Procedure

What is bariatric surgery?

First of all, by the technical definition of obesity, people with a body mass index (BMI) above 30 have obesity.

Obesity surgery (bariatric surgery) involves a group of surgical methods targeting the digestive system in overweight people who have not reached safe weight limits with a diet and exercise program. This surgery restricts the amount of food to be taken and aims to reduce the absorption of food.

It is performed by entering through 4 or 5 small incisions in the abdomen with the laparoscopic method. The laparoscopic method has some advantages over open surgery.

  • Smaller size incision area and scars
  • Discharge in a shorter time and returning to daily life
  • Less pain
  • Fewer complications

Are you suitable for obesity surgery?

  • You are suitable for obesity surgery if you have
  • Health problems caused by obesity
  • Food addiction
  • Depression
  • Obesity discrimination
  • Relationship problems
  • Poor self-image
  • If you are between the ages of 18 and 75
  • If you have a health problem caused by obesity
  • If you have a history of unsuccessful weight loss attempts (unsuccessful diets)
  • Obesity surgery is an important operation for losing weight, but it should be remembered that it is only a tool. This operation requires long-term diet and lifestyle changes to have permanent effects.
  • Body mass index (BMI) of 40 or more,
  • or a BMI of 30 to 39.9, which indicates a serious health problem related to obesity, such as diabetes, high blood pressure, sleep apnea, high cholesterol, joint problems, or others
  • or 30 to 40 BMI with or without health issues for the gastric balloon procedure.

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Concept,Or,Conceptual,3d,Fat,Overweight,Vs,Slim,Fit,Diet
Body mass index (BMI)Concomitant health problems considered for the operation decision
30 – 34.9The patient may be suitable for Gastric Balloon. This BMI range may also be suitable for other procedures if the patient has poorly controlled diabetes or metabolic syndrome.
35   – 40The patient may be suitable for Gastric Balloon. This BMI range may also be suitable for other procedures if the patient has poorly controlled type 2 diabetes, a higher risk of cardiovascular disease, or another weight-related health issue.
40.1 – 45The patient may be suitable for Gastric Balloon. This BMI range may also be suitable for other procedures if the patient has poorly controlled diabetes or metabolic syndrome.
45.1  – 55Any weight loss procedure can be applied except Gastric Balloon.
Over 55Any weight loss procedure can be applied except Gastric Balloon.

These criteria apply to most countries and most procedures, including the USA, Canada, Australia, and the UK.

What are obesity surgeries?

- Laparoscopic Sleeve Gastrectomy

Laparoscopic sleeve gastrectomy is the removal of a large part of the stomach that serves as storage. Thus, the stomach, which normally has a volume of 1.5-2 liters, is transformed into a thin tube of approximately 30-150 ml. As in vertical banded gastroplasty, it is not possible to place a foreign object in the abdomen. The goal of this surgery is to reduce the amount of food that can be eaten at one time, but there is no intervention in the natural flow of the digestive system to reduce absorption.

- Gastric Balloon

Intragastric balloon or stomach balloon has been used as a common and safe option in recent years as a non-surgical treatment method for people whose body mass index is outside the surgical margins.

- Gastric Bypass

Gastric bypass procedures are a group of similar surgeries used to treat morbid obesity, which results from excessive accumulation of excess weight in the body in the form of fat tissue and causes serious health problems.

In a gastric bypass, the stomach is first divided into a small upper section and a larger lower section called the “remnant”. Then, the connections of both pouches with the small intestine are rearranged.

- Duedonal Switch (SADI-S)

Duodenal switch surgery, also known as the duodenal switch with biliopancreatic diversion, is a long-term surgery. SADI-S is a more up-to-date and safer modification of this highly effective surgery.

SADI-S surgery is one of the surgeries that have both restrictive and absorption-reducing effects. This method, also called loop duodenal switch surgery, is a highly effective surgery for both weight loss and solving metabolic problems, especially diabetes, with its restrictive and severe absorption-reducing effects.

Metabolic Surgery (Type 2 Diabetes Surgery)

What is Metabolic Surgery (Type 2 Diabetes Surgery) and who is a suitable candidate for the surgery?

