Sleeve Gastrectomy

Gastric sleeve surgery in Turkey,  produces rapid results using minimally invasive laparoscopic technique. The sleeve surgery trims down the stomach to one-sixth of its original size. The remaining stomach pouch holds only 15% of the normal stomach contents to reduce gut hormones and make you feel full with less food intake.While the patient is under general anesthesia, the board-certified surgeon makes 3-5 small incisions through the abdomen, including a camera known as a laparoscope, a stapler, and a cutter. The surgeon then inserts a bougie or flexible tube into the patient’s esophagus as a guide to split the stomach into two parts. The smaller portion of the belly (still attached to the esophagus) is stapled closed and reformed into a small sleeve. At the same time, the rest is removed entirely, making it an irreversible procedure.

After gastric sleeve surgery, the stomach volume is reduced from approximately 30-40 ounces to approximately 3-4 ounces. This reduces the amount of food a patient can regularly eat and lowers the risk of malnutrition following bariatric surgery, unlike other surgery options.

Cost of Gastric Sleeve in Turkey

Gastric sleeve in Turkey costs substantially less than the same procedure in the United States or Canada. It is estimated that patients save between $12,000 to $18,000 by undergoing gastric sleeve in with Turkey Weight Loss Center. As a top medical tourism operater, we provide low-cost, all-inclusive weight loss procedures at a fraction of the price.

We operate through exclusive bariatric surgeons and their surgical teams at our primary hospital in Istanbul, Turkey.

Success Rate of Gastric Sleeve

The success rate of gastric sleeve surgery depends on the patient’s commitment to weight loss and living a healthy and active lifestyle. Once you return home, it is essential to follow up with a physician after three months to make sure the process works well without any complications.

A comprehensive blood work analysis is also required to ensure the patient is healthy following their procedure.

What happens if the gastric sleeve fails?

There are many bariatric revision options if the sleeve doesn’t work for you. Gastric sleeve surgery is often followed by gastric bypass or duodenal switch surgery if the patient does not reach a specific weight loss goal.

Note: Patients who previously had gastric banding (lap band) are likely to revise it to a gastric sleeve.

Am I Eligible for Gastric Sleeve Surgery?

Naturally, those who need this bariatric procedure cannot lose weight or rid themselves of obesity through dieting and fitness alone. If you consider this type of surgery, it is always good to consider other options first – and fully understand what life will be like after the sleeve gastrectomy in Turkey.

As a general rule, the vertical sleeve gastrectomy is best suited to individuals who are either significantly overweight or whose medical condition would rule out other forms of surgery. The laparoscopic gastric sleeve is also commonly used for high-risk and high BMI patients as a first-stage procedure.

Benefits of Gastric Sleeve Surgery

There are many advantages to having this gastric sleeve surgery in our surgical hospital in istanbul. The first is rapid weight loss, as most patients reduce their excess body weight by more than 50% in just four to six months.

The surgery takes one hour, making the risk of complications even lower than more invasive procedures such as gastric bypass surgery. Furthermore, the sleeve is revisable in case your stomach pouch stretches over time.

Patients also feel less hunger because their stomach is smaller post surgery. The portion of the stomach that produces the hunger hormones ghrelin is eliminated during surgery.

While other weight-loss surgeries require that the small intestine be cut and reattached, sleeve patients do not suffer the side effects of intestinal bypasses, such as intestinal obstruction, anemia, osteoporosis, vitamin deficiency, and protein deficiency.

Gastric sleeve surgery is suitable for patients who are already suffering from anemia, Crohn’s disease, and various other conditions that would place them at high risk for surgery involving intestinal bypass.

Another advantage of the vertical sleeve gastrectomy (VSG) is that it is one of the few surgeries performed laparoscopically in incredibly overweight patients. This fact makes this surgery more attractive and safer to high BMI and high-risk patients.

• Expected Weight Loss Long Term: 50% of Excess Weight Loss after 6 Years (source)
• Gastric Sleeve Surgery has a Similar Effect on Type 2 Diabetes as Gastric Bypass Surgery (source).

Disadvantages of Gastric Sleeve Surgery

This restrictive weight loss technique is reliable and highly effective in reducing excess weight and allows the stomach to absorb 100% of the food. However, there are drawbacks to choosing the gastric sleeve over weight loss surgery options.

