In this and other articles, you will learn about The best techniques for obesity surgery and the best centers for that across Turkey In this article, we will also learn about each of the conditions, risks, and costs of the sleeve gastrectomy process, in addition to the steps to be followed before and after the laparoscopic sleeve gastrectomy in Turkey.
Laparoscopic gastrectomy in Turkey is the removal of a portion of the stomach approximately 80% with the help of sutures (surgical sutures), which are usually 1.5 to 2 liters in capacity.
Where it is converted into a curved tube only in the form of a banana, the volume of which does not exceed 50 to 100 ml only.
Since the remaining stomach takes the form of a long tube, this process is called a tube stomach operation, and the endoscopic sleeve gastrectomy aims to reduce the amount of food that can be eaten in one meal without any impact on the digestive system.
It's just a restrictive process. It has no effect on reducing absorption.
Some disadvantages of laparoscopic sleeve gastrectomy
One of the disadvantages of laparoscopic sleeve gastrectomy is that the absorption remains the same after the operation.
In other words, anyone who eats small amounts of high-calorie foods takes in calories just like a normal person would.
This leads to the possibility of weight gain after tube stomach surgery if the rate of eating increases.
But this is one of the most important features of tube stomach surgery that it does not cause any change in the digestive tract.
This prevents a deficiency of vitamins and minerals that the body needs.
Thus bypassing dumping syndrome (the passage of food quickly and undigested into the small intestine). It reduces the reflux that occurs from the intestine to the stomach.
It also ensures that there is no foreign body that may cause other complications.
Another disadvantage is that the 80% that is removed from the body cannot be returned, i.e. it is a non-reversible process.
That is, returning it to its original condition will not be possible.
Perhaps the most important drawback is the staplers (sutures) used along the formed gastric tube, which will remain for a long time, which may cause complications over time.
The method of beads must be straight and on one line to reduce the possibility of complications and adhesions due to these beads.
After the gastric sleeve operation, the side effects in similar surgeries are significantly less, such as nausea, vomiting, and pain, if the patient complies with the doctor's instructions well.
Perhaps the most important possible effect is the possibility of gastric reflux. Which may affect one in five patients in the first year of surgery.
But this percentage drops dramatically to about 3% in patients who are three years old.
With regard to the overall risk in the short term.
Sleeve gastrectomy is the least dangerous among other techniques, and the feeling of hunger is lower when compared to other techniques.
This technique also shows greater effectiveness for patients with type 2 diabetes.
But some studies have indicated the possibility of recurrence in the long term.
However, its effectiveness for diabetics is much longer than that of the traditional gastric band.
The effect of gastric sleeve gastrectomy Sleeve Gastroctomy
The sleeve gastrectomy procedure removes approximately 85% (the volume, not the percentage of tissue) from the stomach.
Where the stomach turns into a thin tube that does not exceed the width of the thumb.
This significantly reduces the amount of food that can be eaten at one meal and provides an early feeling of satiety.
However, a tube stomach operation is not only a sleeve gastrectomy.
It is also a hormonal and metabolic process simultaneously.
The part of the stomach that is removed is the part that produces the hunger hormone ghrelin.
This reduces the amount of appetite-stimulating hormone in the blood. It suppresses the appetite for food.
The process of digestion and absorption continues naturally after the endoscopic sleeve gastrectomy operation to not interfere with the normal course of the digestive system, which reduces the risks resulting from vitamin and mineral deficiencies, unlike what happens in operations that interfere with absorption and digestion processes.
Complications that may occur after laparoscopic sleeve gastrectomy in the short and long term
The dangers of laparoscopic sleeve gastrectomy in the short term
- risk of bleeding.
- Risk of gastric leakage.
- Respiratory infection.
- Infection in surgical incisions.
- Incisional hernia at the incision site of the laparoscopic entrance.
- Pulmonary embolus.
Long-term side effects of laparoscopic sleeve gastrectomy
- ectoderm.
- Gastric torsion.
- gallstones;
- Abdominal incisional hernia.
- Intestinal obstruction.
Advantages and disadvantages of gastric bypass surgery
Advantages of laparoscopic gastric bypass surgery in Turkey
It is easier for the surgeon than Other operations But it is worth noting the importance of the doctor's skill in managing complications that can result during and after the operation by 1%, although it is rare, but if this happens, it can cause life-threatening complications.
If complications occur, they must be immediately understood and necessary corrective actions taken.
Because doing a corrective operation earlier is much easier than the later stages.
Compared to before surgery, the amount of food that can be eaten is reduced.
Disadvantages and disadvantages of laparoscopic sleeve gastrectomy
It is not possible to return to the original size after the laparoscopic sleeve gastrectomy.
Especially in patients with reflux (visual gastroesophageal reflux disease), the rate of reflux after surgery may increase.
The possibility of weight gain in patients who eat a lot of sweets after the operation is more than other operations such as operations (RNY gastric bypass, small stomach, etc.).
After the laparoscopic sleeve gastrectomy, patients must be fed fluids for a certain period.
The risks of gastric tube surgery are among the least dangerous gastric operations and are even less dangerous than the operations of the appendix and bile.
