Category: Uncategorized

12 March 2021 by yonetici 0 Comments

Questions & Answers

Nowadays, sleeve gastrectomy, gastric bypass and transit bipartition are frequently used in the treatment of obesity. These methods can be done very safely in experienced hands. You are thinking about being a sleeve gastrectomy or gastric bypass and when you share this idea with your relatives, you will encounter different negative informations such as don’t be dead, you will die or you will be half a person. These are all nonsense.

In this article, I will answer frequently asked questions from our patients.

Is there a risk of sleeve gastrectomy surgery death?

Stomach reduction surgery is a surgery with a low risk of death with the closed ( laparoscopic ) method. The death rate reported in the world is one per thousand. Choosing a doctor is very important in stomach reduction surgery. The more experienced the doctor you will be operated on, the lower the mortality rate.

Can I have a sleeve gastrectomy surgery?

Your body mass index is more important than your weight for you to have surgery. The body mass index is found by dividing your weight by the square meter of your height. People with body mass index 35 and above may have a sleeve gastrectomy surgery.

Is there an age limit for sleeve gastrectomy surgery?

Sleeve gastrectomy surgery can be done to anyone between the ages of 15 and 70 who fulfill the necessary conditions.

How will I be fed after stomach reduction surgery?

You will be fed with liquid foods without grains for the first 15 days after stomach reduction surgery and soft foods that we call the puree period for the next 15 days. You will switch to normal food from the first month.

Can I not drink carbonated liquids for life after sleeve gastrectomy surgery?

It is not appropriate to consume gaseous liquids for the first month after surgery. Gaseous liquids can be consumed after the first month.

Do I gain weight after sleeve gastrectomy surgery?

The main purpose of sleeve gastrectomy surgery is to teach you to eat healthy and live. If you do not learn to live healthy and eat and continue to maintain your old bad eating habits again, you can gain weight again from the second year after surgery. The rate of regain weight after stomach reduction surgery is around 20%.

Will there be pain in sleeve gastrectomy surgery?

Stomach reduction surgery is performed by laparoscopic method, that is, closed method. After the operation, there may be a pain in the area where your stomach is located, which lasts for about 2 hours. This pain disappears completely within hours. During this period, strong painkillers are made for you.

How many days do I have to stay in the hospital for sleeve gastrectomy surgery?

Hospital stay is sufficient for a total of 3 days for patients coming from local and 4 days for our patients coming from abroad. Our patients coming from abroad can board the plane and return home after four days.

When can I start working after stomach reduction surgery?

After sleeve gastrectomy surgery, if you have a job that you do not lift too low, you can return to work the next day you leave the hospital. If you have a job that you have to lift and lower, it is recommended to start at the first month after surgery.

I had a new birth and I’m breastfeeding. Can I have a sleeve gastrectomy surgery?

Since you cannot be fed enough after the surgery, women who are breastfeeding should have surgery after they stop breastfeeding. If you have just given birth and you are not breastfeeding, you can have surgery if you are bringing the necessary conditions.

Can I fast sleeve gastrectomy stomach surgery?

You can fast after a year of surgery.

Will I use lifelong medication after sleeve gastrectomy surgery?

No way. In the first nine months after stomach reduction surgery, you will only use the stomach protector and multivitamin pill. These drugs will be stopped later.

Can I smoke after stomach reduction surgery?

I do not recommend smoking for the first month after sleeve gastrectomy surgery.

When can I have sex after tube stomach surgery?

Yes you can sex when you feel ok.

Can I survive diabetes with tube stomach surgery?

Please click on the link for the answer to the question

I had a sleeve gastrectomy surgery. My hair is falling out. What should I do?

Please click on the link for the answer to the question

I had sleeve gastrectomy surgery. There is constipation. What can I do?

Please click on the link for the answer to the question

I had a stomach reduction surgery. My weight loss stopped. What can I do?

