Gastric bypass surgery in Turkey is one of the most common types of bariatric surgery, which combines restrictive and malabsorptive procedures. This surgery helps individuals lose weight by altering how their stomach and small intestine handle the food they eat.
The gastric bypass procedure involves dividing the stomach into a small upper pouch and a much larger lower “remnant” pouch, and then rearranging the small intestine to connect to both. Unlike sleeve gastrectomy, the remnant of the stomach is not removed. Consequently, food does not enter the remnant section of the stomach, but gastric juice and enzymes are still produced in this section to aid in digestion and absorption of food.
Patients who undergo the gastric bypass procedure lose weight by eating less due to the smaller size of their stomach, which limits calorie intake. Additionally, the direct connection between the remaining pouch and the small intestine reduces the absorption of high-calorie nutrients, resulting in weight loss through two different mechanisms.
The gastric bypass procedure is performed laparoscopically, without deep skin incisions or pain, under general anesthesia. On average, the surgery lasts for one hour. Reviews and before-and-after photos can be viewed here.
Prior to undergoing gastric bypass surgery, patients receive a full evaluation and consult with a number of specialists, including pulmonologists, anesthesiologists, psychiatrists, and endocrinologists. On the second day after the procedure, patients undergo a leak test, and they can be discharged from the hospital on the third day.
Gastric Bypass Surgery in Turkey Brief Details | |
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Length of procedure: | 2 hours |
Recovery period: | 1 month |
Complications: | Bleeding, Leakage |
Exercise: | First month only walking, after 1 month patient can start swimming, going to gym. |
Risks: | Complications & Death |
Stay: | 4 Days Hospital, 3 Days Hotel |
Scars: | 5 incision in total |
Pain: | Average |
Potential candidate: | Who has more than 35 BMI. |
Results: | “We expect from our patient;10% In 1st month, 20% In 3 months, 30% In 6 months, 40% in 1st year of patient’s current weight with gastric surgery” |
Best Age for Surgery | Between 18-55 |
Types Of Gastric Bypass Surgery
Currently, there are three primary gastric bypass surgeries being performed in Turkey: Roux-en-Y gastric bypass, mini gastric bypass, and sleeve gastrectomy.
All weight-loss surgeries have pros and cons, and none of them is a quick, simple fix for losing weight. With each procedure, patients must follow a diet and exercise program to achieve good results. Gastric bypass surgery is merely a tool to assist in the weight loss process.
Roux-en-Y gastric bypass is a restrictive and malabsorptive surgery. Patients who undergo this procedure have a new stomach pouch that limits the amount of food they can eat and makes them feel full with a small amount of food. The digestive system is rerouted to bypass most of the stomach and a portion of the small intestine, resulting in fewer calories and nutrients being absorbed from the food (malabsorption).
Mini gastric bypass is a less invasive procedure that is easier for surgeons to perform. However, this technique can cause bile and pancreatic enzymes to escape from the small intestine into the esophagus, which can result in severe inflammation and ulceration in the stomach residue and esophagus. If any leakage occurs into the abdomen, these corrosive fluids can cause serious complications.
Gastric Bypass Before&After Photos
Flight Time To Turkey
Route | Duration |
From New York | 9h 41m |
From London | 3h 40m |
From Washington DC | 9h 45m |
From Paris | 3h 20m |
From Berlin | 2h 55m |
From Toronto | 9h 45m |
From Moscow | 2h 41m |
From Barcelona | 3h 20m |
From Madrid | 4h 10m |
From Amsterdam | 3h 25m |
From Dublin | 4h 20m |
From Sydney | 19h 5m |
From Dubai | 4h 20m |
What are the differences between laparoscopic and endoscopic gastric bypass surgery?
Laparoscopic gastric bypass surgery is an effective and long-term weight loss solution. Patients experience immediate satiety with considerably smaller meals due to the reduced size of the new gastric pouch, which is similar to volume-limiting operations. This surgery combines both volume-limiting and absorption-reducing features.
Endoscopy is one of the most commonly used bariatric surgical procedures, and its efficacy is one of the most important aspects in the treatment of obesity and obesity-related health problems. When compared to laparoscopic surgery, this minimally invasive same-day procedure results in less weight reduction at 6 months, despite the fact that endoscopic gastric bypass shrinks the stomach lumen to a size equal to that of laparoscopic surgery. Often, endoscopic procedures are used as a solution for patients who need a revision procedure or have regained weight.
