Bariatric surgeries

Once the decision in favor of bariatric surgery has been made, the next question arises: which surgical method to choose? The main most common bariatric surgeries that have proven their effectiveness in the long term are sleeve gastrectomy, classic gastric bypass, and mini-gastric bypass. Patients may have different goals of bariatric surgery, and, therefore, criteria for choosing a surgical method. For example, for some patients, weight loss is a priority, for others (usually older patients) - the opportunity to alleviate obesity-related diseases, such as type II diabetes, sleep apnea, back and joint pain, etc.

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Bariatric surgeries

Who is indicated for gastric bypass surgery?

When assessing the indications, the body mass index is used. If the BMI is 30-30, the patient can be helped by the most gentle methods – ballooning, gastric banding. If the body mass index is 40-50, gastric resection becomes the method of choice. Patients with a BMI> 50 are recommended gastric bypass

Which option to choose?

It is very important to get a specialist consultation, because the key to the success of the operation is the correctly selected type of resection. It is the doctor who, having studied the medical history, will suggest the method that is necessary for you

How does the consultation take place?

For consultation and choice of the operation method, contact our medical coordinator. We will get all the information from you and return to you with a doctor’s consultation and a detailed operation plan in your case

The second stage of the consultation is a video consultation with the doctor, where he will answer all your questions regarding the operation, preparation and rehabilitation period

Gastric sleeve reduction

In fact, stomach reduction surgery is not only a physical reduction in volume by removing part of the organ. The procedure leads to numerous changes in the body that affect the control of hunger and satiety. After the treatment, a person gets full faster and stays full longer, and here’s why.

During stomach reduction surgery, the doctor removes the part of the organ that is responsible for the secretion of ghrelin. Ghrelin is the “hunger hormone” that signals the brain (the hunger centers, to be more precise) that the stomach is empty and it’s time to eat. A decrease in ghrelin secretion after treatment means that the patient does not feel hungry for a long time.

 

Types of gastric sleeve surgery

Longitudinal gastrectomy, or SLIV-1

In bariatric surgery, sleeve or longitudinal resection is most often used – an operation to reduce the stomach, which is fundamentally different from the techniques used in the treatment of stomach cancer or complicated peptic ulcer disease.

The main difference is that sleeve gastrectomy preserves the shape of the organ. Due to this feature, the surgical intervention does not change the path of food through the gastrointestinal tract and does not affect peristalsis. In other words, the physiology of digestion is completely preserved.

This operation is suitable for patients whose medical history is not complicated by other diseases (high blood pressure, gastritis, diabetes)

 

Gastroplication, or SLIV-2

Gastric plication is an alternative operation to reduce the volume of the stomach, which allows you to achieve all the above effects without irreversible changes in the anatomy of the digestive system.

This method of bariatric surgery is different in that instead of resecting part of the stomach, it is sutured. Manipulations are performed along the greater curvature, as during gastrectomy, but instead of incisions, the surgeon stitches the anterior and posterior walls with special staples.

During gastric plication, the stomach is divided into two parts. The functional section takes the form of a tube, as after resection, which allows you to realize all the beneficial effects of the technique. The large “sac-like” section is excluded from digestion, but not removed, which makes the result reversible. True, with one note – the result is reversible only during the first year after the procedure.

However, this type of surgery is used much less often due to the high risk of possible complications

 

Gastric bypass

The essence of the procedure. Gastric bypass is a bariatric surgery operation during which the volume of the stomach is reduced and an anastomosis (shunt) is formed between the stomach and the small intestine. Food enters the intestine, bypassing the duodenum, which reduces the absorption of high-calorie substances, mainly complex fats

The nuance is that the anastomosis disrupts the natural passage of food through the digestive system and complicates the absorption of not only fats. The absorption of vitamins is impaired. Patients need to take vitamin and mineral complexes constantly.

This operation is often prescribed to patients who, due to concomitant diseases, cannot undergo longitudinal gastrectomy and to patients with type 2 diabetes

 

Gastric ballooning

The essence of the method. A silicone balloon filled with a physiological solution is placed into the cavity of the organ. The balloon reduces the effective volume of the stomach, which allows a person to reduce the volume of portions and quickly achieve saturation.

Ballooning is associated with the appearance of a foreign object in the abdominal cavity. The nuance is that the balloon must be removed after 6 months, since silicone is destroyed by hydrochloric acid and other components of gastric juice.

This method is used if the patient has a low body mass index, which does not allow gastric resection. For patients with a high index, this procedure is not effective

 

Organization of arrival

When the type of operation is determined, we select the date of the visit, book the date of the operation. Together with our medical coordinator, you select a hotel, choose tickets

Upon arrival in Istanbul, on the first day, you take all the tests at the clinic that are included in the operation package
The operation takes place on the 2nd day
After that, you stay in the clinic for 3 days under the supervision of a doctor and medical staff

Then 3 days in the hotel

The final control is scheduled for the 7th day. You receive all the recommendations, a full consultation with a nutritionist and can fly away
Then we stay in touch with you to monitor your rehabilitation process

Which bariatric surgery option should you choose?

It is very important to get a specialist consultation, because the key to the success of the operation is the correctly selected type of resection. It is the doctor, having studied the medical history, who will suggest the method that is necessary for you

For your convenience, we have developed package offers for gastric resection operations so that you do not think about anything except the operation

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