Permanent remedy for diseases caused by excess weight, especially in Type-2 Diabetes
WHAT IS THE GASTRIC BYPASS SURGERY?
Gastric Bypass in Turkey is one of the most common types of bariatric surgery combining restrictive and malabsorptive procedures.
Technically, during this procedure a small pouch is created to shrink the stomach and a certain segment of the small intestine is brought up and connected to this small pouch. Unlike sleeve gastrectomy, the remnant of the stomach is not removed.
However food does not enter into the remnant section of the stomach while the gastric juice and enzymes are still produced in this section to contribute to the digestion and absorption of the food. In this way, patients who have undergone the gastric bypass procedure lose weight as they eat less and the calorie intake is limited as a result of the smaller size of the stomach while the absorption of high-calorie nutrients is also reduced as a result of direct connection between the remaining pouch and the small intestine. Therefore this procedure can help losing weight by two different mechanisms.
Gastric bypass procedures performed by laparoscopy are not associated with deep skin incisions and associated pain. The procedure is performed under general anesthesia and on the average, it lasts for one hour.
A comprehensive preoperative workup is conducted and the patient is also consulted with a number of specialists including pulmonologists, anesthesiologists, psychiatrists and endocrinologists. Patients undergo a leak test on postoperative Day 2 and can be discharged from the hospital on postoperative Day 3.
Gastric Bypass Types
In gastric bypass surgery types; there are RNY and Mini Gastric Bypass. RNY is a proximal, both restrictive and absorption (calorie) reduction operation. The patient whose stomach has been reduced with the RNY Gastric Bypass operation, can be full without feeling hungry with these small portions, although consuming smaller portions. RNY Gastric Bypass operation also reduces the absorption rate of the foods consumed. After the operation, the level of appetite hormone called ghrelin hormone decreases and the patient’s appetite decreases clearly. Although mini gastric bypass is simpler to create, this method causes bile and pancreatic enzymes to escape from the small intestine into the esophagus, and sometimes it causes severe inflammation and ulceration in the stomach residue and esophagus. If there is any leakage into the abdomen, these corrosive fluids can cause serious complications.
WHO IS ELIGIBLE FOR GASTRIC BYPASS SURGERY?
People who are eligible for gastric bypass include those who have a history of multiple attempts of losing weight with diet, excess weight that may jeopardize the health, people aged between 18 and 65 years, people who have a body mass index of 40 kg/m² or higher or a body mass index of 35 to 40 kg/m² and any obesity-associated co-morbidities including insulin resistance, sleep apnea, hearth diseases or joint disorders.
Furthermore, this procedure can be performed as a revision surgery in people with a prior history of sleeve gastrectomy, gastric plication or gastric banding who have gained weight after the procedure.
WHAT ARE THE ADVANTAGES OF GASTRIC BYPASS SURGERY?
Gastric bypass is a perfect mean to achieve long-term weight control by reducing the appetite and allowing small portions of food. Most of patients successfully lose weight and maintain their excess weight loss in long term.
Weight loss provides permanent resolution of obesity-associated co-morbidities, notably diabetes mellitus type 2. The rates of postoperative patient satisfaction are high in terms of psychological and physical effects.
WHAT ARE THE COMPLICATIONS AND RISKS?
As with any surgical procedure, there are potential risks and complications associated with the gastric bypass procedure. These risks and complications are rare and all measures are taken to prevent them from occurring.
The most known complications include anastomotic leakage, bleeding and embolism. These complications are more likely to occur during the first 15 days after surgery.
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.
Staple line leakages are the most serious complications of this procedure. Signs and symptoms of a leakage include elevated 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 a potential leakage. The detection and treatment of a leakage is quite easy for an experienced bariatric surgeon. However, such complications will prolong the healing process.
Another risk is the risk for embolism. Any surgical procedure is associated with a risk for embolism; however, this risk for embolism is higher in bariatric surgery procedures in association with excess weight.
An injectable blood thinner is started on the day of surgery and patients wear compression stockings (stockings for varicose veins) to reduce the risk for embolism. Patients have to wear compression stockings and receive blood thinner injections at home for an additional 10 days after their discharge from the hospital.
Bleeding is the most common complication of the procedure. Drain monitoring facilitates the observation of a potential bleeding. The signs and symptoms of bleeding include fatigue, dizziness and low blood pressure. The treatment of bleeding consists of blood transfusions according to the amount of the bleeding and this complication can be easily overcome.
In addition to these complications, vitamin and mineral deficiencies may occur as a result of inadequate nutrition and absorption. Patients should undergo blood test regularly after the surgery to check if such deficiencies occur and should receive medications and supplements prescribed by their doctor.
Rapid gastric emptying, also called ‘Dumping Syndrome’ may occur as a result of very rapid passage of food, particularly sugar into the small intestines.
Symptoms of dumping syndrome appear 10 to 30 minutes after the food intake and include abdominal pain, cramps, and diarrhea. Dumping Syndrome may be avoided by eating smaller meals and limiting high-sugar food.