However, patients’ health conditions vary from one another, and this can affect the stages of surgery and determine the appropriate treatment for each individual.
Who Is Eligible For Gastric Bypass Surgery?
In general, individuals who are overweight and have a history of multiple attempts at losing weight with diet are eligible for gastric bypass surgery. As excess weight can endanger one’s health, patients between the ages of 18 and 65, with a body mass index (BMI) of 35 or higher, or those with a BMI between 35 and 40 and any obesity-related condition including insulin resistance, sleep apnea, heart diseases, or joint disorders are often considered candidates for gastric bypass surgery.
Furthermore, gastric bypass surgery can be performed as a revision surgery for those who have previously had sleeve gastrectomy, gastric plication, or gastric banding and have regained weight following the procedure.
What Are The Advantages Of Gastric Bypass Surgery?
Gastric bypass is an effective means to achieve long-term weight control by reducing appetite and allowing for smaller portions of food. Many patients successfully lose weight and maintain their weight loss in the long term. Weight loss can result in permanent resolution of obesity-associated co-morbidities, particularly type 2 diabetes mellitus. Postoperative patient satisfaction rates are high in terms of both psychological and physical effects.
Different complications you should be aware of:
Different complications you should be aware of:
- Embolism:
The risk of embolism is increased in bariatric surgery procedures due to the patient’s excessive weight; however, any surgical operation can be associated with an embolism risk.
Patients are required to wear compression stockings and receive blood thinner injections at home for an additional 10 days after their discharge from the hospital to reduce the risk of embolism.
- Bleeding:
The most common complication of the procedure is bleeding, which can be identified by signs and symptoms such as fatigue, dizziness, and low blood pressure.
The treatment of bleeding consists of blood transfusions according to the amount of bleeding, and this complication can be easily overcome.
- Rapid gastric emptying:
“Dumping Syndrome,” also known as rapid gastric emptying, may occur due to the quick passage of food, particularly sugar, into the small intestine. Symptoms of dumping syndrome typically appear 10 to 30 minutes after consuming food and include abdominal pain, cramps, and diarrhea. Dumping Syndrome can be prevented by consuming smaller meals and avoiding high-sugar foods.
Furthermore, patients should undergo regular blood tests after the surgery to detect deficiencies and complications mentioned above. Vitamin and mineral deficiencies may occur due to inadequate nutrition and absorption, and patients should take medications and supplements prescribed by their doctor to address them.
Is having a Gastric Bypass in Turkey safe?
Yes, it is absolutely safe to have gastric bypass surgery in Turkey. Obesity surgeries are operations that can have very serious risks if performed incorrectly. Therefore, it is important that these operations are performed by reliable surgeons.
Although gastric bypass surgery is less invasive than gastric sleeve surgery, it still requires extensive medical care and attention. Furthermore, while it is a surgery that is available in many countries, it may not produce the same results. It is critical that you select a safe and suitable country for your surgery. Having gastric bypass surgery in Turkey is a good choice since it is one of the best countries that offers plastic surgeries and obesity treatments lately, with a high standard of medical care. You can safely have your surgery and return to your country with a 100% success rate.
When you look at the average success rate in Turkey, you will notice that it is the most reliable country for gastric bypass surgery. Turkey is both medically safe and extremely pleasant in terms of personal safety. If you are considering surgery, Turkey should be at the top of your list.
How many pounds can be lost with Gastric Bypass Surgery?
Gastric bypass surgery is considered one of the most effective weight loss surgeries among all obesity surgeries. After the operation, patients typically experience weight loss from the day after the surgery and continue to lose weight in the following days. It is expected that excess weight will be lost by about 75-80% over a 1.5-year period after gastric bypass surgery. However, it should be noted that individuals’ eating habits may recover over this period of about 1.5-2 years, which can result in a regain of about 10-15% of the lost weight.
The capacity of the stomach to receive nutrients and the length of the intestines are factors that greatly affect the number of calories taken into the body. Gastric bypass surgery is a serious operation that is only applied to obese patients, and methods such as stomach balloons may be used before surgery.
The main aim of gastric bypass surgery is to divide the stomach into two parts (small and large) and remove the large part from use. The second intervention involves dividing the small intestine into two parts and removing part of it from use.
