The first bariatric surgery is said to have been performed in Spain as early as the 10th century. The story says that Sancho I - the head of the kingdom of Leon - was so fat that he almost had no strength to walk, did not ride a horse, could not even hold a sword in his hands. The famous physician Hasdai ibn Shaprut sewed up the king's mouth in such a way that he could only drink liquid through a straw. Hasdai ibn Shaprut mixed opium into his drink, which also helped the king lose weight. As a result, Sancho I lost half his weight.
is an irreversible bariatric surgery. During the operation, the surgeon removes 75 percent of the stomach. This causes the stomach to take on the shape of a tube or "sleeve" that holds much less food. This operation promotes weight loss, as the size of the stomach is significantly reduced, and the amount of food consumed is reduced. In addition, the stomach produces fewer hunger hormones, thereby reducing the desire to eat.
is a minimally invasive operation performed laparoscopically, that is, through punctures. It involves a reversible change in the shape of the stomach, which results in a significant reduction in the patient's weight. Gastric banding is an operation in which a silicone ring (bandage) is applied to the upper part of the stomach. The stomach as a result of this takes the form of an hourglass, the volume of the upper part of which is only 15-25 ml, and the size of the anastomosis between the two parts of the stomach is about 1 cm. Such an operation leads to a sharp decrease in the volume of a single meal of the patient, and therefore to a significant weight loss . And since satiety receptors are located in the upper part of the stomach, the patient will not experience hunger after bandaging, because the upper part will be filled.
The balloon is a smooth balloon made of high quality silicone rubber. It is inserted to the stomach of patient as a method of obesity treatment. The balloon has a radiopaque valve through which it is filled with water. The volume of injected liquid is set only once, at the time of installation. You cannot add or remove a little extra liquid. As a rule, a standard volume of 500 ml is injected. This volume is used by most specialists. The presence of a balloon in the stomach leads to the fact that it fills a significant part of its volume. Consequently, the amount of food that a person can eat decreases. In addition, the inflated balloon stretches the stomach wall, which leads to irritation of the satiety receptors. This irritation leads to the early onset of feelings of fullness.
The Elipse Swallowable Balloon is a type of intragastric balloon as a weight loss aid that does not require endoscopy and/or any medication to insert it. It is a capsule the size of a regular dietary supplement capsule that is swallowed with a small amount of water and then filled with a special saline solution through a thin cannula attached to the capsule. Unlike conventional gastric balloons, it does not need to be removed from the stomach endoscopically after it has served its purpose. After 4-6 months, the balloon is emptied and leaves the body naturally.
is an artificial reduction in the volume of this organ by stitching its wall in the transverse direction with non-absorbable surgical sutures (multi-row suture) or by fixing it with special small staples. As a result, a smaller diameter gastric tube is formed and, accordingly, the possibility of absorbing a large amount of food disappears. The operation also limits the ability of the stomach wall to expand, and likely reduces the production of specific gastrointestinal hormones responsible for the feeling of hunger.
is a type of weight loss surgery that involves creating a small pouch from the stomach and connecting the newly created pouch directly to the small intestine. After a gastric bypass, the ingested food enters this small gastric pouch and then directly into the small intestine, thereby bypassing most of the stomach and the first section of the small intestine. This leads to the fact that food enters the intestines immediately, without being digested in the stomach, fewer calories and nutrients are consumed, due to which the patient loses weight. Gastric bypass surgery is one of the most commonly performed types of bariatric surgery. A gastric bypass is performed when diet and exercise have failed or there are serious health problems due to weight.
Our medical consultants will take care of you during 1 year after the surgery. If you need any assistance, if you have questions, you can contact our staff. We will ask you to send pictures to see the progress 2 weeks, 2 months, 6 months and 1 year after the operation.
In the first weeks after bariatric surgery, you will have a special diet, which will be introduced to you by a dietitian. It will be liquid and mashed food (mainly meat or curd products). You will need to eat a few tablespoons every 1.5 hours. In addition, you will need to drink at least 1200 ml of fluid per day. During the first four weeks, a number of products will need to be completely eliminated (for example, alcoholic beverages, honey).
As in the first stage of rehabilitation, and during the subsequent period, you need to carefully monitor the nutritional value and caloric content of the diet.
After the operation, there will be several small punctures on the abdomen, carefully sewn up with high quality materials. You will be able to calmly move and move without fear that the seams will disperse. After discharge from the hospital, there will be sterile stickers on the seams.
Our doctors will give you all the necessary recommendations regarding the care of the puncture area, as well as the timing of the removal of sutures.
In the first weeks of rehabilitation, it is forbidden to lift weights (more than 10 kg), to do physically difficult homework.
It will be necessary to limit yourself in heavy physical exertion for 2 months.
If your work is not related to heavy physical exertion, then you can leave after 2 weeks.
