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Dr Clement Tsang

Sydney Weight Loss & Obesity Surgical Centre

Sydney, NSW14+ years experience
FRACSIFSO MemberFRACSMaster of Surgery Degree (Laparoscopic & Anti-Reflux Surgery), University of SydneyMBBS, University of SydneyMBBS

About

Sydney-based weight loss surgery centre led by Dr Clement Tsang, one of Sydney's most experienced obesity surgeons with over 5,000+ weight loss procedures performed, offering a full range of bariatric surgery procedures using advanced laparoscopic techniques across multiple Sydney hospitals.

Procedures Offered

Gastric Sleeve
Gastric Bypass (RYGB)
Mini Gastric Bypass
Lap-Band
Lap-Band Removal
Gastric Balloon
Revisional Surgery

Also offered

Gastric band adjustmentConverting failed gastric sleeve into gastric bypassGastric plication

Hospital Affiliations

St Vincent's Private Hospital

Darlinghurst, NSW - private

St Luke's Private Hospital

Elizabeth Bay, NSW - private

Waratah Private Hospital

Hurstville, NSW - private

Campbelltown Private Hospital

Campbelltown, NSW - private

East Sydney Private Hospital

NSW - private

Mater Hospital

NSW - private

About Dr Clement Tsang

Dr Clement Tsang is an upper-GI surgeon specialising in laparoscopic (keyhole) weight loss surgery.

  • We believe that weight loss surgery is about creating a better healthier you.
  • Fellow of the Royal Australian College of Surgeons (FRACS); Master of Surgery Degree (Laparoscopic & Anti-Reflux Surgery), University of Sydney; Bachelor of Medicine & Bachelor of Surgery (MBBS), University of Sydney; Training Fellowship (Upper-GI Surgery); Additional sub-specialised training in Hong Kong and the United States; Conjoint Lecturer with the University of New South Wales
  • Performed more than 5,000+ weight loss procedures
  • Performs approximately 350-400 gastric sleeve operations per year
  • Clinical Director of the Keyhole and Obesity Surgery Centre
  • Zero mortality rate
  • Member of Australia & New Zealand Gastric & Oesophageal Surgery Association (ANZGOSA)
  • Member of Society of American Gastrointestinal & Endoscopic Surgeons (SAGES)
  • Manages more than 3,500+ patients in his clinic
  • Conjoint Lecturer with the University of New South Wales

Procedure Information

Gastric Band (Lap Band Surgery)
Average of 58% excess weight in one year; 64.8% excess weight at two years; 47.1% excess weight loss maintained at 15 years

The LAP-BAND® System is placed around the top of the stomach during a 30-45 minute laparoscopic procedure, applying constant gentle pressure to increase a feeling of satiety on a smaller amount of food. It is completely reversible and adjustable via an access port beneath the skin.

Hospital stay: 1 dayRecovery: Return to work 3 to 7 days; full exercise in 6 weeks
Gastric Sleeve (Sleeve Gastrectomy)
60 to 80% of excess weight loss over 2 years; 50 to 80% of excess body weight in the first six months to one year

The Sleeve Gastrectomy is a restrictive weight loss surgery that removes approximately 80% of the stomach, reducing it from 2 litres to 100-150mls. It is the most common weight loss surgery performed in Australia and is the procedure of choice for volume eaters and those with a history of eating disorders. The removed portion includes the fundus which produces the hunger hormone Ghrelin.

Hospital stay: 2 nightsRecovery: Return to office work in 7 to 10 days; procedure takes about 1 hour
Roux-En-Y Gastric Bypass
Around 80% of excess weight in the first year; reduced to approximately 50 to 60% excess weight loss at 10 years

The Gastric Bypass takes advantage of both restriction and malabsorption. It involves formation of a small 20-30cc gastric pouch using stapling devices and rerouting of the small intestine. It is one of the most effective weight loss procedures and is generally reserved in Australia for patients who have failed sleeve surgery or are super obese.

Gastric Balloon (ORBERA® System)
Average of 10-15kg or 10% of initial weight at 6 months; 3.1x the weight lost compared to diet and exercise alone

The intra-gastric balloon is a temporary, non-surgical weight loss procedure where an inflatable balloon is placed in the stomach under sedation and filled with saline up to 400-700mls. It must be removed after six months and can be replaced. It is used to kick-start weight loss or as a bridge to definitive surgery in severely morbidly obese patients.

