Gastric Sleeve Surgery in Istanbul
Gastric Sleeve Surgery in Turkey : Sleeve gastrectomy, also known as weight loss surgery , is a well-known fact that obesity poses a risk for many health problems. Obesity is considered as the cause of many diseases such as cardiovascular diseases, stroke, cancer, and infertility, and weight loss process helps to reduce the risk factors. However, the weight loss process can be quite challenging for obese individuals. At this point, obesity surgery can be a part of a multifactorial approach in addition to nutrition, exercise, and medical treatments. Obesity surgery, including sleeve gastrectomy, which is performed with the bariatric surgery procedure, becomes an important option for obesity treatment.
What is Gastric Sleeve Surgery ?
“Sleeve gastrectomy surgery” or “Weight loss surgery” is a surgical procedure frequently performed in the field of obesity surgery. Obesity can cause many health problems such as cardiovascular diseases, stroke and paralysis, cancer, and infertility. Therefore, it is recommended that individuals with obesity problems approach their ideal weights to protect their health. However, obesity surgery can also be considered as an option in this process.
Weight loss surgery is a procedure that surgically transforms the stomach into a tube shape. The digestive system is a system with almost all organs in tube shape. However, the stomach is a bag-like structure and serves the function of food storage. In the weight loss surgery, a large portion of the stomach is removed irreversibly, and a system is created between the esophagus and intestines. This procedure reduces the volume of the stomach and reduces appetite. It also has a significant effect on hunger hormone secreted from the stomach.
Weight loss surgery is part of an approach that includes exercise, nutrition, and medical treatments like other weight loss methods, while helping to reduce health problems related to obesity. The success of tube stomach surgery depends on appropriate patient selection, proper performance of the surgical procedure, and application of appropriate diet and lifestyle changes afterwards.
In conclusion, Weight loss surgery is an important option in the fight against obesity. However, like any surgical procedure, it also has risks and side effects. Therefore, good communication and collaboration between the patient and the doctor are important, and each case should be evaluated individually.
How Is Sleeve Gastrectomy Surgery Performed?
Obesity is a condition that can have significant consequences not only on a person’s health, but also on their social, psychological, and economic well-being. Therefore, when medical, diet, and exercise treatments for obesity have been unsuccessful, surgical options may be considered. Sleeve gastrectomy (SG) is one of these surgical options.
Sleeve gastrectomy is typically performed laparoscopically. First, the patient must undergo preparations, which include making some lifestyle changes such as following a physical exercise program and quitting smoking. Before the surgery, the patient’s nutrition and medication use are also restricted.
Sleeve gastrectomy is performed under general anesthesia. A thin tube equipped with surgical instruments and a camera is inserted into the patient’s abdomen through a few small incisions that are 1-2 cm in length. The surgeon removes a portion of the stomach while looking at the camera’s image and stitches up the remaining part. This reduces the size of the stomach and decreases food intake.
Laparoscopic sleeve gastrectomy is more commonly preferred due to its advantages. These advantages include fewer surgical scars, less blood loss, less pain, and a faster recovery time. However, in some patients, an open surgery may be more suitable. In this case, a larger incision is made and the stomach reduction procedure is performed through this area.
The sleeve gastrectomy surgery typically takes about 1-2 hours. After the surgery, the patient is closely monitored due to possible complications. Sleeve gastrectomy should be performed in a well-equipped hospital by an expert surgeon. The patient is usually discharged within a few days. The success rate of sleeve gastrectomy is high and can help patients fight against obesity.
What Should Be The Body Mass Index For Sleeve Gastrectomy Surgery?
Suitable candidates for sleeve gastrectomy surgery are those with a body mass index (BMI) of 35 or above, who also have to struggle with the health conditions caused by obesity. However, patients with a BMI of 40 or above are also suitable candidates for sleeve gastrectomy surgery and other obesity surgical procedures. Even if they do not have a health condition related to obesity, surgical intervention may be recommended for them to benefit from the advantages of the surgery. Therefore, it is important for patients who want to learn about obesity surgery to consult with their doctors first and undergo the necessary examinations.
What Should Be Considered Before And On The Day Of Gastric Bypass Surgery?
