obesity surgery

Bariatric Surgery

When you consider the risk of co-morbidities that being overweight will bring you, bariatric surgery is a serious option.

obesity surgery

Frequently Asked Questions

Our experts are there to investigate these reasons and to offer you the most accurate solution suggestions.

obesity surgery

Aesthetics After Bariatric Surgery

Our skin, which is excessive and tight when we are fat, sags, folds and loosens with weight loss after bariatric surgery.

Nutrition After Gastric Sleeve Surgery

mide ameliyati sonrasi beslenme

How Nutrition Should Be After Gastric Sleeve Surgery?

Welcome to your new life!
Your old eating habits will no longer take place in your next life.

Proper nutrition is also extremely important after bariatric surgery.
If you say, "I have had the surgery, now I can eat and drink whatever I want", all your efforts will not mean much.

Healthy eating habits that you will make a lifestyle will crown the success of the surgery.
In order not to be “overweight” again, we will have a new nutrition culture.

We will live in harmony with the principle of balanced and adequate nutrition instead of high-carbohydrate, energetic and bulky meals.

In our new life, we will switch to a protein-rich diet.

Here is our diet plan!

Let's take a look at the diet that we need to follow in terms of both losing weight and having a healthy body mass index, as well as for your stomach and your health.

  • Liquid Food for 3 weeks

  • Grained Liquid Foods on the 4th week

  • Purees on the 5th week

  • Solid Foods on the 6th week

Do not forget that the success of your surgery is related to fully complying with the dietary patterns we have shared with you, step by step.

FIRST 3 WEEKS AFTER SURGERY: Clear Liquid Diet

The Following Foods Can Be Consumed During This Period:

Clear Fluid Treatment at Home

  • Water

  • Weak tea

  • Tea with lemon

  • Lemonade without sugar

  • Cold tea without sugar

  • Composte without sugar

  • Apple juice without sugar

  • Beef or Chicken broth,

  • Well-blended vegetable juices (without grains))

  • The doctor may recommend 1/3 or half a scoop of hydrolyzed whey protein powder per day if needed.

POSTOPERATIVE 4th WEEK: Grainy Liquid Diet

The Following Foods Can Be Consumed During This Period:

Granular, Liquid and Well Blended Food Treatment at Home

  • Tarhana soup

  • Chowder

  • Rice, yoghurt and mint soup (by straining the rice)

  • Vegetable soup (should be finely ground and grain-free)

  • You can add seasoning to your soups (for example, you can sweeten it with yoghurt, egg and lemon. Flour should not be used).


    A warning: Lentil soup should never be consumed.
    Then we say goodbye to this soup for now.

POSTOPERATIVE 5th WEEK: Purees start!

Semi-liquid pureed, blenderized food treatment at home (foods high in protein, low in sugar)

The diet in this period predicts that mashed foods should be started as little-little, frequently-frequently according to the tolerance level of the person.

During this period, eating 4-5 meals a day and at least 2-3 hours apart will be the most appropriate treatment. Each serving should not exceed 2-3 tablespoons.

In order not to complicate digestion, liquids should be consumed at least 20 minutes before and 40 minutes after meals.


The Following Foods Can Be Consumed During This Period:

  • Chicken or turkey puree

  • Tuna fish puree

  • You can make your purees more delicious by cooking them in meat and chicken broth (mashed potatoes are forbidden).

  • Vegetable puree (except carrot puree). For example, squash puree (can be consumed with yogurt)

  • Minced meat that has not completely drained and dried can also be mixed into vegetable purees or soups.

  • Cauliflower, spinach, leek, broccoli

  • Light yoghurt

  • Fruit puree (no sugar added apple or banana puree can also be eaten at this stage.)

  • Depending on the person's condition, soft-boiled eggs, omelettes and/or menemen can be used gradually. Pepper and onions are prohibited in an omlette. Tomatoes used in menemen should be well grated.

  • Cheese (curd, labneh and soft cottage cheese)

  • Diet milk pudding (sweetened and liquid)

  • Additional protein powder and vitamin supplements can be added under the supervision of a doctor or, if added, can continue at this stage.

POSTOPERATIVE 6th WEEK: Switching to normal foods!

Congratulations!
As said, we are at a time in which ‘patience leads to salvation’.

At this stage, you are at a level where you can consume any food.
Of course, we are at a stage where you should not break the principle of healthy eating.
No spoiling or letting go.
Remember, you have worked hard to get to this point.

Let's make a reminder.
Considering that each individual has different tolerance levels to different foods, more than one different food type should not be started at the same time. Therefore, one should not act hastily at this stage. The most basic rule is to start a new food without hurrying, slowly, by chewing well and with small portions (in order to avoid vomiting and tension).

The Following Foods Can Be Consumed During This Period:

  • Meatball stew

  • Vegetable dishes with minced meat

  • Chicken, turkey (crushable with a fork)

  • Cheese, whole egg

  • Fish other than shellfish (shrimp, lobster, etc.)

  • Raw skinless fruits and salads can also be started if the person can tolerate it.

What to Avoid?

We will stay away from high and empty calorie sources, we will get near them.

The Following Foods Should Not Be Consumed During This Period:

  • Fast-food and fries

  • Sweet and sugary foods (cake, waffle, honey, jam, molasses, sugar gum, chocolate, etc.)

  • Sweetened fruit juices, carbonated/acidic drinks (cola, soda, etc.)