Where it should be noted that scientific studies indicate the risks of appendicitis and gallbladder surgery in obese patients more than weak.
This means that patients who undergo laparoscopic sleeve gastrectomy will have a lower risk than patients who do not have it because obesity will cause them to develop inflammation of the bile or appendix. Thus, there will be an increase in their risk.
Physicians comprehensively inform the patient of these risks.
The risks associated with obesity are much greater than the risks of gastric sleeve surgery.
After the laparoscopic sleeve gastrectomy, the risks of diabetes or high blood pressure are eliminated.
Finally, it should be mentioned that the surgery is low-risk and reduces the risks of other surgeries.
How much weight can be lost after laparoscopic sleeve gastrectomy
Obesity is not just an imbalance between the calories the body takes in and spends during its daily activity as it is known, but there are many hormonal mechanisms behind the inability of obese people to lose weight by reducing calories.
It has become possible through gastric surgery to get rid of 60 to 80 percent of the extra weight in people with obesity after surgery when supported by a healthy diet and regular sports, and it is also possible to get rid of diabetes completely, and of course, not following the rules and restoring old bad habits will not make the patient able to Lose enough weight to look forward to.
Based on scientific research, the weight loss of our patients is as follows
At 6 weeks: 10% of initial weight
At 3 months: 15% of initial weight
At 6 months: 20% of the starting weight
Then at 9 months: 25% of initial weight
At 12 months: 30-35% of starting weight
The life expectancy of patients is prolonged by 10-15 years due to obesity.
How is gastric bypass surgery performed in Turkey?
Tube stomach surgery is performed through an endoscope, where the doctor makes four to five incisions in the abdomen, and then a camera is inserted through one of these incisions. Through the camera, what is going on in the abdomen will be seen on the screen.
Then the surgical bead is inserted into the abdomen, and then the doctor cuts the stomach longitudinally and then puts a detonator in some cases, then closes the incisions, thus ending the operation
The operation takes about 30 to 45 minutes and is linked according to the patient's condition and the operations he underwent previously, and the recovery period after the operation does not exceed two to three days.
Can gastric sleeve surgery be applied to everyone who suffers from weight problems?
Those who have undergone gastric sleeve surgery must meet the following conditions:
- BMI greater than 40 kg/m² (obese).
- If your BMI is between 35-40 and you have type 2 diabetes due to obesity,
- Patients with problems such as high blood pressure and sleep apnea due to obesity.
In addition, in patients whose “new” type 2 diabetes is associated with obesity and metabolic disorder, the decision to operate is dependent on the surgeon.
We do not perform Obesity surgeries For aesthetic purposes, i.e. to make a person appear weaker.
Follow-up process after tube stomach surgery
As in all the methods used in obesity surgery, the success rate increases by adhering to the strict controls after the operation and the continuation of follow-up afterwards. Reviews every 1-2-3-6-9-12-18-24 months.
During which blood sugar, insulin, liver enzymes, kidney function tests, vitamins and mineral levels are checked through blood tests, and if any deficiencies are detected, supportive therapies are identified.
Is gastric bypass surgery in Turkey suitable for me?
If you have a weight problem and exceed the normal indicators according to the standards of the International Society of Obesity and Metabolic Surgery IFSOK.
Or if you are someone for whom gastric bypass surgery will cause an irreparable problem with the balance of minerals and vitamins, and if you have a medical condition that requires anti-inflammatory drugs that may cause you problems with gastric banding.
If you have had major abdominal surgery.
or you have heart or lung problems that prevent you from having long-term surgery.
And if you are someone who has been diagnosed with excessive levels of obesity.
Tube stomach surgery is definitely the first choice for you.
Since it is performed very quickly, it does not take more than an hour, so it does not pose any problem to the patient's life.
Where patients from the age groups between 12 and 79 years can undergo the operation.
In what cases might laparoscopic gastric sleeve surgery in Turkey not be suitable for me?
If you have type 2 diabetes, especially if you have a certain insulin-required weight that you cannot exceed.
Or if you have a BMI of 50 or more. And you have severe reflux complaints.
You can perform the sleeve gastrectomy as a first step. It may be a good option for major surgery after a certain amount of weight loss has been achieved.
Because reflux symptoms increase by 20% after sleeve gastrectomy. Caution should be exercised when deciding to perform sleeve gastrectomy in reflux patients
. In other words, gastric tube surgery should not be performed on patients with Barrett's syndrome in the esophagus and is preferred Perform the linking process Instead.
What are revision surgeries (second operation) after bariatric surgery? Who is recommended?
Revision surgeries are performed after bariatric surgery due to various problems such as weight gain after the operation, narrowing of the intestine or due to various complications such as leakage.
Usually the most important reason to have the surgery a second time is weight gain.
But the main reason for this is the weight gain of patients after the operation due to insufficient follow-up.
Or failure to inform patients or insufficient information about the first operation.
Sometimes even awareness creates non-compliance with the process.
For these reasons, 15-20% of patients are overweight.
It is very important to choose well the revision surgeries applied to patients.
Surgeries when repeated are technically and technically more difficult.