Gastric bypass mortality and risk
As with all operations, in obesity surgery, where stomach and bowel operations are performed, intra-abdominal inflammation may occur due to damage in the operation, inability to heal the sutures adequately. This condition is also known as leakage after tube stomach surgery. With early diagnosis and treatment of intra-abdominal inflammation, this process can be treated without harming the patient. In this case, intra-abdominal inflammation is not fatal if you reach your doctor easily and are under supervision. Gastric bypass surgery is a full-time job and has technical differences from other gastric surgeries. It is important to note when choosing Gastric bypass doctors, whether their team has dietitians and a psychologist who will take care of your post-bariatric surgery psychology. Hospitals undergoing surgery are fully equipped and their teams are sufficiently experienced in this regard should be asked. In revision procedures after initial bariatric surgery, fistula rates can rise up to 20%. Critical areas for leakage are the uppermost point (89%) of the stapler line located in the esophagus-stomach Junction and the connections between successive cartridges. Postoperative leaks are classified as acute, late, very late and chronic.
How many pounds can be lost with gastric bypass?
Gastric bypass surgery is one of the surgeries that lose weight in the most and best way out of all Obesity Surgery. A person who has undergone this operation begins to lose weight at a certain level the day after the operation, and continues to increase in the following days. After gastric bypass surgery, it is expected that excess weight will be lost by about 75-80 percent over a 1.5-year period. But it should be noted that since individuals ‘ eating habits have recovered over this period of about 1.5-2 years, there may be a reuptake of about 10-15 percent of the given weight.
The capacity of the stomach to receive nutrients and the length of the intestines are very effective on the amount of calories taken into the body. Gastric bypass operations are quite serious operations. They are only applied to obesity patients. Even before application, methods such as stomach balloon can be used. The main thing that is done in surgery is to divide the stomach into two parts, small and large; the large part is removed from use. The second intervention is to divide the small intestine into two parts; part of it is removed from use. The operation is also completed by connecting regions outside the decommissioned areas. Gastric bypass surgery has a smaller stomach capacity. In addition, the absorption process after the stomach is also shortened. In other words, the amount of nutrients taken into the body from the beginning is reduced and the time in the digestive part is shortened. In this way, only two-fifths of the total calories that a person consumes before surgery are taken. In the long run, serious amounts of weight are lost. A person can’t eat even if they want to, because there’s no room in their stomach. Even if there is room, he can’t fully digest it because his intestines are shortened. The effect of gastric bypass surgery on weight loss is achieved by this method.
WHAT TO EAT AFTER A GASTRIC BYPASS PROCEDURE
Following a gastric bypass procedure, patients undergo a leak test on the postoperative Day 2 and a 15-day liquid diet is started. The liquid diet period is followed by a pureed food diet and solid food is added after then. Periods of Diet will be explained carefully to you by your dietician.
The role of dieticians is of paramount importance for every patient during the postoperative period. Dietary compliance of the patient is the most important factor to prevent complications from occurring.
Patients should gain the habit of eating slowly with small bites and chewing very well. Another rule of nutrition is making the distinction between the solid food and liquid food.
The interval between food and liquids should be at least 30 minutes. In this way nutritional deficiencies and gastric enlargement may be prevented from occurring.
It is important to comply with fiber- rich meal plans with a balanced ratio of carbohydrates to protein and fat. The meal plan should contain about 60 to 80 g of protein a day to ensure wound healing and to avoid nutritional deficiencies. The sources to supply the required amount of protein may vary according to the tolerance of each individual patient.
As the tolerance increases in time, the consumption of protein-rich food increases. Furthermore mineral deficiencies including iron, calcium deficiencies which may result in iron deficiency anemia or osteoporosis as well as Vitamin B12 deficiency are common following this procedure.
In addition to a nutritious diet, B complex vitamins and multivitamin supplements may be needed. Patient have to break their old eating habits such as frequent high-sugar and high calorie meals and get new healthy eating habits to avoid symptoms such as cramps or diarrhea associated with dumping syndrome as well to avoid from regaining lost weight.
Gastric Bypass Results
After the completion of the operation and the completion of the careful feeding process, the first results of the operation begin to be obtained. The first results observed are on appetite rather than weight. The stomach volume being ninety-five percent smaller than normal allows you to be satiated with a meal or two. At the same time, the shortness of the intestines causes the fat in your body to be burned. After about the fifth month, visible and measurable results are obtained on weight. It is possible to continue losing weight until the fifth year. Afterwards, much more food can be consumed than normal due to the enlargement of the intestines. This results in a moderate weight gain in the long term.
The Cost of Gastric Bypass in Turkey
It is understood that a gastric bypass is a costly form of bariatric surgery, so rates are higher. Gastric bypass rates in the UK usually range from £ 9,500 to £15,500. The average cost of gastric bypass in the United States is about $20,000 to $25,000, but the prices in Turkey are still much cheaper. The average cost of gastric bypass in Turkey is 3999£.
Location Options in Turkey
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Why is the Gastric Bypass Surgery cheap in Turkey?
Turkish gastric bypass is cheaper 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.
How to choose the best surgeon for Gastric Bypass ?
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.
Where is the Gastric Bypass performed in Turkey?
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.
Before and After Photos
“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.🥰"