The preparation process for gastric bypass surgery is crucial for the success of the surgery and the preservation of the patient’s health. Despite different teams having different practices, international and national obesity surgery associations have certain standards set for gastric surgeries. These standards aim to ensure the safe performance of the surgery and the preservation of the patient’s health.
During the preparation process for gastric bypass surgery, the patient must first undergo a detailed examination and evaluation before the surgery. These tests are conducted to determine the patient’s general health condition and to evaluate whether the surgery is appropriate or not. The patient may also need to be placed on a diet program before the surgery. This diet program can be implemented to prepare for a more successful recovery process after the surgery.
There are various types of gastric bypass surgeries, and the type of surgery to be applied is determined according to the patient’s condition. Before the surgery, the patient is informed about how the surgery will be performed, what needs to be done after the surgery, the recovery process, and possible risks. This way, the patient is informed about the surgical process and can prepare accordingly.
During the preparation process for gastric bypass surgery, the surgical team also completes their preparations. Before the surgery, the team sterilizes the operating room and prepares the necessary materials. The surgical team adheres to established protocols to ensure that the surgery is performed properly and the patient’s health is preserved.
How To Lose Weight With Sleeve Gastrectomy Surgery?
Although obesity surgery is seen as a last resort for weight loss, attention must also be paid to the postoperative process to achieve successful results in the long term. This process requires the patient to adapt to a new lifestyle.
Before the surgery, the patient is evaluated to determine whether they are suitable for the surgery based on specific criteria. After the surgery, the patient is educated about the postoperative process. These education sessions cover topics such as how the patient should eat, which foods to consume and avoid, exercise programs, and postoperative follow-up.
During the postoperative period, weight loss is faster for the first three months. Patients lose weight easily during this period, and their motivation is higher. However, since weight loss is possible without exercising during this period, patients may not follow the recommendations. Therefore, it is essential to adhere to nutrition and exercise recommendations in the long term to maintain weight loss.
After the third month, although the rate of weight loss slows down, it continues to decrease until the first year. However, after the first year, the rate of weight loss slows down even more, and weight loss stops completely after 18-24 months. During this period, patients must have adapted to their new lifestyles, which include habits such as avoiding carbohydrates, eating small and frequent meals, drinking plenty of water, and exercising.
In conclusion, obesity surgery is an effective method for losing weight. However, attention must be paid to the postoperative process to achieve successful results. During this process, adherence to nutrition and exercise recommendations, adaptation to a new lifestyle, and postoperative follow-up are crucial for patients.
For Which Patients Is Sleeve Gastroplastomy Suitable?
Sleeve gastrectomy is a suitable option for patients who want to fight obesity. However, it may not be suitable for every patient with obesity. Ideal candidates are those with a body mass index (BMI) of 40 or higher, or with a BMI in the range of 35–40 and other serious obesity-related health problems (such as type 2 diabetes, high blood pressure, sleep apnea, and heart disease).
Additionally, sleeve gastrectomy is also a suitable option for patients who have failed to lose weight with other weight loss methods or who cannot fight obesity with other methods such as diet and exercise.
However, a sleeve gastrectomy is not a solution in and of itself. While this surgery helps patients lose weight, it does not provide permanent weight loss without a regular diet and exercise program. Additionally, it is very important to follow the post-operative nutrition program. Serious health problems may arise in patients who do not comply with the nutrition program.
Before a sleeve gastrectomy, patients must undergo a detailed examination by their doctors, and their medical history must be reviewed. Prior to surgery, various tests are performed to determine whether patients are suitable candidates for weight loss. These tests help determine patients’ preoperative health status.
In conclusion, sleeve gastrectomy is a suitable option for patients who want to fight obesity. However, a detailed examination must be performed to determine whether each patient is a suitable candidate. After surgery, it is important for patients to continue with a regular diet and exercise program.
What Are The Advantages Of Sleeve Gastrectomies ?
- can be performed laparoscopically (minimally invasively): This allows for faster wound healing, less pain, and shorter hospital stays.
- Reduces stomach capacity: This allows for reduced consumption of many food groups. However, since stomach functions are not altered, nutrient absorption continues normally.
- Decreases hunger: Removal of approximately 75% of the stomach wall largely eliminates the production of the hunger-inducing hormone Ghrelin, resulting in reduced hunger.