It must be performed by experienced surgeons.
The type of operation is chosen according to comorbidities such as diabetes and high blood pressure
As there are operations that are more recommended for people with these diseases and who suffer from continuing to gain weight.
The decision should be made by talking to the patient and making an evaluation to choose the most accurate type of surgery.
Is it possible to gain weight again after laparoscopic sleeve gastrectomy?
The rate of weight gain after gastric sleeve is about 15 percent.
There is even a 5-10% chance of him becoming overweight.
For this reason, those who have undergone tube stomach surgery ask a relative to follow up in order to prevent weight gain.
Those who undergo gastric tube surgery should be closely monitored for life by dieticians and psychologists.
What is the difference between gastric bypass and gastric bypass? Which is better?
Gastric bypass surgery It is especially performed for severe diabetes and those with gastroesophageal reflux disease (GERD).
It is one of the surgeries that have been used for about twenty years, but today it has been replaced by sleeve gastrectomy.
One of the important reasons for the widespread use of sleeve gastrectomy is the change in the anatomical structure. In bypass surgery, where the stomach is reduced and changed its course and the path of some of the small intestine.
That is, the patient's food absorption is reduced by changing the pathways.
In the tube stomach, no changes are made in the intestine and the anatomical structure does not change.
But the part where the hormones that cause hunger are secreted is removed.
If patients are not well followed up after both procedures and do not receive supportive treatment, weight gain can occur up to 20%.
It is possible to perform a correction in the operation or perform other operations after the gastric sleeve surgery.
Gastric bypass cannot be repeated because it changes the anatomical structure.
One of the complications rerouting process It is the formation of ulcers at the junction of the stomach and the jejunum, the danger of intercalation and adhesion of the intestine, etc.
While there are few complications of the operation NSLaparoscopic sleeve gastrectomy.
Diarrhea, vitamin and mineral deficiencies, significantly higher in the process of Tdiverting tracks Comparison of gastric bypass surgery.
show one numerous studies resulting from practical experiences NSLaparoscopic sleeve gastrectomy andGastric bypass That they have the same results at the near and far level in the disappearance of the symptoms of obesity and low blood sugar, but at the long level it is believed that Gastric bypass His results were better in the weight loss criterion.
Tube stomach surgery by robotic surgery
If the general surgeon recommends a bariatric surgery, it can be performed using da Vinci robotic surgery.
It is defined as "laparoscopic surgery".
The da Vinci robot, which can be used according to the patient's desire, inevitably increases the ease of the operation and reduces the risks afterwards.
In the end, it must be remembered that obesity surgery is not plastic surgery! Rather, it is severe obesity surgery.
You can see the rest of the articles to learn about weight loss operations.
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Top tips from Bimaristan center About obesity surgery in Turkey for patients.
The first advice about obesity surgery in Turkey:
If you have not tried sports before or have not cooperated with a nutritionist previously. That is, if you did not try to reduce weight in a natural and balanced way in cooperation with centers specialized in weight loss, we do not advise you at all to perform any operation before these procedures, because you will return to this weight after the operation, at the latest, after six or seven years. The reason for this is that after cutting the stomach, even if the stomach remains in a tubular shape, it will inevitably re-expand and return to its previous size after a while, especially when eating a lot. If the operation is to prevent absorption, the body adapts to the new situation, and therefore after a period of time the operation will absorb food better than the situation immediately after the operation.
Second advice about obesity surgery in Turkey:
If you decide Obesity surgery Do not choose the operation and go to Turkey for a specific operation. That is, do not intend to perform a gastric bypass operation after reading the articles on the Internet.
In the event that you want to lose weight through surgery, you should take the decision to perform the operation only and leave the choice to the doctor because the doctor will be better than you in deciding the appropriate operation by taking the full clinical history and knowing the food you eat and its quantity and knowing the chronic diseases and in the event that the doctor does not take these matters into consideration And take the decision based on your desire, knowing that he is a doctor who does not deserve the trust given to him.
The third advice about obesity surgery in Turkey:
In the event that the distribution of fat in your body is centered around the abdomen, as in the figures 2 and 6 in the accompanying figure, we advise you to exercise and adhere to a strict diet before the operation for a month, because the distribution of fat around the abdomen makes the operation more difficult for the doctor.
In the end, we definitely mention that the surgeons who perform bariatric surgery They do not work in a slimming lab. But they work in a hospital that deals with human beings, so the issue of obesity and thinness depends on very many factors such as the psychological state, physical activity, the rate of eating, and the doctor in the end affects only the third factor only in a relative manner, and thus we advise you not to perform the operation until after thinking hard about this matter and exhausting all methods of slimming followed. Bimaristan Medical Center remains your first choice for treatment in Turkey.
We direct you to the best specialists, experts in all fields, we break the language barrier, Arab specialist doctors will help you in communicating with your doctor, we help you book an appointment in the most important and modern hospitals in Turkey, we offer our services to secure hotel reservations for you and your companions, in addition to transportation, we help you secure a travel visa for you for free.
don't hesitate tocontact us, Bimaristan Center answers any questions about treatment in Turkey.