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Laparoscopic Gastric Bypass (R-YGB) surgery is the most common type of combined surgery. Gastric Bypass is one of the methods that draws attention with its successful results in bariatric surgery. With this surgery, while the stomach volume is reduced, the absorption of nutrients decreases because the path traveled in the small intestine is shortened.
The part at the beginning of the stomach is separated from the rest so that a volume of approximately 30-50 cc remains. A part of the small intestines is also bypassed and connected to the newly formed small stomach. In this way, patients reach the feeling of fullness quickly with much smaller portions. At the same time, the absorption of a significant part of the high-calorie foods taken is prevented.
Effective and permanent weight loss is achieved with Laparoscopic Gastric Bypass (R-YGB) surgery. Similar to volume-restricting surgeries, patients achieve a feeling of fullness quickly with much smaller portions due to the reduced new stomach pouches.
Laparoscopic gastric / Roux-en-y Gastric Bypass
Gastric Bypass Surgery is performed under general anesthesia with the laparoscopic method, that is, as a closed surgery.
Gastric Bypass Surgery is an operation that takes 1.5-2 hours on average.
In Gastric Bypass surgery, without making a large incision, the camera and necessary treatment tools are sent into the abdomen through 4-6 holes of approximately 0.5-1.00 cm opened from the anterior abdominal wall. With the help of a bariatric camera, the bariatric surgeon can see the operation area on a monitor in high resolution and can easily perform the application.
Gastric Bypass operations are based on bypassing approximately 95% of the stomach.
In gastric bypass surgery, the part at the beginning of the stomach is cut and separated from the rest (about 30-50 cc volume). A part of the stomach, which is divided into two by surgical methods, is attached to the middle of the intestine by bypassing the duodenum. The other part of the stomach that is cut continues to function without being removed from the body. Thus, the food consumed is prevented from passing through the duodenum.
With Gastric Bypass surgery, it is aimed to saturate the patients with less food and to ensure that some of the food they take is absorbed.
Roux en Y Gastric Bypass
In the operation, from the point where the stomach meets the esophagus, a stomach volume of approximately 25-30 cc is left between the two stomachs with a special stapler tool. Thus, a small stomach pouch and the other part of the stomach are left behind. At the same time, a connection is established between the small intestine and the small stomach pouch by creating a stoma. The new connection between this pouch and the small intestine is called the Roux en Y arm. Thus, food from the esophagus bypasses most of the stomach and the first part of the small intestine.
Mini-Gastric Bypass
In this procedure, the stomach is formed as a tube using special stapler tools. This newly created stomach pouch is larger than the Roux en Y type. Then, the small intestine segment is connected to this newly formed stomach pouch from a distance of approximately 200 cm. The most important difference from the Roux en Y type is that it is technically easier and has only one connection. The weight loss mechanism is the same in both gastric bypass types.
What is BMI?
According to medical studies, the fat rate in our body should not exceed 24% in men and 30% in women. There is no method to measure the fat ratio in our body exactly, but in practice the Body Mass Index (BMI) is used.
BMI is a formula that proportions our weight according to our height. BMI is calculated by dividing our body weight by the square of our height.
BMI = Body Weight (kg) / Height (m²)
A BMI over 30 kg/m² indicates obesity. (Click to get more detailed information about BMI, calculate your BMI and BMI Chart.)
Waist circumference is also used in the diagnosis of obesity. Waist circumference over 102 cm in men and 89 cm in women indicates obesity.
Gastric Bypass Surgery is not a plastic surgery. There are some criteria for Gastric Bypass Surgery. If you meet these criteria, you can have sleeve gastrectomy surgery.
Necessary Criteria for Gastric Bypass Surgery
If you do not meet these criteria, you can consider non-surgical weight loss methods such as Gastric Balloon or Gastric Botox
The question that people who want to have gastric bypass surgery are most curious about and want to learn during the decision-making process is the question of how much weight will be lost after Laparoscopic gastric / Roux-en-y Gastric Bypass.