- Obesity-related comorbidities are improved:Obesity-related comorbidities such as hypertension, sleep apnea, and diabetes improve in 70–80% of cases after surgery.
- Does not interfere with mineral and vitamin absorption: Unlike procedures that bypass the small intestine, there is no interference with the absorption of minerals and vitamins.
- Avoids “dumping syndrome”: Sugars and sugary foods are better tolerated after sleeve gastrectomy surgery, and “dumping syndrome” does not occur.
- Reversible: Sleeve gastrectomy surgery can be converted to other obesity surgery procedures if needed.
However, like any surgery, there are risks and potential complications associated with sleeve gastrectomy surgery. Therefore, patients should have a detailed discussion with their doctor about the risks and benefits and review all options before making a decision.
Complications of Gastric Sleeve
Like any surgical procedure, sleeve gastrectomy surgery has certain risks. However, meticulous monitoring and support are provided before, during, and after the surgery by an expert team.
Possible complications specific to the surgery include leaks in the sutures, abscesses, and respiratory problems due to the movement of blood clots in the legs depending on the patient’s weight. However, with the increasing popularity of sleeve gastrectomy surgery, the number of experienced centers and surgeons, and the use of advanced technologies, these risks have been seen to be at the level of 1%.
What Is The Treatment For Leaks After Sleeve Gastroplastomy Surgery?
With the advancements in technology today, surgical treatment for leakage problems is not always necessary. Especially in small-scale leaks, the problem can be successfully resolved with endoscopic methods. These methods can provide patients with less invasive treatment and a faster recovery.
In addition, radiological methods can also be an effective alternative for resolving leakage problems. With these methods, the problems caused by leaks can be detected and treated quickly.
Patients who experience leakage problems after sleeve gastrectomy surgery should be evaluated by an expert team, and an appropriate treatment method should be determined. The use of endoscopic and radiological methods can help patients recover faster and with less risk.
How Long Does Gastric Sleeve Surgery Take?
One of the most common concerns for patients before surgery is how long the procedure will take. The surgery time for sleeve gastrectomy surgery, which typically ranges from 30 to 90 minutes, may vary depending on the patient’s anatomy and the surgeon’s experience.
However, for obesity surgery procedures such as sleeve gastrectomy surgery, another crucial factor besides the surgery time is performing the surgery correctly and effectively. Therefore, surgeons should aim to perform the surgery in the most ideal way rather than racing against time.
The duration of sleeve gastrectomy surgery can be a significant source of concern for patients, but what is more important than the surgery time is the patient’s recovery and success in fighting obesity. Therefore, it is essential for patients to stay in communication with their surgeons before and after surgery to help them through the process.
When Can A Person Who Has Had Sleeve Gastrectomy Surgery Return To Their Social Life?
The timing for a patient’s return to their social life after sleeve gastrectomy surgery depends on the specific factors of the surgery and their personal recovery rate. However, patients are generally advised to stay in the hospital for 2–3 days after surgery.
After a successful surgery and feeling well, patients can return to work according to their preferences around 5 days after the surgery. Some patients may even want to participate in social activities with friends after five days. However, it is crucial to follow post-surgery nutrition rules since sleeve gastrectomy surgery reduces the stomach’s volume, requiring patients to eat small portions frequently. Additionally, patients may need to consume liquid foods for a certain period after surgery.
The recovery period after sleeve gastrectomy surgery varies for each patient. By following their doctors’ recommendations and making the necessary changes to their diet and lifestyle, patients can lead a healthy life after surgery.
Do You Grow Your Stomach After Gastric Sleeve Procedure?
A certain amount of growth in stomach volume is a natural process after sleeve gastrectomy surgery. However, uncontrolled growth and an excessive increase in stomach volume can lead to regaining the lost weight. Therefore, patients need to pay attention to their nutrition habits, especially during the postoperative period.
After sleeve gastrectomy surgery, there is no need to restore the stomach’s former volume. However, not following the correct postoperative nutrition rules, making the wrong food choices, and not making lifestyle changes can create a conducive environment for stomach growth. Particularly, consuming carbonated drinks, eating high-calorie snacks, and taking solid and liquid foods at the same time can cause the stomach to grow faster and uncontrollably.
