What is Gastric Sleeve Surgery?

Gastric sleeve surgery, also called a vertical sleeve gastrectomy, is a surgical weight-loss procedure. This procedure is typically performed laparoscopically, which involves inserting small instruments through multiple small incisions in the upper abdomen. During sleeve gastrectomy, approximately 80% of the stomach is removed. Gastric Sleeve surgery helps to patient lose weight in two ways:

1.Hormonal way: Ghrelin is a hormone that sends signals from stomach to brain and induces a feel of hunger. Since the part that produces ghrelin hormone is removed from the stomach, urge to eat is greatly reduced.

2.Restrictive way: As the stomach volume shrinks, less food and calories will be taken, so weight loss occurs. The patient’s stomach is significantly smaller after the operation so they will feel satiated sooner.

Who is a candidate for Gastric Sleeve Surgery?

Those who have a diet program under the supervision of an expert but have not been able to lose weight and have :

• BMI greater than or equal to 40

• BMI of 35-39.9 with one of the obesity related health problems such as: hypertension, stroke,    type 2 diabetes, sleep apnea, fatty liver disease, hyperlipidemia, heart disease or acid reflux      disease

• BMI of 30-34,9 BMI and diabetes out-of-control

You may not be a good candidate for bariatric surgery if you have ongoing drug or alcohol addiction, uncontrolled mental illness or significant eating disorder.

BMI Calculator

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Your BMI is......

BMIClassification
less than 18.5:Underweight
18.5 - 24.9:Normal weight
25 - 29.9:Overweight
30 - 34.9:Class I Obese
35 - 39.9:Class II Obese
40 upwards:Class III Obese

How Gastric Sleeve Surgery is performed ?

Gastric Sleeve surgery is performed under general anesthesia and it is done laparoscopically which is a closed method. During the procedure, the abdominal wall is not cut out, the operation is performed with special surgical instruments with a camera attached on the tip. In this way, recovery after surgery is faster. In laparoscopical surgeries muscle tissue is not cut or damaged, therefore patient does not experience much pain after the surgery and pain is minimized by giving painkillers to the patient after the surgery. The surgery usually takes 2 hours. After the operation, the patient rests in the recovery room and the health status is monitored by surgeon and nurses.

Recovery from Gastric Sleeve Surgery

Following your operation, you will stay in hospital for for 3 nights. Your stomach might be swollen and sore for several days and your surgeon may prescribe painkiller medication. You will be able to drink clear liquids the day after surgery. At the end of 3 days, you will go through routine tests again and if the doctor approves, you will be discharged. After being discharged from the hospital, you and your companion will stay in a hotel with all the comfort in the central location for 3-4 days and your health will be monitored under the supervision of a surgeon. If there are no complications, you can return to your country and your daily life. Our dietician will prepare a special diet program for you and explain in detail what should be eaten and what should not be eaten during the postoperative period. Walk as much as you can in the first month. This helps the healing process and promotes weight loss. If you are working at desk job, you can return to work after 1 week. However, if you are in a physically heavy job, we recommend that you return to work after 3 weeks.

You may experience changes as your body reacts to the rapid weight loss in the first three to six months after sleeve gastrectomy, such as body aches , feeling tired, as if you have the flu, feeling cold , dry skin , hair thinning and hair loss , gallstones , mood changes.

If you follow the advice of the surgeon and dietician  , you will recover in a short time, improve your health and reach your ideal weight.

You will be able to receive online diet service for 2 years after surgery. We will be with you throughout your journey until you reach the weight you want.

What are the routine tests before Gastric Sleeve ?

Certain basic tests are done prior to surgery:

  • Complete blood count
  • Urinalysis
  • Electrocardiogram respiratory function test
  • Lung X-ray
  • Pulmonary function testing
  • Abdominal ultrasound
  • Echocardiogram
  • Sleep studies
  • GI evaluation, cardiology evaluation
  • Gallbladder ultrasound

How should nutrition be after Gastric Sleeve ?

After your sleeve gastrectomy, your body will need nutrients to heal your wounds and help you heal completely. You will go through five phases of nutrition for five weeks after sleeve gastrectomy. Our dietician will give you free consultancy for 2 years after the operation.

Week 1 – Clear Liquids (water, jell-o, broth, sugar free juice, decaf tea, decaf coffee)
Week 2 – Full Liquids (protein shakes, low fat milk, yogurt drinks, sugar free puddings,  smooth soups)
Week 3 – Pureed Foods (pureed fruits and vegetables, mashed fish,cottage cheese)
Week 4 – Soft Foods (soft fish, well-cooked vegetables, fruits, sweet potatoes)
Week 5 – Solid Foods (lean meat, poultry, and fish, low-fat dairy products, steamed or raw vegetables and fruits)

Guidelines and tips.

