Gastric Band in Turkey

Last Modified: August 26, 2020  |   Created on: August 26, 2020
Weight Loss

Gastric banding or Lap band is a popular bariatric surgery for helping obese patients lose excess weight. This surgery facilitates weight loss by mechanically reducing the gastric passage, which makes a person feel full quickly. In gastric banding, a medical device called gastric band is placed around the stomach to narrows the gastric inlet. 

After this surgery, the person will feel their stomach is full after eating a small amount of food than before. The band can be adjusted later after the surgery to allow the passage of food through the stomach faster or slower.

Turkey-Gastric-band

Gastric band surgery in Turkey

Turkey is a renowned destination for all kinds of medical treatments, including bariatric or weight loss surgery. People from all over the world travel to Turkey to avail high quality healthcare services. There are several hospitals and obesity centres/clinics that offer various kinds of treatment for patient struggling with excess weight issues. 

Gastric band in Turkey is a simple and effective weight loss procedure that has many benefits over other alternatives. The surgery is performed at well-established facilities equipped with the latest surgical technologies, such as laparoscopic or key hole approach. The laparoscopic method is a minimally invasive technique which allows faster recovery and fewer complications. The top hospitals in Turkey are internationally accredited centres and some are also associated with national and international teaching institutions. 

These hospitals work on a patient-centric and holistic care approach for the treatment. The surgery is performed by trained and experienced specialists in the medical field. They are highly skilled in the advanced surgical procedures and techniques. 

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Gastric band cost in Turkey

Gastric band surgery Turkey price are relatively lower than several other countries, including the USA, UK, Germany and other Western countries. The cost-effectiveness of healthcare packages offered by the top hospitals across all the major cities of the country is another advantage for international patients. 

People travelling to Turkey for medical treatment can save a significant amount of money on the procedure without compromising on the quality of services provided. There are a number of budget-friendly accommodation options available in Turkey and the overall cost of stay is highly affordable.

Factors that may affect the gastric band surgery cost in Turkey:

  • Choice of hospital: it’s location, number of accreditation and latest facilities
  • Technique of surgery
  • Surgeon’s experience
  • Duration of required stay in the hospital and country
  • Room category
  • Whether additional tests or procedures are required

To know more about gastric band Turkey prices, send your query or share medical reports with us on care@lyfboat.com. Our team will guide you throughout the journey and help make travel plans. We provide a detailed treatment plan with cost estimates from different hospitals.

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Gastric banding: Overview

A lap band surgery, also known as a laparoscopic adjustable gastric band (LAGB) surgery. In this surgery, an adjustable band is placed in a way that it surrounds the stomach at the top of it. This laparoscopic bariatric surgery is aims to reduce the amount of food a person can consume. The band is a silicone medical device that can be adjusted to maximize the weight loss for a particular patient.

This weight loss band surgery was introduced 15 years ago and other the years it became a widely performed bariatric procedure. It is sometimes also referred to as ‘stomach stapling’ as it involves compressing the stomach immediately near the area where it is connected to the esophagus. This surgery has been approved by the Food and Drug Administration (FDA) for use as a weight loss treatment.

The band is placed around the upper portion of the stomach and it is attached to a tube. This tube makes the band accessible through a port placed under the skin of the abdomen. With this port, the surgeon can insert saline solution into the band to adjust its size.

How does gastric band work?

This weight loss surgery works by restricting the amount food intake into the stomach. 

The smaller stomach pouch reduces the overall volume of the stomach that limits the amount of food which can be held at any one time. This results in an increased feeling of fullness in the stomach only after eating a smaller amount of food. It also reduces the hunger and helps rescue the overall food intake.

There are many advantages of this bariatric procedure apart from simplicity and reversibility of the procedure, including the proper digestion of food as usual, without risk of malabsorption. As it does not lead to loss of appetite, people may try to find a way to take more food. Therefore, it is very important to follow the post-operative diet and weight loss plan to have the best results. It can be removed whenever the patient wants or due to any other reason, and does not cause a permanent change in the body. This may result in lower long-term success rates. 