In the first fifteen days after sleeve gastrectomy surgery, there is a rapid weight loss. After 15 days, weight loss may slow down or stop. This is perfectly normal. Weight loss starts again after a period of stagnation. Weight loss continues with intermittent stops over time. Weight loss from the 9th month after the surgery is almost close to a halt.

When can I get on the plane after stomach reduction surgery?

You can board the 3rd Day after sleeve gastrectomy surgery.

When can I get pregnant after sleeve gastrectomy surgery?

I do not recommend pregnancy for the first year after sleeve gastrectomy surgery. you can become pregnant after a year.

I had a sleeve gastrectomy surgery. There are stones in my gallbladder. Should I have surgery?

Please click on the link for the answer to the question

I had a sleeve gastrectomy surgery. Can I chew gum?

There is no harm in chewing gum from the first month after the operation.

I had a stomach reduction surgery. When can I use alcohol?

It is not safe to use alcohol from the third month after sleeve gastrectomy surgery.

I am overweight and have polycystic ovary syndrome. Will my polycystic ovary syndrome improve if I have sleeve gastrectomy surgery?

Polycystic ovary syndrome develops due to excessive accumulation of fat in the body. With sleeve gastrectomy surgery, you get rid of excess fat accumulated in your body and you are much more likely to get rid of polycystic ovary syndrome.

Does sagging occur after sleeve gastrectomy surgery?

There is a rapid weight loss after stomach reduction surgery. It is very important to do sports after surgery. The younger your age, the lower the body mass index you are operating with, the less sagging you will have. The higher the age and the higher the body mass index, the more wrapping.

When can I do sports after sleeve gastrectomy surgery?

After stomach reduction surgery, the first fifteen days should be walked for half an hour a day and then walking for an hour. As of the first month, all kinds of sports can be done without lifting and lowering. If the weight is to be studied, it is appropriate to do it from the third month.

When can I go to the sea or pool after sleeve gastrectomy surgery?

After the stomach reduction surgery, after our wounds are completely healed, we can go to the sea or pool. This corresponds to the twentieth days after surgery.

When can I enter the solarium after sleeve gastrectomy surgery?

There is no harm in entering the solarium after our wounds healing after stomach reduction surgery.

When can I take a shower after sleeve gastrectomy surgery?

While you are discharged from the hospital after the surgery, your wounds are closed with waterproof dressings. You can take a shower with these dressings. Wound healing is completed on the 10th day after surgery and you can take a shower by opening the dressings.

When can I drink coffee after sleeve gastrectomy surgery?

Herbal tea can be safely drunk in the first fifteen days after sleeve gastrectomy surgery. Coffee can be drunk from the beginning of fifteen days, but not too dark.

Does tube stomach surgery have a disadvantage?

Obesity is the cause of many diseases. There are many diseases related to obesity. Human life has been proven to be shorter due to obesity and obesity related comorbidities. If we couldn’t treat obesity naturally, many surgical techniques come into play. The most performed surgery in the world is sleeve gastrectomy surgery. Sleeve gastrectomy surgery allows us to get rid of our excess weight and gain healthy eating habits. Getting rid of excess weight allows us to get rid of the diseases that will occur due to obesity or the diseases that have occurred. For this reason, sleeve gastrectomy surgery with the correct indications does not have a disadvantage.

What are the risks of sleeve gastrectomy surgery?

There are some complications that may occur as a result of stomach reduction surgery. The most feared of these is known as a leak among the people. Leakage is the leakage of stomach contents from the stomach cut and sutured into the abdominal cavity. If this leak is not recognized early, it may cause life-threatening risks. The probability of leakage is around 1% in the studies. Another complication that may occur after sleeve gastrectomy surgery is bleeding. Bleeding stops 90% by itself. Rarely, it may be necessary to give blood to the patient. The probability of bleeding is 2%.

What are the comorbid diseases related to obesity?

Please click on the link for the answer to the question

How many kilos do I lose after sleeve gastrectomy surgery?