  • We recommend that you stay away from high-carbohydrate foods (mashed potatoes, pasta, ravioli, rice, pies, toasts, chips, etc.) and alcohol-containing beverages.

  • Hard-to-digest bulgur pilaf, raw vegetables and fruits (first 6-7 weeks)

  • • Ready-made canned foods should not be consumed.

What Should Be Considered After Sleeve Gastrectomy?

  1. To prevent fluid loss (dehydration), you should consume at least 1 liter per day and 1-5 liters in the following weeks. Urine color should be monitored throughout the day. If the color is towards dark yellow, you need to drink more water. If our urine is light yellow or white, it is an indication that you are well hydrated.
  1. Water is consumed at least 20 minutes before meals and again at least 40 minutes after meals. Liquid foods consumed with meals accelerate the passage of the stomach, leading to a feeling of hunger in a much shorter time and the expansion of the stomach volume.
  1. Meals should be chewed slowly and very well and consumed in small bites within at least 30 minutes.
  1. After the surgery, your stomach volume is reduced. For this reason, a feeling of fullness is reached when 2-3 spoons or 1 meatball-sized piece of meat is eaten. You should not eating by forcing yourself. Otherwise, you may experience a feeling of nausea or vomiting due to straining your stomach.
  1. In the first 2 weeks of your surgery, it is important that you consume the allowed foods every 20 minutes in order not to experience weakness and fatigue. In the following weeks, you can support the food chain as 3 main and 3 snacks.
  1. As an exercise, you can add short-term walks in the first weeks, and cardio and jogging after 6 weeks.

 

GENERAL SUGGESTIONS

  • Liquid can be consumed at least 20 minutes before and 40 minutes after meals. Do not consume solid and liquid foods together at meals.
  • You should make adequate and balanced nutrition a lifestyle. The habit of eating little little and frequently in 3 main meals and 3 snacks should always be provided.
  • In a meal, the stomach should not be overly strained and the meals should be consumed slowly. You should never forget that your stomach is small and therefore you should spare at least 30 minutes to food.
  • Food should be chewed very well before swallowing. For example, poorly chewed meat bites can block the gastric outlet, leading to vomiting. Meat should not be dried while cooking and should be left juicy. Meat should never be reheated and eaten. Meat reheated the next day dries out and becomes difficult to chew.
  • Sugar and its derivatives, which are sources of "empty energy", should be avoided. After consuming such foods, hyperglycemia leads to hypoglycemia, triggering more sugar consumption, which can lead to a vicious circle.
  • Every meal should be rich in protein as much as possible. Proteins are essential nitrogenous substances for our life, they are the main building blocks of the body, and therefore they must be taken from the outside in sufficient quantities for the body to repair and renew itself. In addition, proteins are nutrients that take longer to digest and metabolize compared to carbohydrates and fatty foods, thus providing longer satiety and also accelerating metabolism.
  • In addition to healthy eating, you should definitely make physical activity a lifestyle change. At least 40 minutes of brisk walking a day will suffice. At least 150 minutes of exercise per week should be done.
  • Care should be taken not to fall below the amount of water that should be taken daily. After the surgery, 1.5 liters of water should be consumed per day.

What are the foods that are recommended to be avoided after surgery?

  • All desserts (cakes, pastries, cookies…)

  • All fried foods

  • Sugar, sugary products (fruit yoghurt, chocolate, etc.).)

  • Sodas

  • Alcoholic beverages

  • Whole milk and products

  • Gums

  • Oily sauces (mayonnaise, cream, etc.)

  • Meats with skin

  • Very cold items such as ice cream, frozen yoghurt, milkshakes

  • Very salty foods (brines, preserves)

  • Pastries

How Nutrition Should Be After Gastric Bypass Surgery?

On the 2nd day after gastric bypass surgery, patients are tested for leakage and then we start a 15-day liquid diet period. Following the 15-day liquid diet period, 15 days of puree and then solid nutrition are started. Diet periods are carefully explained by your dietitian. The role of the dietitian in the postoperative period is extremely important for every patient. Compliance of patients with these diet periods is the most important factor in preventing side effects.

Patients need to master the habit of eating with small bites, chewing very well and slowly. Another rule in nutrition is to distinguish between solid and liquid. There should be a minimum of 30 minutes between foods and drinks. Thus, nutrient deficiencies are prevented and gastric expansion is prevented.

After the surgery, it is important to comply with a well-adjusted carbohydrate, protein and fat ratio, and fiber-rich nutrition programs. Approximately 60-80 g of daily protein is recommended for nutritional adequacy and postoperative wound healing. Food sources to meet this amount of protein may vary according to the adaptive capacity of the body. Over time, tolerance increases and consumption of protein-containing food sources expands. In addition, deficiencies of minerals such as iron, calcium and B vitamins are common after this surgery. This condition can cause iron deficiency anemia and osteoporosis. In addition to a nutritious diet, supplementation with B complex and multivitamins may be required to prevent potential deficiencies. Patients need to give up old habits such as consuming sugary and high-calorie foods frequently to prevent symptoms such as cramps and diarrhea caused by dumping syndrome and to gain new healthy eating habits.

What Should Be Considered After Gastric Bypass Surgery?

  • Definitely work with a specialist dietitian.

  • A balanced diet is essential for vitamin and mineral deficiency.

  • Consumption rate of solid foods should be reduced.

  • Low-carbohydrate-high protein-oriented nutrition programs should be organized.

