Patients who can not lose weight even if they have been on a diet and exercise programme under doctor and dietitian control for a long time Patients who have a body mass index greater than 40.
Patients with a body mass index greater than 35 and having an additional disease such as hypertension.
Coagulation and Pulmonary Embolism in Legs: The probability of being seen is 0-1%. By moving the patient early, the rate of occurrence is reduced.
Leakage and bleeding: Early surgery is seen in the incision and anastomosis regions.
Infection Hernias: These hernias are common after open obesity surgery but rarely after laparoscopic surgery.
Vitamin- Mineral Deficiency: It depends on the degradation of absorption. It can be easily controlled by Vitamin supplements.
Hair Loss: Depends on insufficient protein and vitamin intake Recovery after the healing process.
Sagging in the body: Due to high weight loss, sagging, loosening and wrinkling may occur in certain regions of the skin.
After obesity surgery, the probability of re-weighting and restoring the lost weight is around 3-4%. This depends entirely on changing the patient’s eating habits, adopting a healthy and orderly philosophy of life, and complying with doctor’s recommendations.
Transit bipartition surgery is a metabolic surgical procedure. Metabolic surgeries are applied to people with diseases such as diabetes, obesity, high cholesterol and hypertension.
In this procedure, 100 or 120 cm starting from the connection point between the small bowel and the large bowel is measured and marked. The choice between 100 or 120 cm is determined according to the patient’s body characteristics.
Afterwards, another 150 cm is measured, and small bowel is dissected at 250 cm distance to the connection between the small bowel and the large bowel.
First of all, very comprehensive tests (blood tests, whole abdominal ultrasonography, gastroscopy etc.) are done for every patient who will have obesity surgery.
Once all the controls and examinations have been completed, the obesity surgeon evaluates the results. The surgeon will decide whether the patient is suitable for obesity surgery and, if suitable, which treatment method is to be applied.
The average postoperative hospital stay is 2 or 3 days.
Post-operative feeding begins with liquid foods.
After the patient has begun to receive liquid nutrition, the nutrition plan and the information about daily activities are written and verbally given to the patient by the doctor.
After detailed information is provided, the patient will be discharged from the hospital. The patient is checked at the intervals determined by the surgeon.
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On the duration of the first week right after the operation, you must eat mainly liquid food.
You should eat frequently with 3 main meals and at least 3 snacks a day.
Consume all foods and liquids slowly.
It is recommended to take a break from eating when a feeling of fullness occurs.
Do not drink water half an hour before and after the meals and wait 1 or 2 minutes between each sips.
It is recommended to prepare the juice at home. Do not consume ready-made fruit juices.
Choose lactose-free milk instead of regular milk.
Do not prefer foods with high sugar content (especially sugary liquids).
Do not forget to take the stomach protector and liquid vitamin.
Remember to drink at least 1.5 liters of water a day.
In this period, start soft vegetable meals in addition to liquid foods. It is recommended that the vegetables cooked in olive oil and skins are peeled.
You can consume cheese, soft-boiled eggs, olives and peeled tomatoes and cucumbers for breakfast.
You can consume grainy noodle soups. While preparing nutritious soups, you can use broths, milk, yogurt, vegetable puree and whole wheat flour.
You should eat frequently with 3 main meals and at least 3 snacks a day.
Consume all foods and liquids slowly. You should eat all solid food by chewing well and waiting between bites.
It is recommended to take a break from eating when a feeling of fullness occurs.
Do not drink water half an hour before and after the meals and wait 1 or 2 minutes between each sips.
It is recommended to prepare the juice at home. Do not consume ready-made fruit juices.
Choose lactose-free milk instead of regular milk.
Do not prefer foods with high sugar content.
Do not forget to take the stomach protector and liquid vitamin.
Remember to drink at least 1.5 liters of water a day.
In this period, start pureed foods.
You can consume ground beef, meatballs, skinless chicken and fish.
You can consume legumes.
You can start consuming bread. It is recommended to choose whole grain breads such as whole wheat or rye.
You can eat the fruits by biting them. It is recommended to consume hard skinned fruits such as apples and peaches with their skins peeled.
It is recommended to consume 1 tablespoon of crushed walnuts or hazelnuts per day.