Losing at least 80% of our excess weight after stomach reduction surgery is an indication that the operation was successful. After an ideal sleeve gastrectomy surgery, 80% of our excess weight is lost.

12 March 2021 by yonetici 0 Comments

About Brokerage Agency Firms

Today, in this article, I will try to write my views on health tourism and brokerage agency firms. In recent years, health tourism has developed and become widespread in our country. People from many countries of the world choose our country to receive health care, and they return to their home country to meet their health services in our country. There are many reasons why our country stands out in health tourism.

Turkey is a country where there are well-trained health workers. Surgical branches especially come to the fore among many countries in the world. Well-trained surgeons are healing. Many hospitals in our country are equipped with very good and modern equipment.

Due to the increasing interest in health tourism, many brokerage agency firms, which desire to make easy money, have emerged. Intermediary companies find people who want to receive health services and meet them with the doctors they have contracted. All necessary treatments of incoming patients are done by doctors and patients return to their countries with high satisfaction rates.

Today, interest in obesity and diabetes surgery is increasing day by day. In our country, surgeries such as tube stomach surgery, gastric bypass, transit bipartition and duodenal swich are performed successfully. Our surgeons are much more experienced in these surgeries than many surgeons in the world. In experienced hands, these surgeries are very safe and comfortable surgeries. Surgeries such as stomach reduction, gastric bypass are performed safely in our country at more affordable prices compared to other countries.

Performing these surgeries in our country at a much more affordable price and in a safe way has brought us to the fore in health tourism. The increase in health tourism has also caused an increase in brokerage firms. Although healthcare is provided by doctors and hospitals, these brokerage firms can earn more than doctors. These intermediary firms are often confronted with people doing research to get healthcare from abroad. These intermediary companies make agreements with certain doctors in advance and direct the patients to the doctors or health institutions they agree with. Naturally, the brokerage firm wants to make a profit. In order to make a profit, he tries to give little money to the doctor or medical institution. The doctor or health institution is also forced to use poorer materials to make a profit. Or, low prices are agreed with inexperienced doctors who are trying to prove themselves.

Long-term follow-up may be required after the healthcare service provided. It is the doctor or health institution where you receive your healthcare service, which will follow you after the received health service. Intermediary institution does not follow you. Intermediary institution’s work ends after receiving the money. Since the doctor or healthcare institution that needs to follow up also performs your surgery very cheaply, it will not be too enthusiastic to follow up on you. Therefore, you are very likely to remain in the middle.

When researching the internet in the country where you want to get health service, first contact the doctor or health institutions that provide the service. Institutions that provide this service already have multilingual websites and employees who will have a dialogue with you. They will inform you in detail about the process. The doctor or healthcare institution where you will receive health services will serve you at more affordable prices. Since there is no intermediary company, your cost will decrease. Since your interlocutor will be a direct doctor or health institution, your follow-up will be healthier.

For obesity and metabolic surgery operations such as gastric sleeve, Gastric Bypass, Transit bipartition and Duodenal Swich, you can contact us directly without any intermediary institutions. Operations such as stomach reduction, gastric bypass, transit bipartition and duodenal swich are made from agriculture with the latest technological materials in the world and post-operative follow-ups are done by me. To get cheaper and reliable health care, please contact the physician or health institution that provides the direct service. Do not put anyone in between us.

12 March 2021 by yonetici 0 Comments

Effect Mechanism Of Sleeve Gastrectomy Surgery

Sleeve Gastrectomy surgery is the most common and popular bariatric surgery procedure today. Sleeve Gastrectomy surgery was first performed to weaken patients with a body mass index above 60 and prepare them for more aggressive surgeries. However, it has been a bariatric surgery method alone since it has been observed that the weight efficiency of these patients is very good.

Effect Mechanism of Sleeve Gastrectomy Surgery

We can group the mechanism of action of Sleeve Gastrectomy surgery under three headings. These are a decrease in stomach volume, hormonal changes, and mechanical changes.

