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Gastric Sleeve Surgery is a surgical procedure performed by cutting and removing approximately 75-80% of the stomach. After the application, the stomach is turned into a thin long tube similar to a banana. Since a large part of the stomach is removed and a volume of 50-100 ml remains, the amount of food consumed decreases. Since the appetite hormone (GHRELIN) secreted from the stomach part (FUNDUS) removed in this surgery decreases after the procedure, patients experience loss of appetite.
The effect of sleeve gastrectomy on diabetes and hypertension diseases is quite successful. In particular, diabetes and blood pressure patients treated with drugs do not need drug treatment after this surgery.
Gastric sleeve surgery is known as Sleeve Gastrectomy in medical language, and generally as gastric reduction surgery. Gastric sleeve surgery is performed under general anesthesia with the laparoscopic method, that is, in the form of closed surgery.
Gastric sleeve surgery is an operation that takes an average of 1 hour.
In sleeve gastrectomy surgery, the camera and the necessary treatment tools are sent into the abdomen through holes of approximately 0.5 cm opened from the anterior abdominal wall, without making a large incision. 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.
A calibration tube equal to the diameter of the esophagus is placed at the gastric inlet. This tube guides you to accurately determine the area that needs to be cut. In this way, undesirable situations such as clogging or excessive stenosis are prevented. Then, 80% of the stomach is cut and removed with a special cutting-closing tool called STAPLER by stapling technique. Whether there is a leak in the suture line or not is checked by various methods such as inflating the stomach with special dyes. This procedure is extremely important because leakage in the closed areas is one of the most important and undesirable conditions after surgery. When the process is finished, the calibration tube is removed and the drainage system is placed and the operation ends.
The FUNDUS part is included in 80 percent of the surgically removed part. FUNDUS is the region where the hunger hormone (ghrelin) is secreted. With sleeve gastrectomy surgery, both the stomach volume is reduced and the feeling of hunger is reduced. Although not as much as gastric bypass, it also has an absorption-reducing effect.
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 Sleeve Surgery is not a plastic surgery. There are some criteria for gastric sleeve surgery. If you meet these criteria, you can have sleeve gastrectomy surgery.
Necessary Criteria for Gastric Sleeve 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 sleeve gastrectomy are most curious about and want to learn during the decision-making process is the question of how much weight will be lost after sleeve gastrectomy surgery.
After sleeve gastrectomy, 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 sleeve gastrectomy 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.
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 sleeve 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 2nd or 3rd 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 Sleeve 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 sleeve 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 sleeve surgery is around 20-30%. In other words, two out of every 10 patients who have had gastric sleeve 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 sleeve surgery as follows:
Inadequate surgery
During gastric sleeve surgery, the bariatric surgeon must completely remove the part of the stomach called FUNDUS. The section called FUNDUS is the section where the hunger hormone is secreted. If this part cannot be removed completely, the feeling of hunger does not disappear.
If the stomach volume is left wide during sleeve gastrectomy surgery, the patient will need to eat more food for satiety warning. The patient can easily understand this situation, which is one of the reasons for insufficient weight loss or gaining weight again. An enlarged or left wide stomach should be suspected for patients who say they ate close to before surgery. If it is suspected that the gastric volume is left large, it will be useful to perform an endoscopy on the patient and/or to view the gastric volume with SKOPI.
It is normal for the stomach to expand a little after surgery. However, its very widening or hourglass appearance may be due to the surgical technique.
Noncompliant patient
After sleeve gastrectomy, 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 sleeve gastrectomy 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 sleeve 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 sleeve gastrectomy 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.
After gastric sleeve 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 sleeve gastrectomy 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.
Although a special program is created for each patient, the following principles are important in nutrition after sleeve gastrectomy surgery:
As with all other surgical operations, there are various risks after gastric sleeve surgery. The risks of gastric sleeve surgery increase as the age and weight of the person increase.
The first question that comes to mind for people who will decide to have gastric sleeve surgery is there a risk of death? When we consider the risks of gastric sleeve surgery, the risk of death is one of the least surgeries. This risk is as much as gallbladder surgery. As with any surgery, complications or different risks may occur after gastric sleeve surgery.
It would be more accurate to examine separately the complications and risks that may occur after gastric sleeve surgery.
Complications that may occur after gastric sleeve surgery;
Staple line leaks, stenosis or kinking, bleeding, venous thromboembolism and balloon complications are known and the most important complications that the surgeon should pay attention to.
Leakage; During the reshaping of the stomach, 75-80% of the stomach is removed. Staple line leaks are internal leaks that occur in the staple line where the process is performed. This is a complication that arises from not performing the procedure well enough. Today, gas or paint tests are carried out to control these leaks.
Stenosis or bending; It occurs with patients feeling as if the food is stuck in their stomach and the urge to vomit. This problem arises from a complication that occurred during gastric sleeve surgery.
Bleeding; Intense bleeding in the sutured area in the area where the procedure is performed is a reaction of the body.
These complications after sleeve gastrectomy surgery are checked before the patient is discharged, and the patients are discharged after the necessary precautions are taken and treatment is done.
Risks That May Occur After Gastric Sleeve Surgery
Gastric sleeve surgery risks are effective enough to directly affect the stomach and reduce the person's quality of life.
Hernia; One of these risks is stomach hernia. At this risk, the new stomach, which is arranged as a tube stomach, may progress towards the rib cage over time.
Reflux (Heartburn); Gastroesophageal reflux, which seems simple but is a problem for people, is common. 20% of patients who have undergone gastric sleeve surgery may have reflux.
Bile; Gallstones are seen in 10% of patients. Insufficient fluid consumption, rapid weight loss and genetics affect the formation of gallstones.
Due to iron deficiency, anemia may occur that requires intravenous iron replacement. In addition, the rate of stomach ulcers and vomiting is quite high.
Proper nutrition, adequate fluid consumption, and attention to protein and vitamin intake minimize these risks.
After the gastric sleeve 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 sleeve 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 sleeve 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.
It is estimated that 75%-100% of candidates suitable for gastric sleeve 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 sleeve surgery very challenging.
At this point, the main purpose of the diet to be applied before gastric sleeve 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 sleeve surgery include the following.
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 sleeve 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 sleeve 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 2nd or 3rd 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 sleeve 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 sleeve 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 sleeve gastrectomy surgery.
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 sleeve 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.