A patient with gastric band may start gaining weight again if they consume high calorie foods and become ineffective. So, they should take proper precautions to avoid such consequences. Sometimes, removal of the band becomes necessary as it might be causing some side effects or complications. It is reported to be faced by 30-40% of gastric band cases. 

The surgeon will discuss the risks and possible side effects of the surgery and help deciding on a suitable weight loss surgery. They also help manage the health postoperative period.

Who may need gastric band surgery?

Typically, the guidelines recommended for gastric band procedure for a person with body mass index (BMI) of 35 or above. Sometimes, people with a BMI of 30–34.9 may also be considered for the surgery if they have one or more obesity-related problems, such as diabetes type II, hypertension, or sleep disorders. This is mainly for those who are at a high risk of developing severe complications and to improve their quality of life.

Recent advancements in surgical technologies have increased the safety and success of the procedure. This also makes it possible to consider more candidates for this procedure.

However, Lap band surgery might be contraindicated in certain conditions, including:

  • Patient who do not fully understand the procedure, are emotionally unstable, or involved in drug or alcohol abuse. 
  • People with a record of gastrointestinal problems such as ulcers and need to be assessed carefully. 
  • Underlying medical conditions that increases the risk for surgery such as heart or lung conditions may not be suitable for this procedure. People who are generally associated with these kinds of risks have a high BMI. For these people, the doctor may be recommended to lose weight prior to the procedure. 

The risks of the procedure for these obese patients may outweigh the benefits of the procedure. 

A doctor only recommends bariatric surgery for obese individuals with a BMI of 30–35 if they:

  • Have obesity-related health complications 
  • Non-surgical approaches, including dietary changes, physical activity and medications have failed to improve the condition

What happens during a gastric band surgery?

A gastric band surgery is typically performed as a minimally invasive procedure. The patient is put under general anaesthesia and remains unconscious during the surgery. It is usually done on an outpatient basis, and most patients can go later the same day after the procedure. It involves keyhole incisions, which means incisions that are smaller than those made in an open (conventional) surgery. 

The surgeon makes one or more small cuts on the abdomen to access the stomach. Lap band surgery is performed using a laparoscope, is a long narrow tube with a camera attached to one. The images of internal organs from the camera are displayed on a monitor, which guides the doctor during the operation. Surgeon inserts surgical instruments through other incisions and place the band using them. 

Once the gastric band is placed around the upper part of the stomach, it is secured into the required position. This forms a pouch in the upper part of the stomach.  The band is connected the reservoir that contains the fluid that will be used to inflate it and placed beneath the skin of the abdomen. The saline solution in the reservoir is later used to inflate the band to adjust its size. The narrowing of the stomach inlet is done gradually.

This surgery takes 30 minutes to 1 hour on an average. The surgeon will recommend the length of stay at the hospital after the surgery according to the patient’s condition. After they recovery from anaesthesia, patients are suggested to walk or mobilized under the supervision of their medical team.

 

Lap band “fill” – It is a term used for gastric band adjustments. After the surgery, followed by a period of healing, the doctor will make the first adjustment. Usually, this is done around 6 to 8 weeks post operation. In this, a saline solution is injected into the port placed just under the skin and connected to the band. But before this can be done, there will be some modifications to the diet and appetite. 

Band fills are typically painless and are performed at a scheduled follow-up appointment by the surgeon. The adjustments are made gradually in order to enhance weight loss, especially if the patient is in a plateau phase of weight loss. It may also be performed to overcome the side effects such as nausea and vomiting (if the band has loosened).

 

Prior to the surgery:

The patient is instructed not to eat from midnight before the day of this bariatric surgery. The preoperative preparation starts after the decision to undergo gastric banding surgery has been made. Before this a series of medical tests and examinations are conducted to determine the eligibility of the candidate for this procedure. 