  • All kinds of oil, sugar and carbonated foods and beverages should be avoided.

  • Caffeine and salt consumption should be minimized.

  • There should be 3 main meals, 3 snacks in a regular way.

  • Only fruits should be consumed between meals.

  • Food should be well chewed.

  • Water consumption should be 2.5 liters or more. These rates are not suitable immediately after the operation. It can gradually progress to 1 liter in the first week, 1.5 liters the next week, and 2.5 liters in the following periods.

Aesthetics After Bariatric Surgery

obezite ameliyat sonrasi estetik

"Post Bariatric Surgery"

Our skin, which is excessive and tight when we are fat, sags, folds and loosens with weight loss after bariatric surgery. At this point, aesthetic procedures, namely post-bariatric surgery, comes into play.

 “Obesity” is not only your problem but the world's problem.

Obesity is the most common disease today.

We eat much more irregularly, we move much less.

We're getting oily!

We lose our health and shorten our lifespan.

That's why we have serious options in front of us to regain both our body and soul.

The work does not end with getting rid of our weight.

Of course, we want to have a much more aesthetic body.

Let's say "health first".

Because this is the most important “beauty”!

Of course, we also have solutions for your "aesthetic" concerns!

Don’t forget!
Aesthetic surgeries performed after bariatric surgery are complementary to bariatric surgery.

Obesity, or with its scientific name, bariatric surgery, is frequently applied to solve overweight and its accompanying diseases. Operations such as stomach reduction, gastric bypass, sleeve gastrectomy make many people reconnect to life.

After these procedures, people quickly lose weight and regain their health.
However, mostly the skin does not accompany this slimming.
Our skin, which is excessive and tight when we are fat, sags, folds and loosens with weight loss after bariatric surgery.
At this point, aesthetic procedures after surgery, namely post-bariatric surgery, comes into play.


With post bariatric surgical procedures, sagging areas of the body can be reshaped.

Sagging in the breasts, abdomen, arms and legs, hips and back are problems that significantly affect the comfort of life of the person, and these sagging can be recovered with more than one operation. The order of these operations is determined by the decisions that the doctor and the patient will take together.

Aesthetic surgeries performed after bariatric surgery are complementary to bariatric surgery. These surgeries provide physical transformation of people who lose weight by eliminating their aesthetic appearance disorders and help people to return to social life happily with their aesthetic appearance. Aesthetic surgeries performed after bariatric surgery cannot be considered separately from bariatric surgery.

How Long After Bariatric Surgery Can Aesthetic Surgeries Be Performed?

Important information:
You should not have plastic surgery during the weight loss phase.

There are some criteria for starting aesthetic procedures after bariatric surgery:

  1. At least 15 months must have passed since the bariatric surgery.

  2. You must have lost all the weight you targeted after bariatric surgery.

  3. After losing weight, you should wait for 3 months for your body to balance and your skin to recover a little.

People who lose weight rapidly after bariatric surgery usually hurry and want to start aesthetic interventions as soon as possible. It is very important to be patient and wait until you lose all the weight. Early actions may require revision in the future.

For Which Patients Are Body Shaping Surgery Suitable?

  • Those with a Body Mass index below 30.

  • Those who have completed the weight loss process.

  • Those who do not have health problems that will affect wound healing and general condition.

  • Those whose mental state and morale can withstand a series of surgeries.

  • Non-smokers.

  • Those who have accurate and realistic expectations about the results of the surgery.

  • Patients who can fulfill healthy diet and exercise conditions after surgery.

Which Surgeries Can Be Performed After Bariatric Surgery?

These surgeries are mostly performed under general anesthesia. The amount of incisions to be made varies according to the amount of drooping tissue and the surgical method decided by the doctor and the patient. Surgical scars are tried to be left in places suitable for body folds as much as possible. It is not possible to perform all of these surgeries in the same session. The patient and the surgeon decide together in which order the surgeries should be performed.

The abdomen, waist and outer parts of the legs are usually corrected in the same session. These operations are usually performed in the lower part of the abdomen, through a belt-like incision that covers the whole body.

Sagging breasts can also be corrected with various personalized methods. During breast lift, the patient's own tissues can be used as well as breast implants.

The sagging in the arms are removed with incisions made from the inner part of the arm facing the body.
Unless there is weight gain and loss again, the results are permanent.

What are the Body Shaping Operations Applied After Obesity Treatment?

  • Breast Lift and Augmentation

  • Abdominoplasty

  • Brachioplasty

  • Leg Lift

  • Gluteoplasty

  • 360 Degrees Body Lift

  • Back Lift

  • Face and Neck Lift

  • Genital Lift

Gastric Bypass__Or ‘My stomach shrank__

mide bypass gastrik

Gastric bypass surgery is the most commonly preferred method in the treatment of obesity, or as people call it, excessive obesity. We can define “morbid obesity” as excessive and diseased obesity. Gastric bypass is a surgical procedure used in the treatment of morbid obesity, where excess weight turns into fat tissue in the body and causes different health problems.

With gastric bypass surgery, diseases such as diabetes, high blood pressure and bad cholesterol caused by excess weight can be more easily controlled.

Gastric Bypass surgery is a procedure that provides weight loss by both reducing or restricting the stomach capacity and disabling a certain part of the small intestines. Gastric bypass is a surgery that is applied to reduce the absorption of fatty and carbohydrate foods from the intestines.