Diabetes (diabetes) disease is an important health problem that results mainly from unbalanced nutrition, sedentary lifestyle, and genetic factors and causes many other diseases such as impaired vascular structure, blindness, kidney failure, leg amputation, hypertension, and heart diseases.

There are two types of diabetes, Type 1 and Type 2. Type 1 diabetes is usually genetic and has congenital symptoms. In patients with Type 1 Diabetes, the pancreas cannot produce insulin and it must be taken from outside. In patients with type 2 diabetes, the pancreas cannot produce enough insulin for many reasons, and insulin production gradually decreases over time, and its secretion becomes unstable. That’s why blood sugar starts to rise and damage the vessels and other organs.

Although there are many drugs taken orally for high blood sugar levels, the results may be insufficient in some patients even if it is tried to be treated with external insulin injection. This is why metabolic surgery performed in the small intestine in Type 2 Diabetes patients enables the patient to use his/her own insulin.

Treatment and Planning

  • The first meeting to get information is with our health advisor. In this meeting, you can talk about your health problems and expectations.
  • You need to make an online appointment on our Appointment Form page to meet the health advisor.
  • Our health advisor may ask for some information to evaluate your suitability for the surgery you want, such as your age, weight, height, medications you regularly use, smoking, blood tests, X-Ray, photograph, your expectations from the surgery, and your medical history.
  • The health advisor gives you information about
  • Surgeon and Hospital information
  • Our previous experiences (Before & After)
  • The things to do before the surgery and information about the surgery and the post-surgical process
  • Video conferencing with your surgeon and receiving information if necessary
  • Surgery fee and what is included in the price (surgery, accommodation, airport pick-up, and transfers)
  • Planning dates about your travel (dates about the hospital, hotel, and full length of stay)
  • Answers to your questions about the surgery are sent to you

(THIS PROCESS REGARDING THE SURGERY WILL BE SENT TO YOU IN WRITTEN FORM AFTER THE MEETING.)

  • Airport pick-up and hotel transfer
  • Hotel Check-In: Our health advisor will welcome you and inform you about the process.
  • Meeting with the surgeon: Your surgeon plans your surgery and informs you about the plan. You are expected to discuss your expectations and answers to your questions about the surgery with your surgeon. Our health advisor will be with you during this process.
  • Tests: Evaluation tests such as blood tests required for the surgery, COVID 19 test, and X-Ray are performed. Our health advisor will be with you during this process.
  • Meeting with the anesthesiologist: Your medical history and your suitability for the surgery are evaluated. Our health advisor will be with you during this process.
  • Operation: The things to be done the previous day are forwarded to you in preparation for the operation. You will be informed about the solid and liquid feeding times, the medications you will use, if any, the time you will be in the hospital for the operation, etc.
  • You are transferred to the hospital.
  • Hospital Check-In is done.
  • You enter your room.
  • The nurse informs you and prepares you for the surgery.
  • An informative meeting is made with your surgeon again before the surgery.
  • You will be taken into surgery.
  • Our post-surgical health advisor comes to you to check the surgeon process and you.
  • Your surgeon will visit and inform you after the surgery.

Our health advisor will be with you during the entire process on the day of surgery.

  • The length of stay in the hospital may vary depending on the surgery to be performed. During this period, you will be visited by our health advisor every day you stay in the hospital.
  • After the surgery, you will be informed about the follow-up period, medications you will use by your surgeon’s decision, and the post-surgical process, and your hospital exit procedures will be carried out.
  • You will be transferred to the hotel.
  • You will be transferred for a control examination on the days determined by your surgeon.
  • During the hotel stay, you will be followed up by our health advisor regarding the surgery process.
  • Our health advisor will inform you about the restaurant, shopping, places to visit, and other needs during your hotel stay.
  • In the last control examination with the surgeon, you will be informed about what to do in the next period.
  • Hotel Check-Out and airport transfer

THIS PROCESS MAY CHANGE IN OPERATIONS SUCH AS HAIR TRANSPLANTATION AND DENTAL HEALTH THAT DO NOT REQUIRE HOSPITAL STAY.