Consume all foods and liquids slowly. You should eat all solid food by chewing well and waiting between bites.
It is recommended to take a break from eating when a feeling of fullness occurs.
Do not drink water half an hour before and after the meals and wait 1 or 2 minutes between each sips.
Remember to drink at least 1.5 liters of water a day.
You can consume solid foods.
It is recommended to consume pastries in limited quantities by chewing well.
After the surgery, it is recommended to refrain from deep fried foods, soft drinks, hot spices, raw onions and garlic, pickles and alcoholic beverages for at least 3 months.
Consume all foods and liquids slowly. You should eat all solid food by chewing well and waiting between bites.
Do not consume drinks with high sugar level.
Do not drink water half an hour before and after the meal.
Remember to drink at least 1.5 liters of water a day.
Take a look at some of the results from our previous patients
Individual results may vary
View AllAfter the surgery, you need to use a stomach protector (Pantpas tablet 40 mg. one daily on an empty stomach for one and a half months. At the end of this period, your need for the medicine will decrease. However, it is recommended that you continue with the stomach protector as long as your weight loss continues.
You will need to take vitamin syrup (Vitabiol syrup), calcium supplement (Calcimax D3) and protein powder (Protifar) until your oral nutrition reaches sufficient level. At the end of a month, you will have to leave the vitamin syrup and switch to the vitamin pill (Supradyn All Day). You should use the vitamin syrup twice a day and the vitamin pill once a day. Your need for vitamin, calcium and protein supplements will be determined according to your control analysis results.
Depending on your state of health, you may need to use blood thinners. After hospital discharge, you must continue to take blood thinner injections (Clexane) for 10 days. It is recommended that patients who had a coronary stent or had coronary bypass surgery in the pre-operative period continue to take their own blood thinners for at least 6 months after the blood thinner injections.
Depending on your blood sugar level, you may need to take diabetic medications after your surgery until your sugar level reaches to normal. Your blood pressure medication requirement will also decreases after the surgery.
The dosage and amount of all medicines will be prescribed by us. The duration and form of use will be decided according to the results of your control analysis.
You must record your weight, blood pressure, urination, the amount of water you consume and your blood sugar on a daily basis.
It is recommended to have your stitches removed on the 12th-14th days after the surgery.
After the surgery, you must have your control analyzes done in the 1st, 3rd, 6th, 9th and 12th months.
In the first weeks after the surgery, if you experience problems such as nausea, abdominal pain, and feeling of cold from time to time, please contact us by calling +90 537 268 54 14
It is recommended that rest at home in the first week after being discharged, and then take 15-20 minutes of daily walks. After the first month, your exercise capacity would increase and during this period, it is recommended to take 30-minute brisk walks daily. However high-paced walking, jogging, swimming and any other sports activities must be done 3 months after the operation, also you should refrain from doing abdominal exercises for 3 months.
Surgical operations that provide permanent weight loss, for those who are unable to lose weight by other weight loss methods (Diet, sports, etc.). With the advancement of technology and the development of new methods, the success rates of today’s obesity surgeries are quite high. Compared to the old obesity surgeries, the complications after the surgery have decreased to a great extent and the healing period has shortened.
1. Stomach Balloon
Stomach balloon is one of the methods used in obesity treatment. The extınguished balloon is inserted into the patient’s stomach with gastroscopy and then inflated physically. The amount of serum can be increased or decreased according to the needs of the patient. The placed balloon can move freely in the stomach.
But stomach balloon therapy is not permanent. According to the patient’s need, it can stay for 6-12 months and then removed from the stomach. Because the balloon gives a feeling of satiety and is filling the stomach, the patient cannot eat much.
In this process, with a dietitian and the help of a healthy and balanced diet, the patient will lose weight. The eating habits of the patient are corrected until the balloon is removed and after the balloon is removed, the patient continues to lose weight if he continues to have a healthy and balanced diet.
2. Tube Stomach (Sleeve Gastrectomy)
The greatest advantage of sleeve gastrectomy is that no changes are made to the natural functioning of the digestive system. Obesity-related diseases such as hypertension, diabetes, sleep apnea are reduced by up to 80% with tube stomach cure.
Tube stomach treatment does not change stomach functions, only stomach volume shrinks so that patients can consume any type of food, at least in small quantities.