“My stomach shrank”

You know, when we talk among ourselves, we say "my stomach has shrunk" to explain that our appetite has decreased, in fact, this is exactly what happened after gastric bypass surgery.

Yes, with this surgery, 90% of the patient's stomach is disabled. The remaining 10% of the stomach is connected to 150 cm ahead of the small intestine and the surgery is completed. After gastric bypass surgery, the nutrients taken go to 10% of the stomach, and thanks to the tension in the stomach wall of this small section, a feeling of early satiety occurs. With the transfer of food to the middle part of the small intestine, carbohydrates, sugars and fats are eliminated from the body without being absorbed in the small intestines, that is, without mixing with the blood.

What are the Types of Gastric Bypass Surgery?

This surgical operation is divided into two as Gastric Bypass surgery and Mini Gastric Bypass surgery.

The common purpose of gastric bypass surgeries is to shrink the stomach and ensure that the consumed foods reach the intestines faster. Thus, two birds are hit with one stone, and both targets are achieved.

The first goal is for the patient to have a feeling of fullness more easily by shrinking the stomach. The second goal is the rapid passage of food into intestinal digestion. Thus, more calories and much less weight gain is provided.

In mini gastric bypass surgeries, no part of the body is cut. Therefore, the patient recovers quickly. 

In order to reduce the current caloric value of the foods taken with this operation, a shorter route is drawn directly to the stomach - small intestine. In fact, this is the goal of normal gastric bypass surgery.

So what is the difference between the two?

The most obvious difference is that nothing is removed from the body.

After the mini gastric bypass surgery, the obese patient stays in the hospital for at least two and at most four days and is discharged.

To Whom Gastric Bypass Surgery Is Applied?

  • People with a BMI between 35-40 and a disease that develops due to being overweight (Hypertension, heart disease, Type-2 diabetes, sleep apnea, joint disease, etc.),

  • Patients aged 18-65 years,

  • Those who are obese but cannot lose weight with diet and exercise,

  • Those who can tolerate surgery and anesthesia,

These can undergo Gastric Bypass surgery.

Who Cannot Have Gastric Bypass Surgery?

  • Those with serious and untreated psychiatric illness,

  • Those with substance or alcohol addiction,

  • Patients with severe hormonal disorders,

  • Patients who cannot make the necessary changes in diet and lifestyle after surgery,

  • Those who have a disease that will prevent them from receiving anesthesia,

  • Cancer patients,

  • Those planning a pregnancy within 1 year,

These cannot have gastric bypass and bariatric and metabolic surgery operations.

What are the Test to be Conducted Before Gastric Bypass Surgery?

Before Gastric Bypass surgery, patients are evaluated with some tests.

The tests to be conducted are as follows:

  • Blood and biochemistry tests

  • Hormone tests

  • Hemogram

  • Hepatitis tests

  • Whole abdominal USG

  • Gastric endoscopy

  • Lung X-ray

  • Heart X-ray (ECG)

  • Lung breathing test

  • If necessary, stress testing and electrocardiography

After all these tests, all necessary examinations and screenings are carried out by specialists from anesthesia, internal medicine, cardiology, chest diseases and endocrine units. If there is a condition that prevents the patient from undergoing surgery, it is checked, and a possible underlying disease that will cause weight gain after surgery is determined. The steps to be taken before and after the treatment are carefully planned within the approval and recommendations of the experts. 

How Gastric Bypass Surgery Is Performed?

Thanks to today's modern surgical methods, these operations are now routinely performed with laparoscopic surgery. In laparoscopic surgery, your abdomen is not opened to reach the operating area. Surgery is performed with the support of advanced technology, without major cuts or wounds.

Although laparoscopy is the most frequently used method as a routine procedure today, robotic surgery is also an alternative surgical method.

Rarely, these surgeries are also performed with open surgery. Open surgery is a method that can be applied after any problems that may arise during laparoscopy or robotic surgery.

It should be noted that every closed method (Laparoscopic or Robotic) has the potential to switch to open surgery to a certain extent.

This operation, which is performed to reduce the volume of the stomach and to restrict absorption, is two-stage. In the first stage of the operation performed with the closed method, a small stomach tube with a volume of 30 ml is created at the entrance of the stomach and the remaining large stomach is completely separated. This large stomach is removed from the abdomen and continues to produce its secretions. In the second stage, a connection is made to the small stomach tube with the small intestine. Through this connection, nutrients bypass the large stomach and work by passing into the small intestine. As a result of this process, it limits the amount of food consumed. Thus, it may be possible to see weight loss as a result of less food and less absorption.

There are two types of this method of restricting food intake. The process of connecting the small intestines to the stomach in the form of a ring without separating them is called mini gastric bypass. In Roux en Y gastric bypass, the small intestine is separated and one end is connected to the stomach and the other end to the small intestine from a certain distance. Both of these processes contribute to weight loss with similar results. In short, after this procedure, the patient consumes less food and can benefit less from the food he consumes.

Gastric bypass surgery can give more significant results compared to sleeve gastrectomy.

The feeling of hunger decreases and the feeling of satiety increases. As a result, the person's blood sugar is also stable. Since it is a method that restricts food intake after the operation, 60 to 80% of the person's excess weight can be lost. However, gastric bypass procedure has a higher complication rate compared to sleeve gastrectomy, and long-term or life-long medication may be required after the procedure.

What are the Advantages of Gastric Bypass Surgery?

After Gastric Bypass surgery, long-term weight control can be achieved with small portions without a strong sense of appetite.