Recovery: Placement takes around 20 minutes; most weight loss occurs within first 2 months
Weight Loss Revision Surgery

Revision surgery addresses complications or weight regain following previous weight loss operations. Between 10 to 30 percent of patients having any type of weight loss surgery will need later surgery. Options include fixing complications, repairing operations no longer working, or converting from one procedure to another (band/sleeve/bypass).

Frequently Asked Questions

Is it effective? (Gastric Band)
The weight loss with this procedure has been shown to be comparable to the best weight loss reported with alternative surgical procedures. Patients have lost an average of 58% of their excess weight in one year. Patients who have had the gastric band on for two years have lost an average of 64.8% of the excess weight. Failure to lose weight can occur and is usually due to inability of the patient to comply with their dietary instructions, or in some cases to intolerance in 20 to 30% of patients.
Is it adjustable? (Gastric Band)
The gastric band has an inflatable section which is connected by tubing to an injectable reservoir. The reservoir will be located below the left rib cage and buried in the abdominal wall. The inflatable section will enable the surgeon to adjust the size of the opening after surgery to ensure it continues providing optimum weight loss results by inserting a needle through the skin to remove or inject saline.
Is it reversible? (Gastric Band)
Unlike other weight loss procedures, the gastric band procedure is reversible. It does not involve removing or stapling parts of the stomach and does not reroute the digestive tract.
What should I do before Gastric Sleeve Surgery?
Before gastric sleeve resection or any bariatric surgery, smoking increases the risk for infections, pneumonia, blood clots, slow healing and other life-threatening complications after surgery. Ideally, you should permanently quit smoking, but even if you don't you must quit for at least one month before and one month after bariatric surgery. Some surgeons require patients to go on special diets in the week(s) before the procedure. On average most patient will be on optifast shakes for 2 weeks,...
What should I expect after Gastric Sleeve Surgery?
A non-reversible procedure, gastric sleeve surgery is performed under general anesthesia and takes about one hours. Afterward you will probably stay in the hospital for one or two days; recovery from gastric sleeve surgery may last a few weeks. Most patient will return to office work in 7 to 10 days. Most patient will have pain in the wound, chest and sometimes left shoulder. Following surgery, you will need to become re-accustomed to eating solid foods. Normally this starts with 2-3 weeks on a...
Who is gastric sleeve surgery for?
Patients who are looking for a less invasive procedure to the gastric bypass. Age groups usually include patients from ages 18-65. Weight loss for IVF. Treatment of medical condition such as diabetes, hypertension, and sleep apnoea in patients with morbid obesity with BMI greater than 30. Morbidly obese with polycystic ovarian syndrome. Revisional surgery for failed gastric band.
What are some of the benefits? (Gastric Sleeve)
Can be less expensive than other procedures. Less potential for complications. Great weight loss results. Capable of delivering good long term results. No more dieting. Portions control. May eliminate or relieve symptoms of many health conditions (e.g. diabetes).
What are the benefits? (Roux-En-Y Gastric Bypass)
More weight loss compared to the gastric sleeve or the gastric band. Greater improvement in diabetes compared to the gastric sleeve or the band. Suitable for revisional weight loss surgery. Treatment for severe reflux. Release of gut hormones promotes long term weight loss.

Results

More than 5,000+ weight loss procedures performed; approximately 350-400 gastric sleeve operations per year

Gastric Sleeve: 60 to 80% excess weight loss over 2 years; Gastric Band: 47.1% excess weight loss maintained at 15 years; Gastric Bypass: around 80% excess weight in the first year; Gastric Balloon: average 10-15kg at 6 months

Zero mortality rate; patients with diabetes less than 5 years almost have a 100 percent chance of being cured; those with diabetes for more than 5 years have up to 80% chance of being off their medications

Currently manages more than 3,500+ patients in his clinic

Has been performing obesity surgery for 14+ years across South Western Sydney

Very low complication rate

Staple line leak rate for sleeve can be as high as 1-2%

Approximately 1 in 5 sleeve patients will have weight regain

After 12 months with the ORBERA® two-part program, patients lost over 3 times the weight of diet and exercise alone

Support Team

Dietitian

Psychologist

Bariatric Physician / GP

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