Country | Price (Gastric Balloon) | Rating |
---|---|---|
Türkiye (Turkey) | ~ 1400€ | ★★★★★ |
Poland | ~ 2150€ | ★★★ |
India | ~ 2400€ | ★★★ |
Mexico | ~ 2700€ | ★★★ |
Germany | ~ 3200€ | ★★★ |
United Kingdom | ~ 4600€ | ★★★ |
Thailand | ~ 5600€ | ★★ |
USA | ~ 7000€ | ★★ |
A gastric sleeve or laparoscopic sleeve gastrectomy is a weight loss surgery, in which part of the stomach is removed and the remainder after surgery functions as a new smaller stomach. The stomach is an organ that acts as a temporary food reservoir and also produces hormones such as gastrin and ghrelin. Ghrelin is associated with hunger. Therefore, removing a large portion of the organ can alter the production of the hunger hormone. After gastric sleeve, the patient's food intake is reduced and the patient is more satisfied. This is a bariatric surgery that helps patients lose 50 to 70 percent of their excess weight.
The balloon is a smooth balloon made of high quality silicone rubber. It is inserted to the stomach of patient as a method of obesity treatment. The balloon has a radiopaque valve through which it is filled with water. The volume of injected liquid is set only once, at the time of installation. You cannot add or remove a little extra liquid. As a rule, a standard volume of 500 ml is injected. This volume is used by most specialists. The presence of a balloon in the stomach leads to the fact that it fills a significant part of its volume. Consequently, the amount of food that a person can eat decreases. In addition, the inflated balloon stretches the stomach wall, which leads to irritation of the satiety receptors. This irritation leads to the early onset of feelings of fullness.
In Turkey, salary and cost of living are lower than in Europe, in addition, the government supports the health sector. Therefore, a weight loss surgeries like Sleeve Gastrectomy can be done in Turkey without compromising on quality and standard, with lower costs at much cheaper prices.
With over 2 million medical tourists per year, Turkey is one of the three world leaders in health tourism. Experienced doctors, together with a professional team, take care of patients expertly and competently. With approximately 86 million population, Turkey ranks 17th in the world in terms of population. Doctors have a lot of practical experience compared to other countries, which makes them competent professionals. It is safe to have Obesity Treatment in Turkey.
You save money and costs, benefit from international quality and avoid long waiting times. In Turkey, you get the appointment for your Obesity Treatment at short notice, in Germany you have to wait weeks. The short flight time from Europe is another advantage.
Our contracted clinics offer the comfort of a 5-star, high-class hotel. The medical equipment meets international standards of the highest level. Across Turkey, 600 clinics have been awarded the coveted JCI certificate, which attests to safe and effective treatment methods, structured working methods and comfortable conditions. In comparison, fewer than 10 clinics in Germany hold this certificate.
You’re a good candidate for a weight loss surgery if your body mass index (BMI) is from 35 to 40 or more, if you have concomitant diseases (high blood pressure, diabetes mellitus, sleep apnoea, arthritis), if you are obese for at least 3 years, if you do not have hormonal diseases (Hypothyroidism, adrenal diseases), if, despite drug and dietary therapy, weight loss does not occur for at least 1 year, if you are not addicted to alcohol or drugs, if you understand the method used and are able to adapt after surgery.
You’re a good candidate for Gastric Balloon if your body mass index (BMI) is from 27 to 40, if you don’t want to have surgery, you don’t have a hernia or stomach ulcer, you haven’t had stomach surgery, you don’t have mental illness, and you don’t have alcohol or drug addiction, if you understand the method used and are able to adapt after procedure.
You are not a good candidate for Sleeve Gastrectomy if your BMI is less than 34, you have drug and/or alcohol addiction, you're under 16 or over 75 years old, you have a history of heart disease or severe lung problems, chronic pancreatitis (or have a history of this), cirrhosis of the liver, autoimmune disease such as systemic lupus erythematosus, blood disorder which increases your risk of heavy bleeding.
Bariatric surgeries are performed for people between the ages of 18 and 65. BMI values must be 35 and above. For people under the age of 18, the degree of obesity and the presence of the above diseases are important also parental consent is required along with a doctor's decision. For people over 65, the health status and the need for surgery are assessed (problems associated with a person's weight and problems that have arisen).
Today, gastric sleeves, laparoscopic gastric bypass and lap gastric bands are typically covered by most major insurance companies.
Patients reach their lowest weight 1.5–2 years after surgery, having lost 75–80% of their excess weight. In general, this result is still not stable, and the majority of patients gain 5-10 kg in weight, and then the weight stabilizes. But the result mostly depends on the patient. If you don’t follow post-surgery instructions any more and eat more, you can gain weight again.
Most patients lose weight very quickly following surgery. You should start to notice significant weight loss after just a few weeks.