For most patients, long-term weight loss and weight maintenance is successful. Depending on weight loss, permanent solutions emerge for concomitant diseases caused by obesity, especially Type 2 diabetes. After the surgery, patients experience physical and psychological satisfaction.

What are the Disadvantages of Gastric Bypass Surgery?

  • Longer hospital stay.

  • At least two vitamin and mineral supplements are required for life, as it causes malabsorption. Severe vitamin deficiency syndrome may occur if vitamins are not used.

  • Gastric Bypass is a more complicated and longer-lasting surgery, so the complication rates are higher.

  • Requires closer follow-up.

  • Dumping syndrome may occur.

  • The stomach remains in the abdomen, which cannot be visualized by endoscopy.

  • Problems such as intestinal obstruction and ulcers may occur after gastric bypass surgery.


How Nutrition Should Be After Gastric Bypass Surgery?

  • After surgery, a diet under the control of a dietitian is recommended.

  • Liquid purees are consumed for the first 6-8 weeks.

  • Step by step, a normalization is achieved in the nutrition process.

  • Within 3 to 6 months, a new diet is started in line with the patient's health.

  • During this process, patients can take supplements such as vitamins, minerals and calcium.

Gastric Botox

mide botoksu

What is Gastric Botox?

A painless alternative with a 20-minute operation!
Goal: Limiting the function of stomach muscles and losing weight with loss of appetite
.

Among the weight loss methods, one of the non-surgical methods such as the "gastric balloon" is "gastric botox". It does not require surgery. It is a special method for people whose Body Mass Index is not excessively high, but it is not an alternative to Gastric Sleeve or Gastritis Bypass Surgery. Obesity patients with a body mass index above 40 do not benefit.

Gastric Botox is made by injecting botulinum toxin obtained from Clostridium Botulinum bacteria into certain parts of the stomach by endoscopic methods.

Thus, it is aimed to lose weight by restricting the contraction of the stomach muscles.

'Gastric Botox', which limits the function of the stomach muscles, causes food to stay in the stomach longer and loss of appetite.

It is a very fast and painless operation. It is applied in as little as 20 minutes; it does not cause pain, nausea or any other side effects. Return to daily life after the application is extremely fast. However, it is not easy to maintain your ideal weight in the absence of a balanced diet and exercise. After this application, it is necessary to change our lifestyle according to the advice of a doctor or dietitian who is an expert in the field.

This method is a procedure applied to people whose Body Mass Index is not excessively high, to lose 10-15% of their total weight. It is not an alternative to gastric sleeve or gastritis bypass surgery.


The person who undergoes Gastric Botox can return to their daily life on the same day, and botox can be applied more than once.

Who Can Have Gastric Botox?

Gastric botox is a suitable method for almost everyone who wants to lose weight. However, it should not be applied to individuals with muscle disease, chronic ulcer, gastritis problem and botox allergy.

For people who want to have stomach botox, the following features can be listed:

  • People who cannot lose weight with diet, exercise or other methods can have it done.

  • It can be easily applied to people who do not need surgery despite their excess weight.

Can it be applied to pregnant women?

Since there are not enough studies to be applied to women who are in the pregnancy period, it is not preferred to be applied to these patients.

Are There Any Side Effects?

We know more about Botox for aesthetic purposes for our skin. No dangerous side effects of this technique, which is widely used, are known. Since gastric botox application is a standard endoscopic procedure, there are no significant side effects reported in the literature.

How it is applied to the stomach?

It is an endoscopic method under mild sedation. Botulinum Toxin A, which is used in botox treatment, is injected into different parts of the stomach. The procedure takes about 15-20 minutes on average. Since stomach botox is a non-surgical method, the individual is discharged on the same day. In this way, the individual can easily continue their social life after the procedure.

What Effect Does Stomach Botox Have on the Body?

Patients are expected to lose 10-15% of their total weight within 3-6 months. The amount of weight lost may differ from person to person, depending on age, metabolic rate and frequency of exercise.

The aim is to slow the contraction of the stomach muscles, to allow the stomach to empty later, and to suppress the appetite by affecting the hunger-fullness mechanism in the stomach. Its effectiveness continues for about 6 months. If the individual evaluates this process well, it is possible to obtain very good results.

No method, including gastric botox, can be 100% successful in losing weight. Although it is known that stomach botox has an appetite-reducing effect and helps diet, there is a possibility of failure in patients consuming high carbohydrate after botox application. After the procedure, a regular and healthy diet with a dietitian is essential.

What are the Advantages of Gastric Botox?

Gastric botox is a method that helps to lose weight in a very short time and has very few side effects. These benefits can be listed as follows:

  • The patient can return to their daily life in a very short time after the application.

  • Since it is not a surgical operation, its side effects and healing process are much less.

  • The drugs used do not cause permanent damage as they leave the body in a short time.

  • Except for people with obesity, anyone who meets certain criteria can benefit from this method.

  • It is a surgery that is relatively less dangerous than other weight loss methods and has a high success rate.

  • It is also a helpful method for solving health problems caused by excess weight.

  • It does not require dressing as there is no incision and suture.

Nutrition After Gastric Botox

Gastric botox is an application that facilitates dieting. During this time, it is extremely important to plan your new lifestyle with your dietitian. It will be much easier for you to reach your goals with a well-balanced diet and exercise in accordance with your nutritional habits and with a well-balanced carbohydrate, fat and protein content.