In gastric bypass surgery, the decommissioned areas are connected to regions outside those areas to complete the operation. This surgery results in a smaller stomach capacity and a shortened absorption process after the stomach. This means that the number of nutrients introduced into the body from the start is reduced, and the time spent in the digestive process is also shortened. Only two-fifths of the total calories consumed before surgery are used in this manner, which leads to significant weight loss in the long run.
Even if a person wants to eat, they cannot do so because there is no room in their stomach. Furthermore, even if there is enough room, the person may not be able to digest food properly due to the shortened intestines. This approach mimics the effect of gastric bypass surgery on weight loss.
What To Eat After Gastric Bypass Procedure?
Here’s a version with some minor corrections:
After undergoing gastric bypass surgery, patients typically undergo a leak test on postoperative Day 2, followed by a 15-day liquid diet. This liquid diet period is then followed by a pureed food diet, and finally, solid food is introduced.
The diet plan after gastric bypass surgery may vary depending on the patient’s specific condition. Typically, the gastric bypass diet follows a step-by-step strategy to assist patients in reintroducing solid foods. The speed with which patients progress from one step to the next is determined by how rapidly their body heals and responds to the change in eating habits.
After three months, patients should be able to resume normal eating habits.
You must be cautious at each stage of the gastric bypass diet:
- To avoid dehydration, drink 2 liters of liquids every day.
- Drink liquids between meals rather than with them. Drink something roughly 30 minutes after a meal and avoid drinking 30 minutes before a meal.
- Eat and drink carefully to avoid dumping syndrome, which occurs when foods and liquids enter your small intestine quickly and in larger amounts than usual, resulting in nausea, vomiting, dizziness, sweating, and diarrhea.
- Consume lean, protein-rich foods on a daily basis.
- Choose low-fat and low-sugar foods and beverages.
- Stay away from alcohol.
- Caffeine, which might dehydrate you, should be avoided.
- Take vitamin and mineral supplements on a daily basis, as suggested by your doctor.
- Once you’ve progressed beyond liquids exclusively, chew foods thoroughly to a liquefied consistency before swallowing.
Gastric Bypass Results
After completing the surgery and the careful feeding process, the first results of the operation begin to manifest. Initially, the most noticeable results are on appetite rather than weight. The stomach volume being ninety-five percent smaller than normal allows patients to feel satiated with a meal or two. At the same time, the shortness of the intestines causes the body to burn fat.
Visible and measurable results on weight are typically obtained around the fifth month after surgery, and weight loss can continue until the fifth year. However, in the long term, much more food can be consumed than usual due to the enlargement of the intestines, which can result in moderate weight gain.
Why Should Not Trust Gastric Bypass Surgery Reviews on Forums?
If you are considering getting a Gastric Bypass Surgery, finding the ideal clinic and solution for yourself may be a challenging task. However, it is recommended that you trust the clinics in Turkey, particularly those in Istanbul.
It is important to note that comments on forums should not be relied upon when researching where to go for the surgery since they are frequently controlled by other communities that aim to attract and make money. Therefore, instead of relying on Google, it is advisable to search on YouTube to see the results for yourself.
To sum up, if you want to obtain the information you need about Gastric Bypass Surgery, it may not be sufficient to rely on Turkish forums, and it is better to watch the videos on YouTube. Reviews of gastric bypass procedures in Turkey are generally positive, with many patients reporting significant weight loss and improved health.
Reviews of gastric bypass procedures in Turkey are generally favorable, with many patients stating that they experienced significant weight loss and improved.
The Cost of Gastric Bypass in UK, USA and Canada
It is understood that gastric bypass is a costly form of bariatric surgery, and as such, the rates are higher. Gastric bypass rates in the UK and Ireland usually range from £9,500 to £15,500. The average cost of gastric bypass in the United States and Canada is about $20,000 to $25,000, but the prices in Turkey are much more affordable. The average cost of gastric bypass in Turkey is £3,999 (all-inclusive package); however, the price may vary from clinic to clinic. Furthermore, the gastric bypass surgery procedure in Turkey is the same as that in the UK, the USA, and Canada.