A liquid diet is recommended for the first 1-2 weeks after surgery to avoid stomach leakage. The transition to solid food will occur in stages, for the next 2 weeks you will be able to eat soft, pureed food in small portions 5 times a day. You must consume a lot of water. Be sure to eat slowly and chew more. For the first 2 weeks, it is advisable not to lift more than 4 kg of weight. Due to the rapid weight loss, the skin becomes saggy. If you are thinking about plastic surgery, you can plan for it no earlier than 12-24 months after the surgery.
For the first few days, the diet should consist of only liquid foods. After that, you can start trying semi-solid, and then solid foods in 1-2 weeks. In the first days after the procedure, nausea and discomfort are possible. Within a week the stomach should get used to the balloon. Certain types of food can cause discomfort or even nausea. After 6-12 months, the balloon will be removed from the stomach in the same way as it was inserted. First, the brine will be pumped out, then the compressed silicone balloon is removed. If you and the surgeon feel that the process should be repeated for best results, then this can be done after a short break of 2 months.
You can start daily 30 minutes walks 5-7 days after the weight loss operation. One month after the operation, it is allowed to expand physical activity. It is possible and even highly recommended to visit the pool, since when swimming there is no vertical load on the spine and joints, and the work of all muscles is very intense. You can go to the gym. However, you should evaluate your strength adequately and at first the help of a professional instructor is desirable in order to choose the right set of exercises and the degree of load.
Since the procedure is performed under general or local anaesthesia, the patient does not experience any pain during the operation. In the first few days after the operation, slight pain may occur, but this can be treated well with conventional painkillers.
Of course, after Obesity Surgery, you can become pregnant and give birth. Pregnancy after surgery can be planned in 16-18 months.
During gastric sleeve resection, three-quarters of the organ is removed, and the remaining sac is in the shape of a sleeve. Due to the degree of surgical invasion, the gastric sleeve cannot be completely restored to its original size. The volume of the stomach decreases, so the production of the hormone of hunger also decreases accordingly. This ensures that small meals are consumed for the rest of your life, which means that weight loss is as reliable and permanent as surgery.
Weight loss after surgery occurs very quickly, in men - up to 25 kg in the first month. Rapid weight loss continues up to 6 months after surgery, then it slows down, but continues for about 1 year. 1.5–2 years after surgery, patients reach their lowest weight, having lost 75–80% of excess weight.
Depending on the type of activity, patients return to work 1-4 weeks after such an operation. If you work in an office, you can be back at work in a week or two.
During the entire period of treatment and surgery, patients usually experience stress and anxiety, in addition, after surgery, the amount of food taken is reduced, which can, in general, affect hair loss. Hair loss is temporary.
With obesity surgery, the closed laparoscopic technique is typically used. The number of holes used in laparoscopic surgery may vary depending on the patient's condition. Each hole is 1-1.5 cm and these holes are closed by aesthetic methods. After the operation, a very small scar may remain, but these marks do not cause any aesthetic problems.
Some discomfort during the first few days after the procedure is common, however this should dissipate if you follow the portion size recommendations provided by your doctor and dietician. You may be able to feel the balloon when you palpate (gently press down) your stomach.
During the first week of the procedure, no physical activity should be planned. Once your body is used to the balloon, you can continue with your normal activities. It is highly recommended that you start a regular exercise program and this will improve your success. As long as you have a gastric balloon in your stomach, you can not go skydiving, scuba diving, or bungee jumping.
Yes. Supplements provide the patient's body with the essential nutrients needed to maintain good health. A diet that will continue after surgery may not always provide the full range of nutrients, especially if the method being implemented has a poorly absorbed component, this loss of added nutrients will also need to be replaced.
No. A small percentage of patients regain a significant portion of their lost weight. This occurs especially when the patient does not follow dietary recommendations in the months and years following surgery.
Every abdominal surgery involves the following risks: bleeding; infection of the surgical wound and abdominal cavity; cardiac and / or respiratory complications, including thrombosis; intestinal obstruction, adhesive bowel disease and internal hernia; development of abdominal hernia; insufficiency of the anastomosis; risks associated with general anesthesia; The risk of mortality associated with weight loss surgery is low, less than 0.5%.
Do not drive until you are able to quickly and vigilantly follow the traffic and are no longer taking post-operative medications. This is usually a period of about a week or two after the intervention.
In most patients, the skin sags, but this is usually only a temporary condition. From the 6th to the 18th month after surgery, many changes occur. Individual results depend on body weight, age, hereditary factors, physical activity, or smoking. Some patients opt for plastic surgery to remove excess skin. Doctors recommend that you wait at least 18 months after surgery with this solution.
Of course, you will be in regular contact with your doctor, who will be available to answer any questions you may have. You will be in regular contact with your attending physician, who will be available to answer any questions you may have. Based on the photos you send him, the progress is monitored and discussed together with you. Our competent team is available for you to answer your questions at any time.
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