After Laparoscopic gastric / Roux-en-y Gastric Bypass, patients can lose 10% of their total body weight in the first month, ie 10-20 kg in the first month. However, in the first month, there may even be weight changes of up to 30 kg which varies from person to person.
Although it is not correct to give specific numbers about this situation, 3 months after gastric bypass surgery, the percentage of loss calculated from the general excess weight can reach up to 30%. It is frequently observed that this number increases to 50% after 6 months. This post-operative weight loss process means that the expected weight loss is around 1-2 kg per week. After 12 months, up to 60% of excess weight is lost. After 18 months, the percentage of total overweight may reach 70-80%.
Of course, the rate and amount of weight loss in these calculations vary greatly from person to person, lifestyle and eating habits, daily work, gender and age.
Gastric Bypass (R-YGB) is primarily a morbid obesity surgery. Gastric By-Pass (R-YGB) treatment can be applied in the presence of many diseases accompanying obesity. Chief among these is Type 2 diabetes. Positive results can be obtained with gastric bypass surgery in the surgical treatment of Type 2 diabetes patients who cannot be controlled.
The effect of Gastric Bypass surgery on diabetes and hypertension diseases is quite promising. In particular, diabetes and blood pressure patients treated with drugs do not require drug treatment after this surgery.
Since the abdominal muscles and membranes are not cut in laparoscopic surgeries, there is no serious pain after the surgery. Postoperative painkillers are given to patients to minimize this pain. In addition, patients may have a feeling of tension and pressure on the first day, which is relieved with painkillers.
After gastric bypass surgery, patients usually get out of bed and start walking within 2-6 hours. There is no serious pain on the 2nd day.
Patients are usually discharged on the 3nd or 4rd day and are asked to rest.
After 3-4 days of rest, they can start working in light jobs. For those who work in heavy jobs, rest period is requested as 10-14 days.
Gastric Bypass Surgery is performed with a closed method. Since the abdominal muscles and membranes are not cut in laparoscopic surgeries, only very small incision marks remain in the abdomen after the surgery. These lines become completely invisible in a few months.
It is known that after Gastric Bypass Surgery, some of the patients could not maintain the weight they lost and regained weight. Although figures varying from country to country have been reported, the rate of regaining weight after Gastric Bypass Surgery is around 15-20%. In other words, two out of every 10 patients who have had Gastric Bypass Surgery can start to gain weight again.
The period of regaining weight usually begins after the 3rd year of the surgery. The reason why patients gain weight earlier is usually due to surgical technical problems.
We can summarize the reasons for regaining weight after Gastric Bypass Surgery as follows:
Noncompliant patient
After Laparoscopic gastric / Roux-en-y Gastric Bypass, patients must change their lifestyle in line with the surgery and abandon their old eating habits. The calories you take in and the calories you burn determine whether you will gain weight again in the future. We see that almost all of those who regained weight after Laparoscopic gastric / Roux-en-y Gastric Bypass surgery or could not lose enough weight continue their old eating habits. High-calorie snacks, eating close to bedtime, sedentary life are risks for the patient.
Carbohydrate Indulgence
Especially the fondness for carbohydrates, that is, the fondness for doughy and sugary foods, lays the groundwork for gaining weight again. Worse, if sugary foods are consumed, the pancreas produces more insulin and blood sugar decreases within a few hours. Thus, the patient has to take sugary food again. Calories increase with each meal. In order to break this vicious circle, the patient must learn to stay away from carbohydrates.
Excessive Alcohol Consumption
If a person who has had Gastric Bypass Surgery has a habit of drinking alcohol at a high rate, it is almost inevitable that he will gain weight again. There are 7 calories in one gram of alcohol. With high-dose alcohol intake, high-dose calories are taken and the body stores high-dose calories as fat.
Sedentary Lifestyle
Unfortunately, most of the patients think that Laparoscopic gastric / Roux-en-y Gastric Bypass is enough to lose weight. After the surgery, the rate of eating decreases and the calories taken decrease, but the calories spent should also be balanced during this period. We definitely want our patients to take walks in addition to their daily activities. This is not only for maintaining the weight lost, but also for increasing the vital energy and body condition.