One of the disadvantages of vertical sleeve gastrectomy surgery is that it does not always produce the same amount and speed of weight reduction as gastric bypass. VSG Patients can also regain weight in the long term, but this is true of any kind of purely restrictive surgery.

Because the procedure requires stapling of the stomach, the possibility of leakage and of other complications directly related to stapling, though rare, can occur. Besides, as with any surgery, patients risk additional complications such as post-operative bleeding, small bowel obstruction, pneumonia, infection, and blood clots.

Gastric Sleeve Complications

Patients need to understand the possible complications of sleeve gastrectomy:

• Leakage
• Infection
• Internal Bleeding
• Bowel Obstruction
• Anorexia Nervosa
• Bulimia

However, the risk of encountering any of these complications is minimal and varies from about 0.5 to 1%. The risk of death from this form of surgery is about 0 .25% which is extremely small. The fact remains that the overall chances of staying obese are much more dangerous and common than doing nothing at all.

Fortunately, many of the complications can be treated by carefully handling any wounds and keeping the doctors up to date with any issues. With the internal bleeding, a blood transfusion may be required in severe cases.

General Side Effects

Since this bariatric surgery removes most of the stomach, patients will experience considerable weight loss. Since this is a permanent operation, you will have to get used to eating less and practice portion control.

Vomiting and diarrhea tend to be some of the mild side effects that can occur, especially when adapting to this new way of eating. Esophagus issues can also arise if you are not careful with how much and how quickly you eat. If you feel that there are further complications on the way, it is a good idea to speak to your doctor as soon as possible.

Post-Op Care

Heavy lifting is not recommended. A long-term maintenance diet is also required, as this will help to keep weight down as well. Vitamin deficiency is a possibility, so that supplements will be needed.

It’s essential to follow all instructions from your doctor and nutritionist. You will be on a liquid diet for a specific period. From there, you will incorporate different foods and solids into your diet. It’s important to eat slowly and the required amount of foods outlined in your post-op plan.

 

• How much weight do I need to be in order to have sleeve gastrectomy surgery?

Gastric sleeve surgery; People who are extremely obese (ie, those with a Body Mass Index over 40 kg/m²) have a body mass index of 35-40 and suffer from hypertension, sleep apnea, type 2 diabetes, due to obesity. It is suitable for those who suffer from ailments.

How to Calculate Body Mass Index?

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Weight/x=Body Mass Index

• How is Tube Stomach Surgery Performed?

The real breakthrough in sleeve gastrectomy surgery was realized when the laparoscopic surgery method was started to be applied. Because, thanks to this method, it has become a surgical procedure that leaves less scars, and the duration of hospitalization after the operation has decreased. With this situation, there has been a serious increase in the popularity of sleeve gastrectomy surgery. In sleeve gastrectomy surgery, which is performed with the laparoscopic method, that is, closed, the stomach is first transformed into a thin long tube. Then, approximately 80% of the stomach is removed after the cutting process. In this way, the nutritional need of the stomach becomes much more limited than in the past, while your appetite decreases at the same rate. In addition, the body’s insulin resistance is also broken.

During the procedure, there is no disruption in the continuity of the digestive system by protecting the inlet and outlet part of the stomach. Therefore, the risk of stomach reduction surgery is extremely low.

• What is the Process After Gastric Sleeve Surgery?

Especially if we talk about the pain issue, serious pain is not experienced in laparoscopic surgeries, which are described as closed surgery. The main reason for this is that the abdominal muscles and membranes are not cut in this type of surgery.

You may experience a feeling of tension and pressure on the first day of stomach reduction surgery. If such a situation occurs, your problem will be eliminated with painkillers. You can also start walking in the evening of the first day.

• What Should Be Considered After Gastric Sleeve Surgery?

In order to ensure full efficiency of sleeve gastrectomy surgery, it is extremely important for the patient to pay attention to nutrition by sticking to the diet program and to take vitamin and mineral supplements regularly when necessary. At this point, you should stick to the personalized nutrition program created in cooperation with metabolism and endocrinology specialists. To strictly comply with the recommendations and schedule of our doctor; It is vital that you do not take any vitamin, food or drug supplements without the knowledge of our doctor.

