Gastric Sleeve Surgery in Turkey

Last Modified: August 27, 2020  |   Created on: August 25, 2020
Weight Loss

Gastric sleeve is a popular weight loss procedure that is opted by patients with excessive body weight and obesity related health problems. The surgery is a complex procedure that is recommended for people who have tried other weight loss methods and failed to see any improvements. In gastric sleeve surgery, around 70 to 80 % of the stomach is removed and a tube shaped stomach remains. 

This results in restriction of amount of food to pass through the stomach. With this surgery, people on average lose about 60-70% of their excess body weight. Not only this, patients also experience overall improvement in the quality of life and remission or improvement in obesity related health conditions such as diabetes type II, hypertension, sleep apnea, fatty liver disease, joint pain, and hyperlipidemia.

Turkey-gastric-sleeve

Gastric Sleeve in Turkey

Turkey has become a global hub for all kinds of treatments and medical procedures. With an advanced healthcare program, cost-effective packages and remarkable hospitality services, the country ranks among the top medical travel destinations of the world. Many top hospitals in Turkey offer weight loss procedures, including gastric bypass, gastric band, and sleeve gastrectomy surgeries. These procedures are performed at well-established and accredited centers that are equipped with the latest surgical technology. 

Gastric sleeve surgery in Turkey can be an effective solution for people who are morbidly obese and suffer from one or more obesity related health conditions such as Diabetes type 2, high blood pressure, and sleeping disorders. It is a complex operation and is performed by expert surgeons with extensive experience in this field. The rehabilitation and postoperative care programs help the patients lose weight in a healthy and effective manner. 

Turkey hospitals work on holistic and patient-centric treatment plans, which ensures a high success and satisfaction rate. Many hospitals are associated with national and international teaching facilities, and provide research based care to the patients.

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Gastric Sleeve Surgery Cost in Turkey

The gastric sleeve Turkey prices are reasonably lower in comparison to several other countries, including the USA, UK, Germany, Australia and many more. The affordable cost of treatment allows international patients to save a significant amount of money on their treatment, even after including the travel, accommodation and other expenses. The low cost does not mean any compromise on the quality of treatment and patient care services. 

Factors that affect the gastric sleeve cost in Turkey

The overall cost of gastric sleeve in Turkey may vary depending on several factors, such as:

  • The choice of hospital: its location, accreditation and latest technologies available
  • Surgeon’s experience
  • Technique used for the surgical procedure
  • Duration of stay in the hospital and country
  • Room category

Who may need the gastric sleeve surgery?

A detailed evaluation of the patient is conducted by the doctor during the consultation to determine the risks and benefits for the particular case. 

People who are eligible for this procedure must have: 

  • Body Mass Index (BMI) more than 40 – extreme or morbid obesity
  • Body Mass Index (BMI) of 35 – 39.9 and one or more obesity related health problems such as: hypertension, Type 2 Diabetes, Sleep disorder, Fatty liver disease, Hyperlipidemia, or other. 

The surgery is only considered as a treatment option when the candidate has a history of strong attempts to improve their condition with diet and exercise habits or medications, have failed.

How does the Gastric Sleeve surgery work?

This bariatric surgery is a reduction based weight loss procedure as it involves reduction of the stomach volume. It ultimately causes people to feel full much quickly, and with less amount of food, after the surgery. The smaller size of the stomach results in consumption of fewer calories. 

The second way in which gastric sleeve helps in weight loss is by hormonal changes. The part of stomach that produces ghrelin, a hormone that’s associated with hunger, is also removed. It causes the patient to feel less hungry. Apart from these, the increased stomach motility allows food to pass the stomach and intestine quicker after the surgery.

What happens during a sleeve gastrectomy?

The surgery itself takes approximately one hour or more to complete. Gastric sleeve procedure is mostly performed with a minimally invasive approach, using a laparoscope. The laparoscope is a long, thin tube which is inserted into the abdomen through several small incisions. The tube has a light and a tiny camera attached to its one end. The surgeon makes a few incisions that are smaller in size than the cuts made on the abdomen during an open surgery. 

Prior to the surgery, the patient will have to follow a two week pre-operative diet plan. The doctor will also advise other precautions and instructions that are to be followed during the pre-operative phase. For gastric sleeve procedure, the patient is given general anesthesia, so that they are unconscious and requires a ventilator to breathing during the surgery.

During the surgery:

The surgeon divides the stomach into two unequal parts and almost 80 percent of the outer curved part of the stomach is removed. 

The remaining 20 percent of the stomach is then stapled or sutured together, which creates a banana-shaped sleeve of the stomach. It is only about 25 percent of the stomach’s original size.