  • Keep meals small
  • Have protein in each meal
  • Take your vitamins and supplements
  • Eat slowly and chew your food thoroughly
  • Avoid overeating
  • Avoid eating and drinking together at the same time
  • Avoid foods that are high in fat and sugar
  • Drink at least 1.5-2 liters of fluid every day

How much weight can be lost with Gastric Sleeve ?

Gastric sleeve surgery patients will lose 60% of their excess weight in approximately one and a half years. Rapid weight loss may occur within the first three months after surgery. The reason for this is that the patient is fed with liquid and puree after surgery. Although the weight loss rate of the patient slows down after three months, the weight loss process will continue for up to two years.

It is very important that patients follow the surgeon’s and dietician’s instructions after surgery. We recommend exercising along with the diet plan. Only walking can be done in the first month after surgery. In the following months, swimming and doing non-heavy sports support weight loss and prevent sagging.

What are the advantages of Gastric Sleeve?

  • You can lose up to 65 percent of your excess body weight
  • Less issues with absorbing nutrients and vitamins
  • Dumping syndrome is less common
  • It’s a one-step procedure so there’s a lower risk of complications
  • Since the hunger stimulating hormone Ghrelin is removed, appetite decreases
  • It can be converted to other obesity surgical operations
  • No foreign body is placed in the body
  • Obesity-related diseases improve or resolve after surgery



gastric sleeve



All  inclusive  package


pre operation tests


3 nights hospitalization

medication

4 nights hotel accommodation

airport-hotel-hospital transfers

Personal assistance in english

pcr tests

€ 3200

Medical Problems Resolved after Bariatric Surgery

Migraines – 57% resolved.

Pseudotumor Cerebri – 96% resolved.

Dyslipidemia Hypercholesterolemia – 63% resolved.

Fatty Liver Disease – 90% improved.

Metabolic Syndrome– 80% resolved.

Type II Diabetes Mellitus – 83% Resolved.

PCOS – 100% resolution of dysfunction; 79% resolution of hirsutism.

Venous Stasis Disease – 95% resolved.

Gout – 77% resolved.

Depression – 55% resolved.

Obstructive Sleep Apnea – 74%-98% improved.

Asthma – 82% improved or resolved.

Cardiovascular Disease – 82% risk reduced.

Hypertension – 42%-66% resolved & 52%-92% risk reduced.

Stress urinary Incontinence – 44%-88% resolved.

Overview

 
   Operation:    Laparoscopic Sleeve Gastrectomy
   Operation Goal:    Weight Loss
   Operation Time:    2 Hours
   Type of  anesthesia:    General
   Stay in Ankara:    7 Days
   Stay in Hospital:    3 Days
   Recovery Time:    4 Weeks or less
   Pain after Operation :    3 Days*
   Health Improvements:    Heart disease, High blood pressure, Sleep apnea, Type 2 diabetes
   Complications and Risks:    Bleeding, Infection, Blood clots, Leakage, Acid reflux , Malnutrition

Our Patient Reviews

Fatima
Gastric Sleeve
All around very professional staff and doctor. They walked me through every step regarding the treatment and what I had to do afterwards. I immediately lost my appetite on operation day and I am not even craving sweets or fast food since. I got advised on my diet by a professional dietitian and the diet is easy to follow. It has been only 2 weeks and I have dropped 10 pounds since the operation. Do not ever hesitate to get this operation done, I feel like I am born again !
Mohammad
Gastric Sleeve
I had the operation done at about a week ago at September. I got recommended gastric sleeve by a friend who got it done at segmed and doctor banli. His surgery was done 2 years ago and his health and weight is currently ideal. I was worried about covid but they take adequate precautions and it made me feel a lot better because this was the first time I ever had a surgery. So far I am feeling great, I am in touch with the dietitian and the psychologist. I wish I had it done sooner.
Ejesh
Gastric Bypass
In general I am really scared of doctors and operations but after talking to segmed staff and the doctor on whatsapp I've overcome my fear. They were very assuring and comforting thanks to their knowledge and sincerity. Even after a year I am still in touch with them. I dropped from 136 to 82 kg(21.4 stones to 13 stones) since the operation. Thanks guys !
Jan
Gastric Sleeve
About 2 years ago I had enough with diabetes and all the medication that come with it. I looked up a ton of clinics in turkey and decided to get it done after talking to other diabetic patients. The staff at the clinic were helpful and professional and the hotel was comfortable. The worst part is I could not eat enough Turkish food due to surgery ! The doctor and the staff were very confident with their success with diabetic patients and thankfully it worked for me as well. I don't have to deal it anymore.

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