Finally, instead of seeing the nutrition program given by our doctor for a short time, try to make it a habit. Keep in mind that your future life will develop within the framework of this program.

• How long does gastric sleeve surgery take?

The average duration of stomach reduction surgery is 1.5 hours.

• How many days is the hospital stay after sleeve gastrectomy?

After the surgery, patients stay under observation in the hospital for 2-3 days, after which they can return to their homes.

• How much weight is lost in 1 month after sleeve gastrectomy?

The target for the first month is a weight loss of 10-25 kilograms. Generally, by the third month, the patient has lost 30-40 kilos.

• When do the stitches heal after sleeve gastrectomy?

Since sleeve gastrectomy surgery is a surgical procedure performed with the laparoscopic method, the small incisions made during the operation will be completely healed in a week and your return to routine will be as early as possible.

• What does a 1-month-old tube stomach eat?

For the first month after the operation, the person should take approximately 2.5 liters of fluid daily. Approximately 1.5 liters of the 2.5 liters of liquid to be taken should be water. The remaining 1 liter of liquid should be supplied with ayran, meat or chicken broth. The amount of food to be taken daily should be around 750 ml.

 

• Is gastric sleeve surgery risky?

Laparoscopic Sleeve Gastrectomy (banana stomach-stomach reduction) is a 60 percent successful method for weight loss. There is no harm in this surgery in the long run. If the patient does not pay attention to their diet, they may experience difficulties in losing weight, encounter nutritional difficulties, and even • Will there be a lot of pain after the operation?

All surgical procedures involve a certain amount of pain. However, pain is minimal in laparoscopic procedures. In fact, not much pain is felt except for the trocar entry points. Since the incisions are numbed with long-acting painkillers in our center, our patients generally feel little or no pain. From the second day, many of our patients do not even want their routine doses of painkillers.

• Advantages over not having surgery: No drug, diet or sports method gives as successful results in the treatment of obesity as bariatric surgery. In these patients, the results of surgeries performed with sleeve gastrectomy or other obesity surgery techniques always give better results than other methods.

• Advantages compared to other surgical methods: The efficiency of sleeve gastrectomy surgery is higher when compared to methods such as handcuffs applied in the name of obesity surgery. With the development of sleeve gastrectomy and other obesity surgery methods, clamps and similar older treatment methods are rarely applied today. Gastric sleeve surgery does not disrupt the normal course of food passage during feeding. In other words, food proceeds in the order of the esophagus, stomach and intestines as in normal people. In this respect, it is a more suitable surgical method for the natural functioning of the human anatomy and digestive system. Surgical technique is an easy and short-term operation. It is a surgical method that can be performed quickly, has a short anesthesia time and therefore has less complication rates that may be related to anesthesia. It is the most applied obesity surgery technique in Turkey.

What are the Advantages of Gastric Sleeve Surgery?

Laparoscopic sleeve gastrectomy can offer benefits such as less pain, less risk of infection, faster recovery and return to daily activities, very small skin incisions, and less time in hospital.

In addition to its benefits, gastric sleeve surgery offers:

Average weight loss of 40% to 70% in a year

The gastric function is maintained due to the lack of changes to the gastric inlet and outlet valves during surgery. Since no changes are made in the small intestine, possible mild vitamin and mineral deficiencies can also be seen as an advantage of this procedure.

The tests performed before gastric sleeve surgery are listed as follows:

Detailed blood analysis (biochemistry, hemogram, hormone, hepatitis tests, etc.)

Lung X-ray.

Electrocardiography (ECG)

Pulmonary Function Test (PFT)

Ultrasound of the entire abdomen and stomach.

Homa-IR B index (insulin resistance detection)

Is it Safe to Have a Gastric Sleeve Surgery in Turkey?

Gastric sleeve surgery is one of the most serious and difficult obesity surgeries. You definitely need to choose the right surgeon and circumstances.

And in Turkey, gastric inserts are the safest solution for you because:

There are the most experienced surgeons and clinics in Turkey.

You also will be safe during your stay in Turkey.

The tests and tests performed before surgery will determine if you are a good candidate for surgery.

After surgery, you will be examined by professionals and given dietary guidelines before returning to your home country.

With this approach, your operations in Turkey will be carried out safely and efficiently.