After the surgery is complete, the patient is moved to the recovery room for postoperative care. In the recovery room, the medical team will keep the patient under observation, till they wake up from the anaesthesia. 

As it is a minimally invasive procedure, typically small incisions are made on the abdomen which heal quickly. The keyhole approach of the surgery helps in faster recover in comparison to a conventional (open) procedure where a larger incision is made on the abdomen.

How can Lyfboat assist you getting sleeve gastrectomy in Turkey?

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Risks and complications of gastric sleeve 

As with every kind of surgery, there are certain risks involved with gastric sleeve surgery. 

Some common risks associated with almost any surgery include:

  • Haemorrhage, which means bleeding from the surgical wound or inside the body. Severe bleeding can lead to shock.
  • Deep vein thrombosis (DVT) occurs when a blood clot that forms in the vein, usually in a leg vein. Surgery and the recovery process can increase the risk of blood clots. 
  • Pulmonary embolism occurs when part of a blood clot breaks from another part of the body and travel to the lungs. 
  • Irregular heartbeat, especially atrial fibrillation risk is increased after the surgery.
  • Pneumonia or lung infection that can cause pain and shallow breaths 

The medical team will asses the candidate’s complete health history and other factors to determine whether the patient has any particular risks from the procedure.

Gastric sleeve surgery may also have some other complications. The possible side effects and complications that are specific to this surgery include: 

  • Gastric leaks: There can be leakage of stomach fluids from the line of sutures on the stomach where it was sewn back together.
  • Stenosis: This happens when the part of the gastric sleeve may close, and cause an obstruction in the stomach.
  • Vitamin deficiencies: As a part of the stomach that is removed, it can lead to the malabsorption of vitamins in the body needs. Weight loss surgery patients are recommended to take vitamin supplements, to prevent deficiencies.
  • Heartburn (GERD): The reshaping of the stomach can cause or worsen heartburn or other stomach problems. However, this can be treated using over-the-counter medication.

What to expect during recovery after a sleeve gastrectomy?

As laparoscopic gastric sleeve surgery is a minimally invasive procedure, the patient may get discharge from the hospital after 1-2 nights. If there are some complications, the medical team may advise a longer stay. Patients are generally encouraged to start walking as early as 3-4 hours following the surgery. 

In most cases, the pain can be easily managed after surgery and patients can pain medication, if required. They may also be given antibiotics to prevent a possible risk of infections. Most patients are able to go back to work and resume all their normal activities within 2 to 4 weeks post surgically. It is common to experience fatigue in the initial 2 weeks as the calorie intake from liquid diet is low. However, patients generally do not feel hungry at this stage of the diet. Also, the energy levels gradually improve once the soft diet is started, which takes approximately 2 weeks post surgery. Patients may even begin exercising within 4 weeks after the procedure surgery, but it is important to discuss all the precautions with the doctor during follow-ups. 

Eating habits after Gastric Sleeve Surgery:

  • Day 1: Patient is on a clear liquid diet. Some doctors even allow patients to drink sips of water a few hours after the surgery
  • Day 2-14: A complete liquid diet is followed. This may include protein shakes, milk, juice, yoghurt, and broth. 
  • Weeks 3-5: Patient may start having a soft food diet
  • After 5 weeks: A diet of regular food is usually introduced 5 weeks following the surgery. Patients are encouraged to start with a small amount of food at a time. They may also have meals in less quantity but more frequently.

The doctors will have to take multi-vitamin and B complex after the surgery, as per the recommended guidelines. 

Comparison with other Types of Bariatric Procedures

Other weight loss procedures such as laparoscopic gastric banding or Lap-band are very popular. But, due to the high risk of long term complications and less amount of weight loss, the demand of Lap-band surgeries has reduced in the past years. The Bariatric Surgery or Obesity Centres asses the patient’s condition and health risks involved, before recommending a suitable procedure. 

Another common weight loss surgery is Roux-en-Y Gastric Bypass Surgery which is generally considered as the gold standard of bariatric surgery. However, this surgery is being replaced by Gastric Sleeve as the most popular bariatric procedure due to its simple technique and less long-term complication rates.

Advantages of Sleeve gastrectomy over other popular bariatric procedures:

  • The gastric sleeve surgery is a much simpler procedure than gastric bypass. The operating time for gastric sleeve is less (40-70 minutes) than gastric bypass surgery (approximately 2-3 hours).
  • Lower chance for nutrient or vitamin deficiency than duodenal switch or bypass procedure. Besides this, there is no malabsorption in patients after Gastric Sleeve surgery.
  • The rate of complications has been found to be very less with the Gastric sleeve patients. The complications generally associated with other weight loss surgery may include bowel obstruction, stomach ulcer, and internal hernias. The risk of developing these complications after gastric sleeve is exceedingly rare.
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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