Weight reduction by Gastrointestinal OP

Methods of Obesity Surgery in Turkey

Despite repeated attempts of a food changeover and regular sporty activities, many people suffer from adiposity (obesity). This not only affects the self-esteem as well as the entire quality of life, you feel also socially excluded from fellow-men. In addition, the immune system reacts strongly to these impulses, so that both physical disorders as diseases of the musculoskeletal system, diabetes or sleep apnea (nightly breathing difficulties), and psychological problems are often the consequences.

In Turkey, people who are suffering from a diseased overweight can be helped by the so-called bariatric intervention. However, such an adipositic surgical treatment should be well considered beforehand and discussed extensively with specialists, because these are partly serious physical changes, which cannot be reserved afterwards. Lastly should be considered that in obese people the stomach is not really ill and therefore a healthy organ is taken. Furthermore, both a long-term medical treatment is provided and a lifelong intake of specific dietary supplements to avoid a nutrient deficiency. In general, within obesity surgery there is a distinction between restrictive and bypass techniques, which include various gastric operation methods such as the gastric sleeve surgery and the gastric bypass. Which method of the stomach OP is finally used, depends individually on the patient and his medical history, and is decided by the treating specialist in Turkey. If the treatment costs will be paid by the insurance companies, are depending on established conditions and differs from case to case.

What are the Requirements for a Bariatric Procedure?

Whoever considers the stomach surgery for weight reduction in Turkey, should know that surgery is always the last option – especially if the dietary and lifestyle changes as well as an alternative drug treatment did not achieve the desired result. Adiposity means a body-mass-index (BMI) of 40 (40 kg/m2) or a BMI of 35 with serious health problems – proven for at least three years. Moreover, one should be of legal age by law and not exceeded the age of 65. Another important aspect is the exclusion of mental disorders as well as alcohol and drug abuse. For these reasons, your Turkish specialists recommend that you go through a multimodal therapy program before each gastric surgery, using conservative methods, 6-12 months nutritional counseling and exercise training, as well as psychiatric treatments.

Preparations on your Stomach-Surgery in Turkey

Before a gastric surgery is carried out in Turkey, specific investigations are necessary: These include a reflexion of the esophagus, the stomach and the duodenum, to exclude any possible inflammation, ulcers or tumors. In addition, the pancreas, the gall bladder and the liver are examined using the upper abdominal sonography, and for anesthesia preparation an ECG was written, as well as if necessary a lung function test (Lufu) carried out. Particularly essential is the preoperative fluid phase, which is initiated depending on the hospital in Turkey about 10 to 14 days before the gastric surgery. The aim of the protein-containing liquid food – especially before a gastric sleeve surgery – is that patients with pronounced adiposity experience a slight weight loss as well as reduction of the possible fatty liver. Also, no alcohol should be drunk at least 48 hours prior to the surgery and, about 30 days before the procedure with the smoking cease, because smoking increases both the overall healing process and the risk of pneumonia inflammation. Detailed information on this phase, you will receive from your specialist in Turkey.

Diet & Restrictions after a Stomach-OP

Patients who have chosen a stomach reduction (sleeve gastrectomy) in Turkey, are never allowed to eat normal portions since there is simply no more space available. This means, that not only a comprehensive diet is essential, also the purchase should be very reasonable in the future. If too much food is consumed too quickly, the affected patient may feel pain, nausea and vomiting. Moreover, no medication should be taken that is harmful to the gastric mucosa (e.g., aspirin, cortisone, rheumatism, etc.).

Immediately after a gastric-OP, the patient starts with his diet. As a rule, within the first four weeks only liquid food is allowed to take in form of broth, tea, coffee, unsweetened coal, low acid beverages as well as fruit, vegetables, juices and yogurt. Afterwards the general food change begins on the basis of a gradual cost-building (5-7 small meals per day), which is discussed with their specialist team of doctors in Turkey.

Prospects of Success after a Gastric-OP in Turkey

The success of weight loss after a gastric-OP in Turkey are very different – but always strong correlated to the motivation of the patient – and how he complied with the guidelines for food and life change. According to studies, the weight reduction is in motivated patients up to 70 % within the first two years.

However, especially the restrictive surgery-techniques could be “outsmart” by the patient, if he eats large amounts of liquid or soft high calorie food. It is also possible that a sleeve gastrectomy, which was previously implemented in Turkey, slowly expand due to large portions (in approximately 30 % of all patients).

That is why many patients who do not adhere to the new lifestyle, slightly increase their weight after about 2-5 years – some of them even the total lost weight!

Note: Long-term studies show that surgical procedures in Turkey, such as the sleeve gastrectomy surgery, have been clearly superior compared with conservative methods of treatment.

Aftercare & long-term Therapy due to the Stomach-OP

After a bariatric procedure, the body can absorb only a few vitamins and nutrients that are why the patient has to undergo a lifelong therapy, in which the permanent state of health is controlled to prevent possible deficiency symptoms (e.g., in the form of a dietary supplement). In addition, flatulence, diarrhea and fatty stools are threaten after inappropriate meals, and sometimes even circulation of waste with sudden bowel emptying (dumping syndrome).

What are the Risks and Side Effects in Stomach-OPs?

Generally, everyone who is undergoing a stomach surgery in Turkey needs to be clear that this brings a considerable improvement of the quality of life, but also a decision for life: Once a surgical procedure has been decided, there is no reason to go back because of the anatomical changes. The only exception is the roux-y-gastric bypass, because here the rest of the stomach remains in the patient, so a regression of the original stomach can be realized from your surgeons in Turkey postoperatively. It is also clear that surgery always involves risks. In general, wound bleeding in the area of the stomach is considered to be the most common complication of gastric-OPs, and less risky than leaky sutures. In addition, there is a possibility that unpleasant heartburn occur in the first few months after the surgical procedure, which can be treated with drugs. Furthermore, it is important to note that after a bariatric surgical procedure – due to the changed hormone balance – an increased fertility can be expected. To avoid additional charges, patients should refrain from a pregnancy within the first 18 months after gastric surgery.

It is also important to know, that the bariatric surgical treatment in patients with gastro-oesophageal reflux disease and hiatal hernia (diaphragmatic due to breakage) cannot be carried out. Also, for people who have a problematic stomach anatomy or suffer from eating disorders (e.g. bulimia), a gastric surgery in Turkey is not qualified.