Cost of Gastric Bypass in Turkey ( Price Comparison ) | |
Turkey | €3.999,00 |
USA | $25.000,00 |
UK | €15.500,00 |
Ireland | €9.500,00 |
South Africa | €15.000,00 |
Saudi Arabia | $12.000,00 |
Australia | 19,000.00 |
Canada | $20.000,00 |
How much does Gastric Bypass surgery cost in Turkey?
The average cost of gastric bypass surgery at Dr. Hasan Erdem Obesity Clinic in Istanbul, Turkey is $4,700 or £4,000, while the cost for the same surgery is $25,000 or £15,500 in the UK and USA. This significant difference in cost makes Turkey a more affordable option for patients seeking gastric bypass surgery.
When comparing prices to other countries such as the UK and USA that offer gastric bypass surgery, the difference becomes apparent. Turkey provides international experience and medical services, as well as surgery packages that include additional services such as airport transfers, translation services, and personalized after-care assistance.
Optional Services | |
City Tour / Group | 150€ |
Shopping Tour / Group | 150€ |
Nail Art & Eyelash | 200€ |
Hairdresser Service | 200€ |
Skincare | 200€ |
Classic Istanbul Tour | 250€ |
Gastric Bypass Surgery All Inclusive Packages in Turkey
- Preoperative Examinations
- Examination of Anesthesia Physician
- Examination of Chest Diseases Physician
- Examination of Cardiology Physician
- Gastric By-Pass Surgery by Surgeon
- Latest Technology Operating Room Supplies (Medtronic)
- General Anesthesia
- 1 Year Post-Operation Physician control (via WhatsApp)
- 1 Year Dietician Support after Operation (via WhatsApp)
- Lifelong Patient Care after Operation (via WhatsApp)
- Drugs to be used after surgery
- Supplements to be used after surgery
- Varicose Vein Stockings
- Breathing Exercise Device
- VIP Transfers (SAW Airport-hotel, hotel-hospital, etc.)
- 3-4 Nights Hotel Accommodation
Location Options in Turkey
Criteria | İstanbul | Antalya | İzmir |
---|---|---|---|
# Operations | High | Medium | Medium |
Price | Medium | High | High |
# Certificates | High | Medium | Medium |
Transportation | Easy | Medium | Medium |
Hospital Options | High | Low | Low |
Age of Hospitals | Younger | Older | Older |
Gastric Bypass in Istanbul, Izmir or Antalya
Gastric Bypass in Istanbul, Izmir or Antalya
Our Turkish bariatric surgeons always take your specific objectives and lifestyle into account and strive to educate you about the risks and benefits of this life-changing procedure. Weight loss surgery is the most effective treatment for obesity; however, not every weight loss method in Turkey is suitable for everyone.
Antalya is a tourist city in Turkey where you can undergo a gastric bypass and entrust yourself to the highly reliable hands of specialist doctors. You can have a very successful surgery there in a beautiful location.
Izmir is another city that is popular for medical tourism. As a coastal city, it attracts everyone’s attention. There are many clinics in this city that perform gastric bypass procedures, and all of them have extremely competent doctors. Doctors in Izmir are constantly improving their skills with each operation.
Istanbul is the top destination for gastric bypass surgery in Turkey. Due to its large population, every district has more than one clinic with many experienced experts. As a result, it is the most well-known city and the first choice for most people. Thus, you may hear its name frequently.
Gastric Bypass Reviews in Turkey
One of the most popular weight loss procedures in Turkey is gastric bypass surgery. Patients who have undergone the procedure in the country have given it favorable reviews. They have reported significant weight loss and an improvement in their overall health, as well as a reduction in the incidence of obesity-related diseases such as diabetes and high blood pressure. Positive comments have also been made about the abilities and expertise of Turkish surgeons and medical staff. Many patients have reported minimal postoperative discomfort and fast recovery times, and they have praised the skilled and compassionate care they received during their stay in Turkey.
“I came from Germany . I had my Surgery with Dr. Hassan Erdem. I am very satisfied.
He was very nice and friendly. He did good Job. 😊👍The Hospital was very good and the people are nice. They always checked me up. I almost lost 5 kilos in 6 days.🌸”
Scarlett - Germany
“Had my operation in may 20th it’s now July 17th I’ve lost 20 kilos best thing I ever done. Feel healthier and happier thanks to all the staff an doctors for their help it was much appreciated will be back to visit soon. Thank you so much for everything.🤗”
Anna - England
“The best decision I made in my life was having this operation. I had my surgery 5th of July 2018 and went into it weighing 118 kilos and it’s been just over a year I’m 74 kilos. Worth every single penny I spent and the doctors are so motivating and supporting😊”.