Gastric Baloon

mide balonu

Gastric balloon; a slimming method that is not a surgical procedure and does not require hospitalization.

What is Gastric Balloon?

If we're getting fat, there's a reason. Either a health issue or willpower!

In particular, irregular diet, inactivity and insensibleness are the most important causes of being overweight.

So how do we lose weight?

First of all, we will get support for this.

If we can't get results with diet and exercise, we will resort to other methods in order to eliminate the burdens of being overweight and co-morbidities on our body.

In addition to bariatric surgery, there are also non-surgical weight loss methods, and the gastric balloon is a non-surgical weight loss method.

A silicone balloon placed in the stomach takes up space and helps us lose weight. Thanks to the gastric balloon, in a sense, "our stomach gets smaller" or the volume there decreases.

Gastric balloon is an alternative treatment to bariatric surgery in overweight people who do not have an indication for surgery. In addition, in some special cases, it is used to help extremely obese patients lose weight during the preparation for surgery. This balloon takes up space in the stomach and allows you to be full quickly with less food. It gives you a "feeling of fullness". Thus, it helps you to acquire healthy eating habits. Of course, it is inevitable that we rely on your will as much as the gastric balloon, be sensible and eat a balanced diet. Most people can lose 10-30% of their total body weight with a gastric balloon.

For Whom is a Gastric Balloon Suitable?

  • It is applied to patients with a Body Mass Index between 27 and 35.

  • It is a preferred method for people who have tried to lose weight with diet, exercise and drugs but have not succeeded.

  • It is recommended for those who have been obese for the last 5 years.

  • It is especially preferred in patients who cannot tolerate bariatric surgeries.

  • It is an important option for patients who do not want to undergo bariatric surgery.

  • It is applied to those who need to lose weight to reduce the risk of surgery before weight loss surgery.

Who Shouldn't Get a Gastric Balloon?

  • Those who have wounds in the esophagus, stomach and duodenum

  • Those with gastritis

  • Those with stomach ulcer problems

  • Those with stomach stenosis

  • Pregnant or breastfeeding mothers

  • Those who want to lose weight for aesthetic purposes

  • Those who have had previous bariatric surgery

  • Those under the age of 16 and those over the age of 60

  • Those with psychiatric disorders

  • Alcohol and drug addicts

  • Those with inflammatory bowel disease

  • Those who use blood thinners

How to Insert a Gastric Balloon?

It is not a surgical method. The procedure is performed under anesthesia, after the patient is completely asleep, accompanied by endoscopy. First, the inner surface of the stomach is examined. After it is seen that there is no obstacle to placing the balloon in the stomach, the balloon is placed with the help of the endoscope and inflated with a certain amount of air or liquid according to the characteristics of the balloon.

There are different alternative balloon options according to the duration of stay in the stomach and the adjustable amount of liquid in the balloon.

Your doctor who will perform the operation will give you all the detailed information.

So, what should we do before the gastric balloon procedure?

You will stop eating 12 hours before and stop fluid intake 6 hours before.

Gastric balloon is a quick and painless procedure. The duration of the procedure is on average 15 minutes. It is performed as an outpatient and does not require hospitalization. After the gastric balloon, the patient is kept under observation for a while and sent home.

Since this procedure will be performed under anesthesia, it is not recommended to drive that day afterwards.

Advantages:

  1. It is not a surgical procedure.

  2. Gastric balloon is applied easily and quickly.

  3. Combined with diet and exercise, it can provide long-term effective weight loss.

  4. Up to 30% of excess weight at the most can be lost with gastric balloon.

Disadvantages:

  1. Some patients may not be able to tolerate the balloon. Nausea and vomiting attacks, stomach cramps may be a problem in the first days.

  2. It can cause acid, reflux, so patients need to use stomach acid lowering drug for a long time.

  3. It can stay in the stomach for up to a year. It must be removed after.

  4. There is a risk of regaining the lost weight after the balloon is removed.

How the Gastric Balloon Works?

  • By covering the inner volume of your stomach, it helps you to be full early with less food.
  • Another benefit of the gastric balloon is that it helps you feel full for a longer time by slowing the passage of the food you take from the stomach.

How long can the balloon stay in my stomach?

The gastric balloon is designed to remain in the stomach for 6 months. Some balloons can stay up to 1 year. Afterwards, the balloon is deflated under anesthesia and removed with the help of endoscopy.

How Much Weight Can I Lose With a Balloon?

Although this is up to you, 10-25 kg can be lost with a balloon. Diet and exercise are important after gastric balloon. If you do not feel balanced and active after removing the gastric balloon, of course, it will not be a surprise for you to regain the weight you lost.

How to Remove Gastric Balloon?

The balloon placed by endoscopy is removed with special kits according to its type and as a general principle, by emptying it.

After the balloon is deflated, it is held and removed from the esophagus to the mouth. The process takes an average of 15 minutes.

Side Effects of Gastric Balloon

You may feel a little uncomfortable in the first days after the balloon is inserted. Some patients may feel nauseous during food intake. There may be occasional episodes of vomiting. After the first week, these complaints go away. In the first week, the feeling of hunger is suppressed. In the second week, the feeling of hunger gradually returns, but satiety is felt with less food. Between 3-6 weeks, your stomach will fully adapt to the balloon and you will be able to consume more food. In this process, balanced diet habits and persistence are important.