Is Lift Weights Harmful After Sleeve Gastrectomy?
Lifting weights can be harmful for a certain period after gastric sleeve surgery. Weight lifting should be avoided in the first few weeks after surgery to help the surgical area heal and recover. During this time, the patient should only do light exercises and avoid lifting heavy objects.
After 4-6 weeks post-surgery, it is recommended that the patient increase their physical activity and gradually return to their normal activities. However, heavy lifting should still be avoided. During this time, it is important for the patient to move in a way that protects the surgical area and lifts weights evenly.
When Can Exercise Be Started After Sleeve Gastrectomy Surgery?
The ability to exercise after sleeve gastrectomy surgery can vary depending on the patient’s recovery process after surgery. During the first few weeks after surgery, patients can engage in light exercises but should avoid strenuous physical activity. During this time, the body needs time to heal.
It is recommended that patients consult with their doctor before starting more active sports activities. The doctor can determine when the patient can start exercising based on their physical condition, the type of surgery, and the recovery process after the surgery. Additionally, the doctor may advise the patient to have a healthy nutrition plan before starting to exercise.
How To Eat After Sleeve Gastrectomy Surgery
After sleeve gastrectomy surgery, lifestyle changes and dietary habits need to be reevaluated. During the first 10-14 days after surgery, when liquid nutrition is crucial, rules such as the lifelong ban of carbonated beverages should be followed. It is also recommended not to consume solid and liquid foods at the same time.
After sleeve gastrectomy surgery, since patients can eat small amounts of food and feel full, it is recommended that they consume high-quality foods. Foods such as chicken, fish, turkey, eggs, cheese, and yogurt are highlighted as protein sources. Salads made of vegetables, fruits, and nuts should also not be neglected in the nutrition plan.
The nutrition plan should be monitored by a dietitian and, if necessary, an endocrinologist. Additionally, psychological support can be sought when there is a discrepancy between the nutrition function and the patient’s preferences. When the patient does not want to consume foods they do not like, a professional team should be consulted to determine the right foods.
When there is insufficient nutrition, mineral, protein, and vitamin supplements may be needed. Vitamin B-12 may not be adequately absorbed when taken in pill form, and this may also occur with B-12 obtained from foods. Therefore, B-12 supplements can be taken in the form of sublingual tablets, sprays, or injections.
Does Weight Loss Surgery Leave A Scar?
After weight loss surgery, patients do not develop permanent scars.These surgeries are performed using laparoscopic methods, which means only small incisions are made in the patient’s body. The size of these incisions is usually between 1 and 1.5 cm and is closed using cosmetic methods. This way, there is almost no scar left on the patient’s body. However, in rare cases, some patients may develop scars. These scars are usually small and do not pose a serious aesthetic problem. Therefore, patients do not need to worry about encountering permanent scars after tube gastric surgery.
How Many Kilograms Can Be Expected To Be Lost Per Month After A Sleeve Gastroplasty Surgery?
The amount of weight loss after a gastric sleeve surgery is specific to each individual. Since every patient has a different body structure, lifestyle, and metabolism rate, it cannot be determined how many kilograms will be lost per month. For example, the amount of weight lost by a short and overweight woman may differ from that of a tall and extremely overweight man. However, it is generally observed that patients lose weight slowly and steadily after a sleeve gastrectomy surgery. A healthy eating plan and an exercise program are among the factors that support weight loss during this process. The weight loss of patients in the postoperative period should be closely monitored and managed in a healthy manner by a specialist physician and dietician.
Does Constipation Occur After Sleeve Gastroplasties?
The risk of constipation after gastric sleeve surgery is closely related to the dietary habits of the patient. When the post-operative nutrition plan is followed, constipation is not usually an issue, but patients who do not pay attention to their dietary habits may experience constipation. Adequate consumption of water and fiber-rich foods is important to prevent constipation. Additionally, patients who experience constipation are advised to add probiotic foods to their diets. If constipation becomes chronic, it is important to consult with a dietician or medical specialist. By following a proper nutrition plan after sleeve gastrectomy, it is possible to prevent constipation.
Is Hair Loss Possible After Sleeve Gastrectomy?