Decreasing stomach volume is undoubtedly very important for weight loss. Studies have shown that the smaller the stomach volume decreases, the greater the weight loss. After Sleeve Gastrectomy surgery, stomach emptying occurs. This causes the foods we eat to remain in our stomach for a longer time and longer satiety.
In the stomach reduction surgery, the fundus part of the stomach is also removed. A hormone called Ghrelin is secreted from the fundus part of the stomach. The hormone Ghrelin increases in hunger and increases our appetite, increasing our consumption of food. When we are saturated, this hormone decreases. Studies have shown that when there is satiety in obese people, this hormone does not decrease. It has been observed that this hormone drops until the first year after stomach reduction surgery.
Glucagon-like peptide-1 (GLP-1) increases the release of insulin from our pancreatic gland and reduces the release of glucagon hormone. It also reduces stomach emptying, causing satiety. Studies have shown that the release of the hormone GLP-1 after Sleeve Gastrectomy surgery increases.
After hormonal changes occurring after stomach reduction surgery, many diseases related to obesity appear to improve. Type2 Diabetes, High Blood Pressure, Sleep Apnea, High Cholesterol, Fatty Liver are the main ones.

Tube Stomach surgery is a very reliable surgical procedure when it is performed by experienced physicians.

12 March 2021 by yonetici 0 Comments

Weight Loss Surgery Process In Turkey

Hello. Now you are bored with your weight and accompanying diseases related to your weight, and despite trying many methods, you could not get rid of these weights. Finally, you started researching obesity surgery and decided to have a sleeve gastrectomy or gastric bypass surgery. You have decided to take this surgery in UK but have not overcome the long and tedious procedures put in front of you. Your insurance did not cover this surgery. You have decided to have this surgery in another country, but you have a lot of fears. You will entrust yourself to a doctor you do not know how to be in a country where you do not know the language and culture. In this article, I will tell you what kind of process is waiting for you if you want to have surgery.
First of all, please contact our patients who have been operated on Instagram or Facebook and ask about their experiences. Their experiences will comfort you. After contacting us via social media or WhatsApp, our native language coordinator will inform you about the process. If there are any questions you would like to ask me, he will forward it to me and then forward my answers to you. If you decide to have an operation, you will set up an operation day with my coordinator, and your appointment will be finalized after you receive your plane ticket and send ticket picture to us. When your surgery day comes, we will meet you at the airport and transfer you to the hospital where your surgery will be performed with VIP transfer.

Your detailed check-up checks to be done before the operation in our hospital will be accompanied by our coordinator whose native language is English. If there is no situation preventing you from operating, I will take you to the operating room with our coordinator and perform your surgery here.
After the operation is finished, you will wake up in the waking room with our coordinator and then be taken to your room. After four hours of rest in your room, you will get up and start walking alone.
On the second day after the operation, you will start drinking water and soup, and your drain will take off. You will not feel any pain while the drain comes out.
You will be dropped back to the airport by VIP transfer after all your medications have been set up on the 3rd day after the surgery, dietician interviews have been made and you have been informed about the entire next process by me.

After going to your home, we will be in constant contact with you via WhatsApp. We will be with you in any problem. We will provide dietitian support. We will ask you to have some blood tests done in the first month after the operation. You will have them done and send them to us. We will talk to you according to these results.


12 March 2021 by yonetici 0 Comments

Difficulty In Water Consumption After Sleeve Gastrectomy Surgery

Consumption of sufficient fluid, especially water, in the early period after obesity surgery is essential for the patient to be discharged from the hospital safely. Sleeve Gastrectomy surgery is the most used surgical method in the world. Not having enough water after sleeve gastrectomy surgery brings with it many problems. In addition, sufficient water intake is essential for losing weight. Men should consume at least 2 liters of water a day, and women should consume at least 1.5 liters of water a day.

According to our observations, after sleeve gastrectomy surgery, some patients have more difficulty in water consumption compared to other liquids. Patients who have difficulty in drinking water after sleeve gastrectomy surgery report that they have replaced drinking water with a larger amount of juice, especially in the first 2 months. This reduces weight loss and may even cause weight gain in the long run.