You should not eat fast, you should stop eating when a feeling of fullness occurs. In this process, if symptoms such as nausea and hiccups occur after meals, this indicates that you have eaten excessively or quickly. Lifestyle changes, especially exercise and proper eating habits, are extremely important for continued weight loss in the following weeks.

How Nutrition Should Be After Gastric Balloon?

  • Liquid foods are consumed in the first few days.

  • Bites should be small.

  • You must eat very slowly and chew well.

  • You should stop eating as soon as you feel acid, reflux or bloating.

  • You should stay away from salt, spices and oil.

  • You should not exceed three main meals and three snacks a day.

  • You should avoid snacking.

  • You should avoid sweet and sugary foods.

  • You should drink at least 1.5 liters of water per day.

  • You should not take water or liquids with meals.

  • You should make it a habit to drink water before or after meals.

  • You should avoid carbonated drinks and strong coffees.

  • You should avoid smoking habit, especially before meals.

  • At the end of the 4th day, you should switch to solid foods.

  • If solid foods cause problems, you should delay this transition and return to liquid foods.

  • You should not eat very late.

  • You should exercise at least 40 minutes a day.

What is Gastric Sleeve Surgery?

dr varol tup mide

Gastric Sleeve Surgery is the surgical process of turning the stomach into a tube.

When the digestive system is examined, we encounter an image like a “plumbing”!

The esophagus, the intestines, all are organs in the form of elongated tubes.

There is an exception: Our stomach!

Our stomach is like a warehouse.

Therefore, it draws attention with its "pouch" shape, not "tube".

This is where the definition of "Tube Stomach Surgery" comes from. Because, with surgery, a large part of the stomach is irreversibly removed from the body and turned into a system that continues with the esophagus and intestines. The stomach turns into a tube shape.

No foreign body is placed in the stomach in Gastric Sleeve Surgery surgery. It is called “Stomach Tube Surgery” because of the shape of the stomach after the surgery.

After Gastric Sleeve Surgery, the volume of the stomach is reduced.

However, this is not its only effect on the body.

This operation also has a serious effect on the hunger hormone secreted from the stomach.

After the surgery, the person's desire to eat decreases, the brain feels less hungry, so Gastric Sleeve Surgery surgery creates not only mechanical effects but also hormonal effects.

In Which Diseases Is Tube Stomach (Gastric Sleeve Surgery) Surgery Used?

'Morbid Obesity' is a term that describes you as being overweight.
If this term is used for a person, it means there is danger.
If it is not possible to reach your ideal weight with diet and sports, then the need for treatment arises.

Sleeve gastrectomy is primarily a treatment for morbid obesity.

Many diseases that accompany morbid obesity, including type 2 diabetes, benefit greatly from this surgical treatment. However, the success of bypass group surgeries is higher in cases where the main target is not obesity but type 2 diabetes.

In addition, Gastric Sleeve Surgery surgery can be used as a transition surgery in patients with severe obesity. Sleeve gastrectomy can be used to prepare patients who are overweight or obese for bypass group surgeries.

Can Gastric Sleeve Surgery Be Applied to Anyone With Weight Problems?

Some conditions need to be met for Gastric Sleeve Surgery.

Let's take a look at these conditions and test ourselves if necessary.

Of course, your specialist will make the decision.

Who can undergo Gastric Sleeve Surgery?

Those with a Body Mass Index over 40 kg/m² (morbidly obese, i.e., severely obese).

Those with a Body Mass Index between 35 and 40 who have problems such as type 2 diabetes, hypertension, and sleep apnea due to obesity are also considered morbidly obese and may need to undergo gastric reduction surgery.

In addition, patients with "new" type 2 diabetes and metabolism disorders due to obesity and with a Body Mass Index between 30 and 35 can be operated with the decision of the obesity doctor.

Obesity surgeries are not for aesthetic purposes, that is, to make the person look slimmer.
It is a treatment!

Sleeve gastrectomy is not recommended for cosmetic weight loss requests, patients outside the age limit of 18-60, alcohol or substance addicts, and those with very serious heart or lung diseases.

Up to What Age Is Gastric Sleeve Surgery Performed?

Sleeve gastrectomy surgery is performed on people between the ages of 18-65. In order for the person to be a suitable candidate for gastric surgery, the Body Mass Index (BMI) values determined by the World Health Organization must be 35 and above.

For people under the age of 18, the presence of the above-mentioned diseases is important along with the degree of obesity, and parental approval is required as well as physician decision.

For people over the age of 65, the health status and the necessity of surgery (the person's weight-related problems) are evaluated.

Tests to be Done Before Gastric Sleeve Surgery Surgery

 If it can be done before the surgery, a diet should be done and some weight should be lost. This procedure both reduces the risks associated with surgery and facilitates the surgical procedure as it reduces the size of the liver.

Before bariatric surgery, the patient's height and weight are checked, and their suitability for surgery is examined. If the patient has a concomitant disease that they know and the regular drugs they use, they should definitely share it with the doctor. If there is no obstacle to the operation, the patient will undergo a detailed examination process.

These tests are:

  • Blood tests

  • PFT (pulmonery function test)

  • ECG

  • Lung X-ray

  • Whole Abdominal USG

  • Stomach is evaluated by endoscopy before surgery for possible gastric pathologies.