The doctor will make a comprehensive assessment to determine whether this surgery helps your complaints or not. During the consultation and preoperative period, patients need to inform about their prescription and over-the-counter medications, and obesity-induced comorbidities such as hypertension, diabetes mellitus and cardiovascular diseases. 

Their overall health will be assessed by the medical team.  These assessments will both the patient and doctor to prepare for the surgery in order to minimize the risks and complications that can be possibly arise during or after the surgery.

The doctor will:

  • Review the health history
  • Conduct a detailed physical examination
  • Assess results of laboratory tests and radiology/imaging studies
  • Anaesthesiologist will asses the risks by considering the medical tests to minimize anesthesia-related complications

Once it is verified that the surgery does not pose risk to the patient’s health, they will be asked to quit smoking (if they are a smoker). The doctor might also ask them to stop taking certain medications that may increase the risk of bleeding or other prescribed and over-the-counter medications, herbal products and supplements. 

During the preoperative discussion, the surgeon will also discuss the expectations, length of recovery and post-operative care plan after the gastric banding surgery.

What happens during recovery after the gastric band surgery?

Most patients are able to resume most of their normal activities within 2 days following the surgery. However, it is recommended to rest and take a week’s leave from work.

The doctor will prescribe pain killer after the surgery in help manage the postoperative pain and discomfort. If required, other treatments or measures to eliminate risks of clot formation might be started. Antibiotics will also be prescribed to prevent infections after the surgery. Patients need to stringently follow all the instructions and precautions mentioned by the doctor. This is important for success of the surgery and to have the best outcomes. The surgeon will schedule follow-up visits before the patient is discharged. 

In case the patient experience signs such as warmth and redness on the incision line, a fever or other symptoms that may be due to surgery, it is advisable to contact the surgeon immediately.

After the surgery, there will be some changes in the diet for some time. For 2 to 3 weeks, the diet will mostly include liquids and pureed food. Gradually, soft foods will be added, and then regular foods in about 6 weeks. The return to a regular diet should involve smaller portions of food at a time.

There will be some necessary lifestyle changes, other than eating smaller meals, such as to chew food slowly and repeatedly to form a liquid slurry before swallowing. A healthy diet plan with high protein, vitamins, and minerals content, and low in sugar will be introduced.

With LAGB, weight loss will not be sudden. However, it is a safer, reversible and less invasive procedure than other bariatric surgeries, such as gastric bypass. Although,  long-term weight loss plan will need to be followed to maintain healthy weight. 

As there is a high risk of developing nutritional deficiencies, the doctor will recommend taking a daily supplements as prescribed. 

Risks and complications associated with gastric band surgery

All surgeries carry some risks and complications. Gastric banding surgery also involves certain possible risks and side effects. Although, many of these risks can be managed with medication and other treatments. 

Potential complications of gastric band include:

  • Infection, bleeding, blood clot formation (Deep vein thrombosis) and migration of the clot to other parts of the body 
  • Anesthesia-related risks such as allergic reactions
  • Injury to abdominal organs
  • Gastric erosion
  • Band shift or migration 
  • Gastrointestinal scarring
  • Hernia 
  • Inflammation in the gastric lining
  • Nutrition deficiency
Dr. Suneet Singh

Written By Dr. Suneet Singh

Dr. Suneet is a doctor-turned-Hospital Administrator with a rich 12 years plus multi-faceted experience in the field of operations management, Corporate and Public Health Administration. Formerly a practicing doctor, Dr. Suneet holds a post-graduate degree in Hospital and Healthcare management from one of the country's esteemed Tata Institute of Social Sciences (TISS)

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Dr. Suneet Singh

Written By Dr. Suneet Singh

Dr. Suneet is a doctor-turned-Hospital Administrator with a rich 12 years plus multi-faceted experience in the field of operations management, Corporate and Public Health Administration. Formerly a practicing doctor, Dr. Suneet holds a post-graduate degree in Hospital and Healthcare management from one of the country's esteemed Tata Institute of Social Sciences (TISS)

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