There is not enough scientific evidence explaining the difficulty of some patients in water consumption compared to other liquid consumption after sleeve gastrectomy surgery.

Those who have difficulty drinking water after sleeve gastrectomy surgery should be offered methods to change the taste of water instead of consuming calorie fluids instead of water. Or low calorie liquids should be preferred.

We observe that most of the complaints of patients who have difficulty in consuming water after tube stomach surgery have resolved from the 3rd month after surgery.

12 March 2021 by yonetici 0 Comments

Constipation After Sleeve Gastrectomy Surgery

Weight loss surgery is considered an effective tool in the treatment of obesity. In addition to the resulting weight loss, this type of intervention can improve or reduce associated diseases and risk factors such as high blood pressure, metabolic syndrome and type 2 diabetes. Diseases associated with the digestive system are more common in obese people. Problems related to digestive system that may not be seen before surgery may be seen.

Constipation is a common complaint seen after sleeve gastrectomy surgery. Approximately half of the patients who have surgery have short or long-term constipation. There is a marked decrease in bowel movements after sleeve gastrectomy surgery. Because of the decrease in stool passage time due to a decrease in bowel movements, the frequency of defecation occurs and this causes constipation.

Since there is less food consumption after tube stomach surgery, sufficient fiber cannot be taken and a decrease in the amount and frequency of defecation occurs. Constipation is seen more frequently in this period, especially since the first fifteen days after surgery are fed with liquid foods and fiber foods are not consumed. As food variety increases and fiber-rich foods consume, stool occurs and normal defecation occurs.

In the treatment of constipation, we must first make changes in our lifestyle.

1) We should consume at least 2 liters of water a day.

2) We should do regular physical activity every day. Regular brisk walking is the most ideal.

3) We should consume 2-3 apricots or dried figs a day.

4) The foods we consume should be high fiber foods, not carbohydrates.

If our complaints do not improve with these non-drug regulations, drug therapy can be used. There are drugs that increase bowel movements or draw fluids into the bowel and soften the stool. These drugs should not be used for a long time.

12 March 2021 by yonetici 0 Comments

To Whom Sleeve Gastrectomy, To Whom Mini Gastric Bypass?

Obesity is a rising epidemic worldwide and bariatric surgery remains the main treatment method. The most common and applied bariatric procedure worldwide is laparoscopic sleeve gastrectomy (tube stomach). Tube Stomach surgery is basically a restrictive operation that maintains the continuity of the normal digestive system without any anastomosis. In sleeve gastrectomy surgery, approximately 2/3 of the stomach is removed.

Mini gastric bypass is also an alternative, safe, feasible and effective bariatric procedure. Mini Gastric Bypass is both a restrictive and absorption reducing method. Its popularity is increasing all over the world. A small stomach pouch is created and a new path is created by bringing the small intestine into this stomach’s empty space.

Sleeve gastrectomy and Mini gastric bypass surgery has its own advantages and disadvantages. Both operations are performed by closed method. Average operation times are equal in both methods. Hospital stay is equal after sleeve gastrectomy  and Mini Gastric Bypass surgeries. The possibility of developing reflux after sleeve gastrectomy surgery is higher than Mini Gastric Bypass surgery. Postoperative leakage is more likely in sleeve gastrectomy surgery. After bariatric surgery, weight gain may occur again and revision surgeries may be required. The need for back weight gain and revision after sleeve gastrectomy surgery is slightly higher than mini gastric bypass surgery.

There are many diseases that develop due to obesity. The most common of these diseases are high blood pressure, type 2 diabetes, sleep apnea and hyperlipidemia. The method we chose after obesity surgery should eliminate these concomitant diseases. In researches, Type 2 Diabetes, high blood pressure and hyperlipidemia disappear at higher rates than sleeve gastrectomy surgery after Mini Gastric Bypass surgery. There is no significant difference between them in sleep apnea. When sleeve gastrectomy and Mini Gastric Bypass surgeries are compared in terms of excess weight loss, it is seen that there is a little more possibility of excess weight loss after Mini Gastric Bypass.