Tim - Ireland
“Thank you for everything doctor Hasan. I had gastric sleeve 7.04.2019. I lost 43 kilos. After the surgery, i felt a little pain but that was worthy. Dr Hasan and his team gave me a new life. Now, As if I never lived before. Thank Dr. HE and his team.😚"
Justin - Australia
"I was searching for this operation for years. I found Turkey and Turkey was a good option. Before the surgery, I was afraid. But Dr. Hasan Erdem and his team helped me a lot. Now, I lost 13 kilos in one month.. I am getting better everyday.😇"
Watson - Italy
"I was 120kg and now 75kg, it's Dr. Hasan and his team's miracle. From start to end everything is perfect. They always write to me and ask about my health per week. I made a good decision. Of course, I was worried and I was afraid but their energies were wonderful.😌"
James - England
"What a service from arriving to leaving i can't fault these people enough. Recommend the whole team was really fantastic and couldn't do enough. Was really worried about the surgery but everyone of the team just made it so at ease FANTASTIC. I have no regrets Thank you Dr. HE!🙏"
Emily - USA
"How can I say? My weight was 138. I was feeling so tired. I could not even walk. I could not sleep well. I found Dr. Hasan Erdem on the internet. I had so many questions. I was worrying but his team helped me a lot. After 8 months, I lost 47 weight.🥰"
Mona - France
Gastric Bypass Cost in Turkey vs UK
Before making a final decision, it can be beneficial to compare the costs of gastric bypass surgery in Turkey and the UK, as there are many differences between them. Although the procedure itself costs considerably less in Turkey, there are additional factors that contribute to the overall cost. One of these is the length of the flight, which can be uncomfortable for the patient after the procedure.
Another difference is the cost of living for the patient and any accompanying individuals, which can make the total cost prohibitive unless the patient has a longer stay in the country. However, the cost difference between the UK and Turkey is significant. For a Roux-en-Y gastric bypass, the procedure in Turkey costs approximately £4,000. The price may vary based on the complexity of the procedure and the surgeon’s experience.
In contrast, the cost of gastric bypass surgery in the UK ranges from £9,500 to £15,000, which is much higher than in Turkey. Despite the higher costs, UK surgeons may not have the same level of experience and qualifications as Turkish surgeons, who perform thousands of surgeries each year using state-of-the-art equipment in hospitals.
Patients may also opt for a holiday package that includes gastric bypass surgery, with the hospital’s tour operator partner arranging transportation, lodging, and meals. Additionally, undergoing gastric bypass surgery in Turkey is straightforward, with regular flights available from major UK airports to Turkey.
We Work With The Best Hospitals for Gastric Bypass in Turkey
FAQ
In Turkey, gastric bypass surgery fees are paid in advance and installments are not made. However, there is a wide variety of payment methods available so that you can easily make your payment. You can pay by credit card or cash. Before you come to Turkey, you can get a guarantee by making a prepayment. You can complete the payment procedure by making the remaining payment at the clinic. Financial institutions do not give loans for this surgery. Our patients make the payments individually.
Gastric bypass, one of the most difficult bariatric surgeries, is performed safely in our clinic. Dr. Hasan Erdem clinic is one of the best private clinics that has received awards from many European health institutions. Hasan Erdem, who has the best doctor award, is very experienced in gastric bypass surgery. We are one of the best health institutions where you can get the highest quality health services at the most affordable prices. We are always at your service with our experienced healthcare team.
One of the reasons why gastric bypass operation is cheap in Turkey is that there are very experienced clinics and doctors in Turkey. There are more doctors than in Europe. Therefore, surgery prices are cheaper than in Europe. In addition, by purchasing one of the all-inclusive packages offered in our clinic, you can reduce the cost of the surgery. Overseas patients can have surgery at the most affordable prices in Turkey.
Turkish gastric bypass is more affordable than most European nations, and the US, given Turkey’s labor costs, is much lower than in any other country. This allows more people to have cost-effective procedures, also because plastic surgeons in Turkey are becoming more and more experienced than their European colleagues.