It is estimated that 75%-100% of candidates suitable for Gastric Bypass Surgery have non-alcoholic fatty liver disease (NAFLD). NAFLD is the accumulation of fat cells in and around your liver cells. This causes the liver to enlarge in size. These patients have an enlarged left lobe of the liver that may impair the visual field of the bariatric surgeon and is particularly susceptible to bleeding. Larger than normal liver size can increase the risk of complications by making Gastric Bypass Surgery very challenging.
At this point, the main purpose of the diet to be applied before Gastric Bypass Surgery is to shrink the liver that has grown due to excess weight and prepare it for surgery. In studies, it has been observed that a low-calorie diet (1200kcal) for two weeks before bariatric surgery significantly improves adiposity, inflammation and hepatocellular ballooning in NAFLD and provides 20% reduction.
In general, nutrition and diet recommendations before Gastric Bypass Surgery include the following.
After Gastric Bypass Surgery, a nutrition program will be prepared for you by our doctors and diet team. This program will be followed from the 1st day of your surgery to the 1st year. It is very important that you adjust your eating habits according to this program and comply with the program.
Although the foods recommended by each doctor and dietitian may be different, they are very similar to each other in terms of nutrition style.
In general, nutrition after Laparoscopic gastric / Roux-en-y Gastric Bypass surgery is carried out in 4 stages.
The first week after surgery;
Clear watery foods and liquid food consumption
1-4 weeks after surgery;
Juicy soft and pureed foods
1-3 Months after surgery;
Cooked vegetables, boiled meat and chicken, legumes, etc.
3 months after the operation;
All low-fat solid foods can be taken provided that they are chewed well. There are no limitations.
The nutrition program mentioned above is for informational purposes only, and it is given in order to let the patient know what kind of nutrition process awaits after the surgery. The detailed nutrition program is created together with the patient, taking into account the person's taste, social and economic structure after the surgery. With additional protein and vitamin supplements, different personalized nutrition programs can be created.
In the success of gastric surgery, it is of great importance that the patient adopts a new lifestyle, adheres to the diet program created in cooperation with metabolism and endocrinology specialists, and regularly uses nutritional, vitamin and mineral supplements if necessary.
Gastric Bypass is essentially a procedure that restricts both food intake and absorption of food. Food absorption in Gastric Bypass surgeries is much higher than Gastric Bypass Surgery. As a result of decreased food absorption, protein, vitamins and minerals in foods may not be taken into the body in sufficient quantities after surgery. For this reason, protein, multi-vitamin and mineral supplements are required after Gatsric Bypass surgery.
Although a special program is created for each patient, the following principles are important in nutrition after Laparoscopic gastric / Roux-en-y Gastric Bypass surgery:
As with all surgical procedures, these risks are valid for gastric bypass surgery. However, gastric bypass surgery includes additional risks compared to many surgical operations. For this reason, patients who are planned to have surgery undergo a detailed evaluation. In addition to physical examinations, each patient is evaluated in detail before surgery by endocrinology and psychiatry specialists. The risks in Gastric Bypass Surgery are experienced during the operation or in the 15-day period after the operation and great care should be taken. There is no risk that may develop after 15 days from the operation. For this reason, the first 15 days should be followed closely by both the doctor and the patient.
We can summarize the risks and complications of Gastric Bypass Surgery as follows;
Bleeding Risks
It is a type of risk that is possible in all surgical steps. Drains are used to observe and intervene the bleeding risk in the early period. The most common symptoms in individuals with bleeding are intense dizziness and a drop in blood pressure levels. Bleeding should be promptly controlled and treated. If the level of bleeding is severe, additional blood supplementation is required. The leak test is also performed on the second day of the operation.
Leakage Risks
Gastric Bypass Surgery is a very comprehensive operation. The most feared complication of this surgery is leakage. Complications that may occur in the cut and joined staple line should be intervened immediately.
