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Gastric Sleeve

Gastric Sleeve

Surgery Duration

1 - 3 Hours

Hospitalization

1 - 2 Nights

Back to Work

7 - 10 Days

Anesthesia

General Anesthesia

Page Content

Sleeve Gastrectomy Surgery in Turkiye
Sleeve gastrectomy or vertical sleeve gastrectomy, is a gastric surgery performed to decrease the food-intake capacity by removing a part of the stomach. Performed laparoscopically, this procedure involves inserting small instruments through multiple minute incisions and takes place in the upper abdomen. About 80% of the stomach will be removed, leaving a much smaller-sized stomach to regulate the amount of food you consume. This will aid weight loss by limiting the food and help you maintain a nutritious diet plan.
Why Go For A Sleeve Gastrectomy in Turkiye ?
Sleeve gastrectomy is a gastric bariatric surgery, performed to help one to lose their excess weight and prevent the diseases that come with it, like high cholesterol levels, diabetes, stroke, high BP, heart disease, and so on. Sleeve gastrectomy should only be considered after you try losing weight via non-surgical methods such as a better diet and workout habits.
There are several indicators that your doctor will consider before deciding if sleeve gastrectomy is an ideal procedure for you. The factors are as follows.
  • Body mass index (BMI) should be greater than at least 35 or higher (extreme obesity). In some cases, a BMI of 30 to 34 is also permitted if you have serious health problems due to excess weight.
  • One has serious health issues due to excess weight gain.
  • You wish to change your lifestyle to a healthier one and are ready to follow long-term health plans that closely monitor your diet, lifestyle, and behavior.
Preparation For The Surgery
Sleeve gastrectomy requires careful preparation and post-surgery healing to reduce risks and better results. The doctor will monitor the medications you can take and this must be followed without fail. The doctor might suggest a physical activity program a few weeks before your surgery. Stop smoking or drinking alcohol a few days well before the surgery. Sleeve gastrectomy post-surgery recovery may require one to two nights’ stay at the hospital, and travelers to Turkey should plan their dates accordingly.
Procedure
Like any other fat loss surgery, the doctor will administer general anesthesia for the patient before your surgery to relieve the pain. The procedures or methods may vary from person to person depending on the patient’s condition, medical history, and the hospital. Most sleeve gastrectomy surgeries are typically performed laparoscopically, as inserting small instruments through multiple small incisions promotes faster healing, and patients experience little to no pain. Some sleeve gastrectomies are performed with large Incisions in the abdomen, while others with laparoscopy.
The surgeon first creates a narrow sleeve by holding the stomach vertically and removing the curved part of the stomach through multiple incisions. The surgery duration is usually one to two hours.
Post-Surgery Care
Though sleeve gastrectomy rarely involves fatal risks, One needs to be well informed of the post-surgery risks to avoid permanent damages and better recovery. Possible risks include:
  • Bleeding and infection may subside over time. Consult your doctor in case of excessive bleeding.
  • Blood clots
  • Breathing problems
  • Gastrointestinal problems and trouble to have food
  • Vomiting
After sleeve gastrectomy, you need to follow:
  • A proper diet with calcium and multivitamin intake.
  • Avoid sugar-free, noncarbonated liquids for at least a week.
  • Proceed with liquid foods for three weeks, and move to regular foods after four-five weeks post-surgery.
  • Proceed with liquid foods for three weeks, and move to regular foods after four-five weeks post-surgery.
  • Proper follow-up visits with medical checkups to monitor your health in the first several months after weight-loss surgery.
Prices for Sleeve Gastrectomy Surgery in Turkey
Like any cosmetic procedure, sleeve gastrectomy price varies depending on various factors. The average price for sleeve gastrectomy surgery in Turkey depends on the extensivity of the surgery, location, the experts involved, the technology used, and so on.
Turkey offers comparable prices for gastric surgery compared to other European countries. Do not be lured by lower prices offered by some clinics, as they may offer low-standard services. One should always seek quality services, the best Turkey reviews, and certified clinics that utilize the latest technology for high profile surgeries such as sleeve gastrectomy as it greatly impacts the results and recovery.​
Frequently Asked Questions
The gastric sleeve surgery is a relatively new procedure and it is gaining rapid popularity worldwide. In the late 1980s and 1990s, surgeons started to do the sleeve gastrectomy as part of the duodenal switch operation. Over the years, surgeons noticed that gastric sleeve caused significant weight loss. In the late 2000s and early 2010s, this procedure became increasingly popular. Large datasets, with more than 5 years of follow-up after the surgery, showed sustained weight loss.
The main advantage of gastric sleeve surgery is that it does not need to create a new connection between the stomach and small bowel (anastomosis). Long term complications are less likely to occur with the gastric sleeve procedure than they are with gastric bypass surgery. There is almost no risk for internal hernia or marginal ulcers after gastric sleeve surgery because there is no anastomosis. Both complications are most commonly associated with gastric bypass surgery. The chance of nutrient deficiency is also less likely with the gastric sleeve surgery than with gastric bypass surgery because there is no malabsorption.
For obese patients with esophageal dysmotility (difficulty swallowing) and gastroparesis (food stays in the stomach for too long), the gastric bypass surgery is the preferred operation. Patients with severe Gastroesophageal Reflux Disease (GERD), especially those with Barrett’s esophagus, also should have gastric bypass surgery. For patients with mild reflux, gastric sleeve surgery is not considered a contraindication.
The stomach can be distended, or stretched, significantly after eating. Studies have shown that the human stomach can hold 2-4 liters (64-128 ounces) of food once distended. During the gastric sleeve operation, a tube is inserted from the mouth into the stomach and all the gas and liquids are removed to totally decompress the stomach. Roughly, 80% of the stomach is removed after it is decompressed. During this process, the stomach is detached and pulled through a very small incision. At UCLA, the largest incision we make for the gastric sleeve surgery is about 2-3 cm. In most cases, we do not need to enlarge the incision, because the stomach is totally decompressed during the procedure. The small incisions significantly reduce the pain after surgery and the chance of getting a hernia later in life.
Most patients go home the day after surgery. Those who are recovering from this operationa are encouraged to should be able to drink plenty of water to stay hydrated. Pain from the small incisions can usually be alleviated with oral pain medications at home. Almost all the patients are expected to walk a few hours after gastric sleeve surgery and can start their clear liquid diet the morning after their surgery.
This is a very controversial topic. Some centers reported an increased incidents of Gastroesophageal Reflux Disease (GERD) after gastric sleeve surgery. However, other reports showed decreased incidents of GERD. Overall, the heart burn after gastric sleeve can usually be managed with antacid medications and lifestyle changes. Very rarely will surgeons have to convert the gastric sleeve to the Roux-en-Y gastric bypass surgery to treat the reflux (less than 1% in most reported series). In our own experience, we feel that many of our patients reported decreased reflux after gastric sleeve surgery. From the reported literature, retained fundus (the upper part of stomach) is one of the reasons that patients develop reflux after gastric sleeve surgery. At UCLA, the surgeons pay meticulous attention to this part of the procedure to make sure that all the fundus of stomach is removed during the gastric sleeve surgery.

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