As Estebox Istanbul, we will stand by you, our valuable clients, with our experienced surgeons and healthcare professionals, ensure that the whole process is carried out reliably and that you return to your country healthily and happily so that your journey and operation go well.

Frequently Asked Questions

“Obesity Surgery” or “Bariatric Surgery” is a surgical intervention in the digestive system in order to help people to lose weight who are determined to be obese by measuring their body mass index or body fat ratio.

All surgical procedures performed today carry certain risks. Obesity surgery also includes similar risks. Obesity surgery is performed safely if the candidate is followed up by an experienced surgeon after being prepared for the surgery in detail. As a result, the risks that untreated obesity brings to your life cannot be ignored.

Obesity is an important risk factor for pregnancy complications and for the increase in fetal and neonatal morbidity. In addition, obesity is among the most important causes of infertility. You can get pregnant 1 year after surgery by consulting your doctor.

Bariatric surgery is most beneficial in obese patients with type 2 diabetes. Obesity surgery is especially recommended by international guidelines for patients in this group.

After the surgery, the nutrition program given by your doctor should be followed. High calorie, spicy, fatty foods, acidic, and carbonated drinks should not be consumed.

After the surgery, patients should follow the nutrition program. If they do not, they may experience weight gain problems depending on the type of surgery. This risk is between 5-10% after 3 years, but they usually never reach their pre-surgical weight.

It is possible to lose 10-20% of the weight in the first 3 months with a diet and exercise program after surgery. In the next 6 months, 30-35% of the weight is lost. The target weight is reached in the remaining months.

The exercise program given after the surgery is vital to prevent sagging. However, sagging may occur depending on the person’s body type, weight-intensive area, skin type, and age. If it becomes uncomfortable, plastic surgery procedures can be performed 1 year after the weight becomes stable.

Since obesity negatively affects the hormone balance of the body, you will have a healthier sex life after surgery.

Hair loss may occur in some people after surgery. The reason for this is hormonal changes in the body. Lost hair can come back and you can use additional vitamins containing B vitamin, Zinc, CO-enzyme Q in this process under the supervision of a doctor.

All obese patients between the ages of 18 and 70 who do not have any obstacle to surgery can be operated. Over the age of 70 should be evaluated separately, and obese patients under the age of 18 can undergo surgery with parental consent.

We can say that sleep apnea, which is usually caused by sagging and deformation caused by being overweight, passes after surgery in many patients.

The general procedure is to start work after 3 weeks. If you have desk jobs such as home office, you can start earlier by consulting your doctor.

Why Estebox Istanbul for Obesity Surgery?

  • To provide a right and quality service to you as Estebox Istanbul, we work with doctors who have years of experience in their field, carried out successful operations with the title of Professor, Associate Professor, or Specialist, trained many new doctors as instructors, conducted national and international clinical studies, published scientific articles, and have a high degree of satisfaction in patient feedbacks.
  • There are many operations such as nasal aesthetics, breast aesthetics, abdominoplasty, liposuction, hair transplantation, and obesity surgery for your health and aesthetic needs. Although these operations seem similar to each other, each operation requires a separate experience and good planning. Estebox Istanbul offers the best solution to your aesthetic needs with experienced surgeons who will meet your expectations from obesity surgery.
  • In addition to meeting your health and aesthetic needs, your safety is also important to us. That is why we prioritize the compliance of the hospital, technical equipment, and anesthesia team to international accreditations such as JCI.
  • We know that you may be worried about making a surgery decision in another country. As Estebox Istanbul, we will be at your side until you return to your country healthily and happily, offering you the best solutions from the first moment you contact us to make a surgery decision.
  • With the arrival of more than 1,000,000 patients for health and aesthetic needs every year, Turkey is one of the most popular countries in health tourism with its worldwide trained experienced doctors, hospitals that use cutting edge technology, quality service, and economic treatments. As Estebox Istanbul, we continue our work with our 30 years of experience in the health sector, unlike many companies that are involved in Health Tourism, whose number is increasing day by day.

Online Appointment

You can send your information by filling out our online appointment form and create your free examination appointment. Our authorized staff will contact you and determine the most appropriate examination time for you.

WhatsApp and Phone Support : +90 536 825 34 65

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