Sleeve Gastrectomy

Sleeve Gastrectomy is the process of excising the outer margin of the stomach on the left using surgical stapler-like devices called staplers. This method reduces the volume of the stomach to 150-200 ml, consequently limiting food intake.

Sleeve Gastrectomy is laparoscopic surgery. The main goal of sleeve gastrectomy is to help the patient lose weight in two ways; first, via limiting the food intake by reducing the stomach volume and secondly, via lowering the level of “ghrelin” substance to diminish the feeling of hunger.

Patients get discharged from the hospital after being followed-up for approximately 3-4 days. The length of hospital stay varies from one patient to the other. Patients will have a liquid diet after the operation. This type of diet will be prescribed and followed up by Nutritionists, and the patient will need to comply with it for about two weeks. Then, it is followed by a gradual transition period, allowing the patient to eat pureed meals first, then to start eating solid foods. After switching to solid foods, patients can go back to their regular dieting. However, they will need to eat lower quantities of food more frequently because of the reduction in stomach volume.

There is a high chance that patients lose about 85% of the excess body weight in the early period after sleeve gastrectomy. However, the stomach volume may increase in the following years.

Sleeve gastrectomy is not reversible and only safe if operated by experienced surgeons. Although the potential early postoperative side effects include pain, bleeding, leakage, and infection, the risk of occurrence of these effects is low. Because vitamins need the acid secreted from the parietal cells in the stomach for their absorption, vitamin supplementation is required in the early period

About Operation

Expected duration of stay in Turkey: 7 days
Anesthesia: General anesthesia
Expected operation duration: 2-3 hours
Expected duration of stay in the hospital: 3 nights
Pain: Occasionally, simple analgesics are needed.
Dressing: 5th-6th day
Stitches: No need to take stitches that melt on their own.
Return to normal life: 1 week – 10 days
Sports: Light exercises after 1 month

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What is Included?

All transfers (Airport, hotel, hospital)
Accommodation at Vital Hotel Fulya
Spa / Massage / Wellness
Surgery in hospital
Post-op care
Nursing and Nutritionist care in Vital Hotel Fulya
Personal all meals plan from our Nutritionist
After surgery, 6 week long personal Nutrition program

Prof. Dr. Burak Kavlakoglu - Obesity Surgery in Istanbul

Our Doctor

Burak Kavlakoglu, MD
Profesor in General Surgery
Obesity Surgery Specialist

Vital Fulya Profile Google Scholar PubMed Publications

Before & After

Before the surgery…

A thorough workup with blood tests is going to be made before the operation. A Nutritionist, anesthetist, and a general surgeon are going to examine the patient. Gastroscopy imaging is going to be performed by the general surgeon.

Obesity surgeon will select the surgery technique and schedule the operation based on the results of the workup and consultations.

At least 15 days before the operation, patients should discontinue the use of drugs such as vitamin E, blood thinners, and ibrufen. The patient should inform the physician about the other medications he or she receives.
Patients should avoid smoking and using any tobacco products before the operation. The habit of smoking adversely affects blood circulation, thus reducing the success rate of surgery. Wound healing is delayed and problems associated with anesthesia may occur.
If the patient is pregnant, the surgery must be postponed to a later time.
From the night before the surgery, patients should stop eating. They should take their essential medications with little water before.
Patients should not use alcohol; they should not spray apply any cosmetic products on their hair, and they should not wear any makeup.

The operation

On the day of surgery, the patient is taken to the operating room.
The intervention involves a laparoscopic procedure lasting approximately 2.5-3 hours.
After the operation, the patient will stay in the hospital for 3-4 days.

After the surgery…

When the effect of anesthesia ceases after the surgery, patients may experience mild pain that can be managed with simple painkillers.

The patient may get back to his or her social life after being discharged from the hospital at the end of a 3 or 4-day hospital stay. However, he or she is allowed to engage in workouts and get back to work after approximately 1-2 weeks following the surgery.

Regular follow-up visits will be scheduled for the patient to attend after the surgery so that the contents of his or her diet will be revised based on the results of general check-outs.

Frequently Asked Questions

Who can be an eligible candidate for obesity surgery?

If your body mass index is 35 or over and if you suffer from significant health problems due to obesity, including high blood pressure or diabetes;
If you are unsuccessful in losing weight despite your efforts with diet and workouts, which you have kept complying with for 6 months to 1 year;
If you are between 18 and 65 years of age, and if your body mass index is 40 or more, you may be a candidate for obesity surgery.

Does the sleeve gastrectomy surgery cause pain postoperatively?

Since abdominal muscles and membranes are not resected during the laparoscopic intervention, no serious pain occurs after the surgery. Painkillers are given to the patient in the postoperative period.

Our patients are able to walk on the evening of the day of surgery and pain will considerably diminish on the second postoperative day. The patient may experience tension and pressure on the first day, which is relieved by painkillers.

Will There Be Any Scar Marks After Sleeve Gastrectomy?

Since the operation is performed using a closed method, only very small incision marks will be present in the abdominal region after the intervention. These marks will become completely invisible in a few months.

How Much Weight Loss Is Achieved?

Individuals undergoing tube (sleeve) gastrectomy lose 60-65% of their excess weight during the approximately 5 years after the surgery. If tube (sleeve) gastrectomy becomes ineffective and if the patient starts putting on weight, gastric bypass surgery will be preferably selected as a repeat operation. In order to prevent weight gain after the surgery, it is of major importance that the individuals undergoing sleeve gastrectomy should be followed-up closely as recommended by experts.

When will it be possible after the surgery to lose the problematic excess weight?

Weight loss starts immediately after the sleeve gastrectomy and continues for a long time.

Is it possible that the patient will gain weight and return to previous body weight?

The statistics show that many morbidly obese patients lose weight with these surgeries and have never put on weights further. The risk of putting on weight will always be minimal if the patient adheres to the necessary lifestyle changes.

Is obesity surgery reversible?

The changes made by these types of operations are planned to be permanent. Reversal of the modifications will increase the risk of weight gain in these patients.

Will I have to lose weight before the surgery?

Your doctor may ask you to follow a special diet program for 2 weeks before the surgery. This can be a solely fluid food containing diet. This will help you lose weight and familiarize yourself with the type of fluid diet you will need to follow after surgery.

Accomodation

Be one of the privileged guests in Vital Hotel Fulya Istanbul.

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Welcome...
Our dedicated and professional team is looking forward to welcome you at Vital Hotel Fulya Istanbul.

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How it Works?

Your Transformation Journey in Istanbul Begins

Step 1

You can end your search now. We offer you the best transportation, accommodation and of course, the best doctors in Istanbul.

Step 2

Our experienced and dedicated team will provide you all the instructions. All you need to buy your ticket!

Step 3

Enjoy your travel to the city of Istanbul. Your journey is about to begin.

Step 4

Welcome to Istanbul! You will be transported to Vital Hotel Fulya. Meanwhile, enjoy the city view.

Step 5

Take a rest and good night’s sleep in our hotel, the Vital Hotel Fulya. You can also enjoy your time in the Vital Spa.

Step 6

A day before the surgery, you will meet your doctor, and you will have health tests.

Step 7

Now comes the day of surgery, time for your transformation! After the operation, you will be moved to the recovery room and then transferred to your hotel.