The most common leakage symptoms are severe abdominal pain, severe increase in heart rate, tremors and intense fatigue. Leaks can be treated with early diagnosis and rapid intervention of the doctor. Leaks can be detected in any case. However, in cases where it is delayed, the treatment may be prolonged and may cause additional problems. For this reason, a physician who is an expert in his field should be chosen, and doctors who have successfully performed gastric bypass operations many times before should be preferred.
Embolism Risks
Arteries can become clogged due to an embolism, generally a blood clot, an air bubble, or something similar. This blockage of the arteries is called embolism. There are risks of embolism in every surgical procedure. However, the risk of embolism is higher in bariatric surgery. For this reason, in order to minimize the risk, drugs with blood thinning properties are given 24 hours before the operation, and in addition to this, patients are dressed in compression stockings. With these two effects, the risk of embolism formation can be reduced. Compression stockings and the use of drugs with blood thinning properties include the first 10 days after surgery.
Dumping Syndrome Risks
This risk group is also a kind of side effect that can develop after the operation. It refers to the rapid passage of nutrients from the stomach to the small intestine, depending on the absorption of food. The biggest symptom of rapid transition may be severe abdominal pain that occurs between 10 and 30 minutes after feeding. In addition, stomach cramps and diarrhea are among the symptoms. The simplest explanation of dumping syndrome can be expressed as the rapid passage of nutrients, especially sugar, from the stomach to the small intestine, and as a result of this rapid transition, the patient encounters pain and diarrhea.
Consumption of simple carbohydrate foods, usually after surgery, can cause dumping syndrome. These are complaints that occur when the stomach is emptied very quickly.
The risk of Dumping Syndrome can be easily eliminated by dietary changes.
After the Gastric Bypass Surgery, it is important to exercise both in order to transition to a healthier life and to lose more weight.
People should not plan heavy and tiring sports for exercise after Gastric Bypass Surgery. The exercise you will do should not be too hard on you, it should be exercises that you will love to do and that you will enjoy doing. Climbing stairs, sitting up and even tying your shoes will be exercise for you.
After Gastric Bypass Surgery, you should do your exercises by choosing lower tempo and effective exercises. Walking, repeating simple exercise movements (such as sitting, working the arms, strengthening the arm muscles with very low weights, working the legs), cycling or swimming are the best types of sports.
Turkey holds an important geopolitical position as a connection between Europe and Asia. As a result, it is situated along a major thoroughfare used by travelers from Asia and Europe.
Istanbul is a well-known city with a long history. With its historical locations and cultural richness, it provides visitors with a visual feast. Millions of tourists visit Antalya each year, a city that stands out for having beaches and coasts that have earned the blue flag.
The cities, which have established a reputable name in both summer and winter tourism throughout the entire year, provide warm and welcoming services to its guests with traditional Turkish hospitality.
Importance Given to Health and Humanity!
In addition to its history, culture, and infrastructure for holidays, Turkey is favored for its healthcare and accessibility to medical care.
Easy Access
The airports, especially in the cities of Istanbul and Antalya, serve more than 300,000 passengers daily. There are daily flights to more than 1600 destinations.
Short Flight Distances
Transportation to Turkey, which is located at the midpoint of Europe and Asia, can be done by making short-haul flights. Generally, guests from Europe and Asia can reach Turkey by flights between 2-6 hours.
Affordable Transportation Options
Turkey, which has well-known brands in airlines, organizes scheduled flights to many destinations with its own brands. Especially Istanbul is a transfer center for long trips between countries. Since many foreign country brands make their stopovers and transfers through Turkey, you can easily find affordable flight tickets.
State-Of-The-Art Healthcare Infrastructure
Especially in the last 20 years, Turkey has made serious investments in health infrastructure and research and development facilities and trained specialist health workers. In addition to city hospitals and private hospitals, it provides services in many branches of health with its private clinics and practices. New generation treatment techniques and services are offered in hygienic and comfortable health facilities equipped with state-of-the-art devices and equipment.
Experienced And Expert Healthcare Professionals
Doctors and healthcare professionals who have been trained in Turkey's and the world's famous universities have constantly improved themselves and gained experience with their numerous successful surgical operations. The number of patients coming to Turkey for healthcare purposes is increasing and healthcare professionals are increasing their experience day by day.