In the light of this, what surgery should we recommend to which patient? To whom sleeve gastrectomy, to whom should we do Mini Gastric Bypass?

  • Mini-Gastric Bypass surgery may be more suitable for obese people who have Type 2 diabetes and who use insulin for a long time.
  • Mini Gastric Bypass surgery may be more suitable for obese individuals with severe reflux, since sleeve gastrectomy surgery will increase their reflux complaints.
  • Mini Gastric Bypass surgery may be preferred because super obese individuals (50 <vki) also reduce absorption.
  • Mini Gastric Bypass can be preferred in obese people who have high sugar consumption.
  • Since sleeve gastrectomy surgery does not disrupt the human anatomy, this is an effective bariatric method that should be preferred except for the cases we have mentioned.

You can contact us via the contact page to get information about sleeve gastrectomy, gastric bypass and revision surgery.

12 March 2021 by yonetici 0 Comments

Nutrition After Sleeve Gastrectomy Surgery

We need to make some changes in our eating habits due to the very low stomach capacity after sleeve gastrectomy surgery. For people who have sleeve gastrectomy surgery, it is difficult to eat and drink liquids at the same time. The following eating behaviors are recommended for people who have sleeve gastrectomy surgery.

  1. Get a fixed eating order.
  2. Eat slowly. Consume your food in about 20-30 minutes.
  3. Eat your food with small bites.
  4. Chew a lot before swallowing.
  5. Drink liquid at least 30 minutes after eating. Do not consume solid and liquid together.
  6. Do not eat while watching or working on television.

12 March 2021 by yonetici 0 Comments

Hair Loss After Sleeve Gastrectomy Surgery

Hair loss after sleeve gastrectomy surgery is a very common condition (70%). Hair loss usually starts in the second or third month and can continue up to the eight or ninth month. Hair loss stops when the speed of losing weight slows down or when losing weight stops. Most of the shed hair comes back after weight loss stops.

There are some measures that can be taken to reduce hair loss. Multivitamin pills given by your doctor should be used regularly after surgery. We should use protein supplements as needed in our post-operative diet. Again, postoperative B 12, Folic acid, zinc and iron values ​​should be checked regularly and any deficiencies that may occur in these should be corrected.

If the hair loss is too big to disturb the person, another measure that can be taken is hair mesotherapy.

It should be remembered that hair loss after tube stomach surgery is not permanent but temporary. The more regularly you do your doctor’s controls after the operation, the less your hair loss will be.

12 March 2021 by yonetici 0 Comments

Diseases Associated With Obesity

High Blood Pressure: The increase in the Body Mass Index is proportional to the increase in blood pressure.

Dyslipidemia: With increasing body mass index, it is directly proportional to increasing the amount of cholesterol and triglycerides in our blood.

Diabetes: There is a high relationship between the increase in Body Mass Index and the development of Diabetes.

Coronary Vascular Disease: Increasing Body Mass Index increases the chance of developing coronary vascular disease.

Heart Failure: As the weight increases, the heart muscle works more and after a while, heart failure develops.

Stroke: The probability of a stroke increases with increasing Body Mass Index.

Sleep Apnea: Sleep apnea is strongly associated with obesity and diabetes. Sleep apnea can cause pulmonary hypertension and right heart failure.

Reflux Disease: Due to the increase in abdominal pressure, Reflux Disease appears more frequently in obese people.

Cancer: The relationship of esophagus, large intestine, rectum, liver and gallbladder cancers with obesity has been proven.

Deep Venous Insufficiency: As the Body Mass Index increases, the risk of deep vein thrombosis and pulmonary embolism increases.

Osteoarthritis: Obesity can lead to severe calcification, especially in the knees and ankles.

Depression: Obesity increases the frequency of development of depression.

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