rooms I felt at ease. His admin; Marianne has the friendliest personality & is so genuine & helpful. Then there is Mo Atalla; now he doesn’t offer any magic wand surgery, because there is no such thing. He offers the honest reality that he can help with surgery as a tool toward better weight & better health; but only if you are prepared to work hard on both body and mind. Mo and his team helped me with the tools and the support to put the hard yards in. Better Life Surgery helped me to find who I want to be, not just by losing 46kg with my gastric sleeve surgery, but by finding confidence in myself, getting my health back, adding years onto my life & most of all becoming a happier person again! Every time I visit the clinic I feel like supported in my journey and am told how proud they are of my achievements. I am not just a number to this team and you won’t be either. Thank you Mo, Marianne, Bec & Bec at BetterLife Surgery Liz
Jenn Clark
Jenn Clark
18/01/2024
Mo Atalla and his team would have to be the best that I have ever come across. His care and compassion is outstanding. I can not thank Mo enough for everything he has done for me and my family. It truly means the world to us.
Elly McCuish
Elly McCuish
07/01/2024
I couldn’t have had a better experience with the Better Life Surgery team. I have reached my goal weight in 7 months after having the gastric sleeve. Mo and Maryanne have great attention to detail and are right onto everything including the paperwork aspect. I feel very grateful to the team for helping me turn my life around for myself and my family. I could not have done this without them.

Your Better Life Starts Here

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