Economic Health Services
The number of patients coming to Turkey for treatment is increasing day by day, and this momentum also increases the number of health facilities and employees. The competitive service approach is also reflected in the prices, and it is the patients who want to receive treatment who benefit most from this competition.
Turkey Specializing in Weight Loss Surgeries
Obesity surgeries constitute 30% of the patients coming to Turkey from abroad. Bariatric surgeons and their teams, who develop themselves and gain experience in obesity, successfully perform Gastric Sleeve Surgery, Gastric Bypass Surgery, Gastric Balloon and Gastric Botox to thousands of patients every year, differing from obesity services provided in other countries in terms of price and experience. Turkey is among the most preferred countries in bariatric surgery with its affordable prices and experienced healthcare professionals.
Does it attract a lot of attention because it is affordable? Are There Reasonable Prices Due To Interest?
Actually, the answer to this question is very obvious. Turkey has proven itself in health services and trust in Turkey is at a high level. Many patients return to their countries with successful results in their treatments and recommend their relatives to be treated in Turkey. As a result, interest in Turkey's health services is increasing. This interest increases the number of patients and creates competition between countries and within the country. This competition is also reflected in prices.
We invite you to Turkey for the importance given to your health. Regain your health with a strong health infrastructure and affordable price advantages. Your health is a substantial priority. Take action right now.
Gastric Bypass Surgery is performed laparoscopically, since the abdominal muscles and membranes are not cut, there is no serious pain after the operation. Postoperative painkillers are given to patients to minimize this pain.
After Gastric Bypass Surgery, patients usually get out of bed and start walking within 2-6 hours. There is no serious pain on the 2nd day.
Patients are usually discharged on the 3nd or 4rd day and advised to rest.
After 3-4 days of rest, there is no obstacle for them to travel by plane and they can return to their country in a healthy way.
In general, the recommended treatment plan for Gastric Bypass Surgery and the length of stay in Turkey are as follows;
Day 1: Anesthesia and blood tests, rest at the hotel after consultation.
Day 2: Gastric Bypass Surgery and hospitalization
Day 3: Complication follow-up and hospital observation
Day 4: Discharge from the hospital and transfer to the hotel
Day 5 : Hotel rest and short city tours
Day 6 : Hotel rest and short city tours
Day 7 : Return to your country
The treatment plan mentioned above is an exemplary treatment plan and is arrangeable in different situation, taking into account the patient's condition, the arrival time of the patient in Turkey and the flight times.
3 nights of hospitalization and 2 nights of hotel accommodation are also frequently preferred treatment plans.
First of all, congratulations on making this important decision to change your life.
Obesity is the main cause of many diseases, from cardiovascular diseases to bone and joint diseases.
Since the life expectancy of obese patients is shortened by 10-15 years due to obesity, the risks related to obesity are much higher than the risks of Laparoscopic gastric / Roux-en-y Gastric Bypass.
Risks related to other health problems, such as fatty liver, risk of kidney diseases, diabetes or high blood pressure, are eliminated in people who have Gastric Bypass Surgery. Therefore, stomach reduction surgery is an operation that is both low-risk and reduces the risk of other surgeries.
With this surgery, you can regain your health and make a new start in your life.
How do we work? What is All Inclusive Health Care?
Our aim is not only to provide you with medical services, but also to make your time in Turkey safe and valuable. We combined the provision of medical services with accommodation and transportation, thanks to the network we have created for issues that may cause loss of safety, time and money for you. In this way, you will be able to enjoy and enjoy the limited time you have in Turkey instead of things that will take your time such as transportation and accommodation in Turkey.
We welcome you from the airport with our VIP vehicles. We provide transportation to the hospital or hotel according to your treatment program. We organize your transportation between the hotel and the hospital during your entire treatment, and when your treatment is completed, we drop you off at the airport to return to your country.
In order to benefit from all these services, all you have to do is contact our call center and decide on your treatment plan with our expert team.
You can reach us 24 hours a day, 7 days a week from online forms on our site, our contact page, our instagram page and our whatsapp support channels.