With this treatment, 75% of the stomach is removed. Therefore a hormone named ghrelin, which triggers the feeling of hunger is noticeably reduced and The feel of hunger of the patient is reduced naturally.
Vitamin and mineral deficiency after tubal stomach surgery is much less than other obesity operations.
3. Mini Gastric Bypass
Mini gastric bypass surgery reduces both gastric volume and the absorption of food. The mini-gastric bypass is very effective in the treatment of hypertension and diabetes.
4. R-Y Gastric Bypass
The difference between R-Y gastric bypass and mini-gastric by-pass is a bile deflector linkage that prevents bile reflux. As the stomach is shrunk, the number of nutrients taken and bypasses reduces the absorption of nutrients. Thus, the patient can lose weight quickly after surgery.
5. Transit Bipartition
Transit bipartition surgery is a metabolic surgical procedure. Metabolic surgery type surgery is applied to people with diseases such as diabetes, obesity, high cholesterol, and hypertension.
Turkey has made itself a name in recent years by providing uncompromising quality of European standards with the technological developments in the field of health. The patient-oriented approach and the latest surgical instruments, experienced staff and health personnel is in the service of our patients from the first step in Istanbul to the moment of their return.
Our clinical experience has indicated that; our patients lose 10-15 kg. in the first month, 25 kg. in the third month, and 35-40 kg. in the 6th month. This may vary according to the patient's weight. Compliance with the diet and exercises given at this stage also determines how much and how long the weight would be lost.
After 6 hours of the surgery the patient can start walking with support in the hospital corridor. Walking could be achieved without any help on the following day. At the end of the 2nd day, patient could see their needs themselves.
After the patient is discharged, travelling by plane or a 4-5 hours car journey permitted. Having a companion during travel and daily 30-60 minutes of walk at a light pace is recommended.
Obesity is an important risk factor for the development of sleep apnea. The higher the body mass index, the higher is the risk. As body weight increases, the tissue mass around the neck also increases. This leads to a narrowing of the diameter of the trachea and an increase in tension in the muscles around the trachea. In the vast majority of patients who lose weight rapidly after bariatric surgery, these problems decrease significantly and disappear completely after surgery.
The stomach has the ability to stretch and grow due to its structure. Over time, frequent and excessive eating habits cause the stomach to grow and people to gain excess weight. During gastric reduction surgery, a large part of the stomach and the part where the hormones that cause hunger are produced would be removed. Therefore, after the operation, extreme hunger is not felt, and since the stomach shrinks, a small amount of food would be sufficient enough.The feeling of nibbling is not much felt in the first few years. When the recovery is fully completed patients then could fill the stomach completely. Consuming food after reaching satiety, would result an expansion in the stomach.However, despite all this, the stomach will not completely return to its former state.
There is no age limit for bariatric surgery as long as pre-operative evaluations are done well. For adults the age limit is 65 by some sources. However, with the prolongation of life expectancy and the change in the perception of an old age, the concept of age limit for the surgery has disappeared. Everyone who does not have any health problems preventing the surgery could have sleeve gastrectomy surgery.
The right time to get pregnant after bariatric surgery should be determined as 1.5-2 years. The reason for this is that negative effects can be seen in the baby to be born due to the deficiency of vitamins such as B12 and folic acid. Patients who lose weight, fertility and hormone activity increase as the patient loses weight, increasing the chance of conception.
Hair loss occurs in almost every patient after gastric sleeve surgery. The reason for this is; estrogen hormone decreases and testosterone hormone increases in the body. As a result, hair loss occurs. In addition, hair loss after this surgery may be due to mineral and vitamin deficiencies. To prevent this patients are given supplemental vitamins after surgery. After the first 6 months, new hair grows in place of the shed hair.
Loss of weight rapidly after the surgery, collagen could not fully regain its former state. Therefore sagging may ocur in different parts of the body. Aesthetic surgery procedures after 1st year could be an option.
Gastric sleeve (stomach reduction) surgery takes approximately 45 minutes to 1 hour,
Gastric Bypass surgeries would be approx. 1.30 to 2 hours,
Non-surgical slimming methods such as gastric balloon and stomach botox takes up to 30 minutes.
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