There are many different factors involved in choosing the best bariatric surgeon for you. Many easy ways can help guide discovering the best surgeon ,most certainly by checking Social media accounts, websites , reviews and lastly It is always a good choice to have face to face consultation with your surgeon.
Gastric bypass is performed throughout Turkey as this operation can be performed by most cosmetic clinics and centers from the capital city of Ankara, Izmir, and city of Antalya, all of whom can do all kinds of cosmetic surgery, but Istanbul is still the most common.
The gastric bypass treatment, like any surgical procedure, has possible risks and complications. These potential complications, however, are rare and measured, and an experienced surgeon and team can often prevent any difficulties from developing.
The most known complications include:
- anastomotic leakage
- bleeding
- embolism.
These complications are more likely to occur during the first 15 days after surgery.
And Staple line leakages are the most serious complications of this procedure. Signs and symptoms of a leakage include:
- High body temperature.
- severe abdominal pain.
- a high pulse rate.
- chills and fatigue.
A Timely and successful intervention of your doctor is the key to the treatment of potential leakage. The detection and treatment of leakage are quite easy for an experienced bariatric surgeon. However, such complications will prolong the healing process.
Thus Please contact your doctor immediately after becoming aware of the first signs of such complications as early detection may decrease treatment duration and may have a positive impact on treatment outcomes.
After gastritis bypass surgery, the patient stays in the hospital for 3-4 days to monitor possible complications. Patients discharged at the end of this period can return to light work 2-3 weeks after discharge. It is necessary to wait 1.5-2 months for jobs where physical activity is intense. It is essential to take a break from heavy physical activities and not lift heavy loads for two months after the hospital. You should not drive for two weeks after surgery. However, the patient can walk lightly and climb stairs.
When planning a gastric Bypass Turkey trip, you may wonder what is the payment plan options are available. These facilities are designed to help patients reduce their out of pocket costs while improving their health.
Your payment options include bank transfer, cash or credit card.
Most patients send the money by bank transfer when they arrive at the clinic, so you may want to make sure that the bank you are using works with the clinic.
You can also pay by converting your money at currency exchange offices in the country.
In some instances, your surgeon or hospital will be required to submit a letter of predetermination to your insurer. This will outline your medical history and the benefits that you are entitled to for the procedure.
This operation is not covered by health insurance.
We recommend that you take this into consideration before planning your visit and adjust your financial situation.
One of the reasons why the operation is not covered by insurance is that it is a private operation and is performed according to the patient's preference.
One of the big questions on many gastric bypass patient's minds is: what's the big deal about this surgery?
In general, there is no risk of death in gastric bypass surgery in Turkey. Since the operation is performed under general anesthesia, we can give a percentage of 0.01%. All the tests of the patient are done before the operation and the doctors make sure that there is no harm in taking anesthesia.
When we calculate the rate per patient, this rate corresponds to one patient in a million.
When you decide to undergo weight loss surgery, you want to choose the right bariatric surgeon. You also need to be in good physical and mental health and at least 18 years old to have this surgery.
It is also important to check with your surgeon about the risks of the procedure. Often, you will be able to find a second opinion for free. This can be especially helpful in cases that involve complex medical issues.
The chance of something going wrong during or after the operation is 0.01%.
You should follow the consultations your doctor will give you before and after the operation and you should definitely go to your regular check-ups.
Before the procedure, it will be checked whether you are allergic to anesthesia and then the operation will be started.
Gastric bypass surgery is a major change in the way your stomach and small intestine handle food. It helps you lose weight by restricting the amount of food that you can eat. However, it also comes with some risks.
There are some complications that can occur after gastric bypass surgery. The most serious of these is a leak, which can lead to infection. You should be aware of the symptoms so you can get treatment right away. If the leak is unnoticed, it can be deadly.
The prices of the operation do not include flight tickets, but you may still want to examine the all-inclusive packages. Thanks to these packages, patients are treated very comfortably in Turkey. VIP transfer service, post-operative consultation and sometimes hotel accommodation are included in these packages, which are not very expensive in terms of cost.
References:
- Saunders, R. (2001). Compulsive eating and gastric bypass surgery: what does hunger have to do with it?. Obesity Surgery, 11(6), 757-761.
- https://www.mayoclinic.org/tests-procedures/gastric-bypass-surgery/about/pac-20385189