OClinic

01/12/2025

Getting reflux? We can help

If you're experiencing reflux or heartburn after weight-loss surgery, you are not alone. This is a common issue, and there are highly effective treatment options available.

Why reflux develops

The most frequent cause of reflux (GORD) in patients developing or worsening many years after bariatric surgery is the development of a hiatus hernia. This occurs when the top of the stomach sleeve or pouch moves upward through the diaphragm into the chest, preventing the reflux valve from closing properly.

Significant weight loss may lead to loosing of the supporting attachments of the reflux valve. If there’s been subsequent weight regain, especially around the abdomen, this increases pressure in the abdomen and can push the stomach into the chest.

In some cases, reflux might occur immediately after a sleeve gastrectomy due to the increased intragastric (stomach) pressure with that type of procedure. The opposite generally occurs after a gastric bypass, which reduces pressure.

Next Steps

If reflux is ongoing or worsening and affecting your quality of life, please contact us to arrange a review by A/Prof Craig Taylor and an endoscopy to investigate the cause. We are always happy to help all patients, regardless of where you have had your original procedure performed.

Do not put up with reflux. Let us help you get comfortable and sleeping well again. Phone us on 8197 9595 or book online at oclinic.sydney

Kind regards,
Dr Craig Taylor and the OClinic Team

Medication

Proton Pump Inhibitor medications (PPI) such as Nexium, Somac or Pariet provide short-term relief, but do not treat the underlying cause. Long-term use is associated with iron deficiency, osteoporosis, kidney issues and gut infections, so whilst these medications have a short-term role, they should not be used indefinitely.

Surgical Treatment Options

If a hiatus hernia is present, it can be repaired easily and safely using keyhole (laparoscopic) surgery. The stomach is returned to its correct position and secured with sutures. The procedure involves an overnight stay and takes less than an hour. Patients are typically able to return to work after 3 days.

On the other hand, if reflux is instead due to increased stomach pressure, or if a hernia is not present, conversion to a bypass procedure (Roux-en-Y or Mini bypass) may be a more appropriate option. This can be particularly helpful if significant weight regain has occurred or further weight loss is desired.

Discounted pricing for UNINSURED OClinic patients experiencing reflux

We’re now able to offer significantly reduced fees for patients without private health insurance. Superannuation can also be accessed to cover costs if needed.

Hiatus Hernia repair: from $4000 all inclusive WITHOUT INSURANCE*
Conversion to bypass: from $12,000 all inclusive WITHOUT INSURANCE*

*conditions apply. Call us to discuss

03/10/2025

Is Obesity Caused by Genes or Lifestyle?

The question of whether obesity is primarily driven by genetics or lifestyle remains a subject of ongoing debate among medical professionals and the general public.

Those who emphasize lifestyle point to the sharp rise in obesity rates over the past 50 years—something not observed in earlier generations. The proliferation of high-calorie, ultra-processed foods and increasingly sedentary lifestyles are closely linked to this trend.

On the other hand, scientific research strongly supports a genetic component. Twin studies from the 1970s showed that identical twins tend to have similar body weights, even when raised apart. More recently, researchers have identified multiple obesity-related genes that significantly increase a person’s susceptibility to gaining weight. There’s also growing evidence that each person has a genetically influenced “set point” weight range that the body tries to maintain.

So, What’s the Real Cause?

The most accurate answer is that both genetics and lifestyle play significant roles. A commonly cited estimate is that obesity is about 70% driven by genetic and biological factors, and 30% by lifestyle. Or as the saying goes:

“Genes load the gun, but lifestyle pulls the trigger.”

What Does This Mean for Treatment?

Because obesity is complex, effective weight management must address both sides:

• Medical treatments like medications and bariatric surgery help target biological and genetic drivers by reducing hunger and improving metabolism.

• Lifestyle changes—including healthier eating, increased protein intake, reduced processed foods, and regular physical activity—remain essential for long-term success.

01/10/2025

Listen to Dr Craig Taylor explain why people become overweight on BariChronicals

This Podcast delves into the complexities of obesity, exploring the psychological and physiological aspects of comfort eating, the transformative potential of surgical interventions, and the importance of a multidisciplinary approach to weight management. The discussion highlights the evolution of surgical techniques, the significance of pre- and post-operative care, and the need to address biases in medical treatment.

The Bari Chronicles · Episode

07/01/2025

Hi everyone and welcome to 2025!

Here are the topics for our live FreshStart webinars for the year:

January - New Year, New Habits!
February - 7 Steps To Creating Your Healthy Future
March - Personal Power Not Willpower
April - Beating Mindless / Emotional Eating
May - Making Yourself A Priority
June - Making Movement Work for You
July - Letting Go Of Limiting Beliefs
August - Manage Stress for Enhanced Wellbeing and Weight Loss
September - Navigating Relationship Challenges & Changes
October - Gain Control Over Emotional Eating
November - Building And Breaking Habits
December - Staying On Track During The Festive Season

As always make sure you’ve registered with FredhStart to ensure you receive your log-in code. (check your inbox including spam folder for your welcome email)

Wishing you and your families all the best for the year ahead.

Dr Taylor and the OClinic team

01/10/2024

We are in our beautiful new home at 198 Pacific Hwy, Crows Nest but unfortunately our phone diversion is still not in place. Please call us on (02) 8197 9595 to schedule a consultation or review with our team.

30/09/2024

Welcome to our new clinic everyone!!

We are thrilled to announce our lovely new clinic is now open.

After more than 15 years at our gillies street address it was time for a refresh. We are just around the corner at 198 Pacific Hwy Crows Nest (corner of Pacific hwy and Rocklands rd just up from The Mater hospital)

Our professional caring team look forward to welcoming you to our new home

Our phone number and emails remain the same

Dr Craig Taylor & the OClinic team

21/08/2024

Is stress affecting your weight loss and well being journey?

Stress can definitely impact weight loss efforts. It often triggers emotional eating or cravings for unhealthy foods and can also affect your metabolism. Managing stress effectively can be a crucial part of achieving and maintaining a healthy weight.

If you’re interested in learning more about how to manage stress and improve your overall well-being, be sure to attend our seminar on 28th Aug. Guaranteed to provide valuable strategies, tools, and support that can help you better cope with stress and create a healthier lifestyle. If you have any specific questions or need more details about what the seminar will cover, feel free to ask!

22/11/2023

Check out Elise's weight loss journey! What a roll model!

13/06/2023

Ever wanted to see how an actual gastric bypass is performed? Watch Dr Taylor perform a Mini-Gastric bypass here:

This is how Dr Craig Taylor from OClinic Sydney performs a One Anastomosis Gastric Bypass OAGB also known as the Mini- Bypass. Dr Taylor prefers a hand sewn ...

05/04/2023

The OClinic’s office doggo, Cleo got a very special gift from our wonderful patients from 🐶🎀💕

02/03/2023

Information session on Weight Loss Surgery in Tamworth📣
DONT MISS OUT!
🗓️When: Friday 3rd March
📍Where: Northwest Health Clinic
279B Marius st, Tamworth
⏰Time: 6:30pm - 7:30pm

Can’t make it in person? Join us via Zoom - Link in bio

RSVP to:
📧practicemanager@oclinic.com.au
Or call 📞 02 8197 9595