Although rare, hair loss can occur after sleeve gastrectomy, and one of the main reasons for this is insufficient intake of proteins, which play an important role in hair nutrition. Additionally, hair loss may also be related to other nutrient deficiencies. In particular, deficiencies in B vitamins, folate, iron, and zinc can cause hair loss. If a patient experiences hair loss, their blood levels should be checked, and any missing nutrients should be supplemented. In this way, hair loss can be prevented by ensuring that the hair is properly nourished.
Does Weight Gain Occur After Sleeve Gastroplasties?
Weight gain is a common issue after gastric sleeve surgery, and this is mainly due to patients’ neglecting post-operative follow-up appointments and struggling to accept their new lifestyle. Our bodies naturally try to protect themselves through defense mechanisms such as hunger reflexes, which can lead to the development of diseases like obesity. Our brain wants our body’s energy stores to be full, which are typically filled with fat. Weight gain occurs as a result of consuming high-calorie foods. Proper nutrition is essential after a sleeve gastrectomy. Patients should avoid consuming liquids, low-volume foods, and high-energy foods. The consumption of foods such as chocolate, ice cream, and rice pudding should be reduced. By following dietary rules, the risk of weight gain can be reduced. Additionally, regular monitoring and control are also important in preventing weight gain.
How Many Days Do You Stay In The Hospital After A Gastric Sleeve Surgery?
The length of hospital stay after gastric sleeve surgery can vary depending on the type of surgery performed, the patient’s overall health condition, and any complications experienced during the postoperative period. However, typically, patients are expected to stay in the hospital for 1–3 days following the surgery. During this time, the patient’s health condition is closely monitored, pain control is managed, and a liquid diet program is established by a dietitian. It is also important for patients to continue to be monitored and receive proper nutrition at home after the surgery, with guidance from doctors and dietitians.
Postoperative Care For Gastric Sleeve Surgery
After gastric sleeve surgery, there are several factors that require attention for proper postoperative care. These include:
- Nutrition: The patient’s diet will need to be completely altered after the surgery. For the first few weeks, the patient will need to consume only liquid foods. Then, solid foods can slowly be reintroduced into the diet, but fatty, sugary, and carbohydrate-rich foods should be avoided.
- Exercise: Exercise is crucial for weight loss after the surgery and should be performed for at least 150 minutes per week. Exercise routines should be gradually increased.
- Follow-Up: It is crucial to follow the schedule recommended by the doctor after the surgery. This includes taking any recommended supplements, such as vitamins and minerals.
- Psychological Support: Some patients may experience psychological problems after the surgery, and therefore, psychological support may be necessary. Additionally, patients struggling with the new diet may benefit from working with a dietitian.
- Smoking and Alcohol: Smoking and alcohol consumption should be minimized as much as possible after the surgery.
- Allergies: Some patients may experience allergic reactions to certain foods after the surgery. Therefore, it is important to inform the doctor if there are any known allergies.
- Medications: Patients will need to take any prescribed medications regularly after the surgery to maintain their postoperative health. These medications are crucial for proper recovery.
Can Children Undergo Gastric Sleeve Surgery?
In overweight children, medical treatments such as diet, exercise, and psychological support are usually applied first. However, sometimes these treatments may not be sufficient, and the children’s health problems can pose a risk to their lives and quality of life. At this point, the question arises, “Can children undergo sleeve gastrectomy surgery?” Generally, people between the ages of 18 and 65 are considered suitable for surgery. However, in some cases, children under the age of 18 can also undergo surgery. In this case, the child must have not only excessive weight but also comorbidities. The decision to undergo surgery should be made jointly by the child, family, doctor, psychologist, dietitian, and other experts. Additionally, surgery should be considered as a last resort when medical methods have been tried and no results have been achieved.
How Much Gastric Sleeve Surgery Costs ?
In fact, Turkey offers gastric sleeve surgery at a substantially lower price than other nations, often priced between €2,000 and €4,000. This includes everything from pre-operative tests, hospital stay, anesthesia, surgeon fees, medication, and post-operative care.
|Country||Gastric Sleeve||Gastric ByPass||Gastric Balloon||Gastric Band|
|Turkey / All Inclusive Package||2000€ – 4,000€||2500€ – 4,500€||1500€ – 3,000€||4000€ – 5,000€|