Additional tests may be requested from patients with comorbidities. After the tests are done, they are evaluated by the endocrinology, chest diseases, cardiology and psychology units. Finally, the patient undergoes an anesthesiologist examination with the reports and tests of other doctors. The anesthesiologist makes a risk determination in advance by looking for answers to the questions such as, 'Is there any obstacle for the patient to receive anesthesia? If yes, what kind of measures should be taken?'. If there is an obstacle to the operation, the operation can be canceled or the treatment process suitable for the disease is applied, and then the operation can be performed. Solid foods should be stopped 12 hours before the operation and liquid consumption should be stopped 8 hours before the operation.

How Gastric Sleeve Surgery Surgery is Performed?

  • Sleeve gastrectomy is an operation performed under general anesthesia.

  • Sleeve gastrectomy is almost always performed with closed, that is, laparoscopic methods. According to the surgeon and the patient, it can be done through a single hole or 4-5 holes in the body and even with a robot. Since the holes are very small, it does not cause problems in the future in terms of aesthetics.

  • In order not to make a mistake during the surgery and not to make the stomach too small, a calibration tube is placed at the stomach entrance with the diameter of the esophagus. Thanks to this calibration tube, the stomach is reduced as if it is the continuation of the esophagus, and excessive stenosis and obstruction are prevented.

  • After taking precautions regarding vascularity and bleeding, the stomach is cut from length to length with special cutting and closing tools (stapling).

  • After the procedure is finished, the calibration tube placed at the beginning of the surgery is removed.

  • During the operation, one or more different techniques are used to test whether there is a leak or not. Similar tests can also be done after surgery.

Sleeve gastrectomy is an excellent surgical procedure for morbid obesity. Usually more

50% of the weight is lost in the first 6 months after surgery and 75% is lost within 12 months.

What are the Risks of Gastric Sleeve Surgery?

Although very rarely, life-threatening complications may develop in gastric reduction surgeries.

Some risks, such as bleeding or leakage after Gastric Sleeve Surgery, can be life-threatening for the patient, even at 1%.

Specialist surgical teams have the training and equipment to take necessary actions against possible complications.

Sleeve gastrectomy is a major surgery. As with all other major surgical operations, there are various risks after surgery. The risks of Gastric Sleeve Surgery increase as the patient's age and weight increase.

However, when we consider the risks of Gastric Sleeve Surgery and gastric bypass surgery, the risk of death is one of the least likely surgeries. This risk is as much as gallbladder surgery.

According to scientific studies, the risks of appendicitis and gallbladder surgery in obese people are slightly higher than in thin people. However, this risk does not mean death. For example, while the early mortality rate in cardiovascular surgery is around 2 percent, it is 1 in a thousand in gastric reduction surgery.

Before Gastric Sleeve Surgery surgery, patients are thoroughly informed about these risks by the doctors who will perform the operation.

It should be noted that the risks associated with obesity are much higher than the risks of Gastric Sleeve Surgery surgery.

Risks related to other health problems, such as fatty liver, risk of kidney diseases, diabetes or high blood pressure, are eliminated in morbidly obese people who have gastric sleeve surgery. Therefore, gastric reduction surgery is an operation that is both low-risk and reduces the risk of other surgeries.

Advantages of Gastric Sleeve Surgery

  • It is a surgical technique with very good results in moderately and severely obese patients.

  • It can be performed laparoscopically (closed), so wound healing is faster, pain is less and hospital stay is shortened.

  • Obesity-related co-morbidities such as hypertension, sleep apnea and diabetes improve by 70-80% after surgery.

  • This technique does not require intestine cutting and reconnection.

  • There is no change in stomach functions, only the volume of the stomach decreases. Therefore, any type of food can be consumed normally, albeit in small quantities.

  • The majority of patients lose 50% of their excess weight in the first 6 months after surgery.

  • As a result of the removal of 75% of the stomach wall, the production of the hormone Ghrelin, which gives a feeling of hunger, is mostly eliminated and therefore the feeling of hunger is reduced.

  • Sleeve gastrectomy is a simpler operation than gastric bypass.

  • As with procedures bypassing the small intestine, no malabsorption occurs in minerals and vitamins, which may be important in elderly patients.

  • Dumping syndrome does not occur and sugar and sugary foods can be tolerated better.

  • There is no foreign device in the body as in the gastric band (stomach clamp).

  • It gives the chance to plan for other bariatric surgery operations when necessary.

  • Late postoperative side effects are rare. However, late complications can be seen at a rate of 25% in gastric band and 10% in gastric bypass.

Bariatric Surgery

dr varol ameliyat

An Overview of Bariatric Surgery:
I need to get rid of these weights!

‘When you consider the risk of co-morbidities that being overweight will bring you, bariatric surgery is a serious option.’

Sometimes neither diet nor exercise can eliminate the problems related to obesity.
Especially if your Body Mass Index is above 40, that means you are overweight and your health is under threat.
There could be many reasons for this.
Our experts are there to investigate these reasons and to offer you the most accurate solution suggestions.

'Morbid Obesity' is a term that describes you as being overweight.
This may lead you to meet many diseases such as obesity, diabetes, high blood pressure or fatty liver at an earlier age.
You should definitely evaluate your options to get rid of these excesses with diet and sports.

Well, what if it doesn't work out again?

In this case, you can consider bariatric surgery with expert advice.

Let's elaborate a little more.

Your body mass index is between 35 and 40, and you are struggling with co-morbidities such as diabetes, high blood pressure, sleep apnea, joint problems.

Options such as diet or exercise do not provide a solution to your weight problem.

Then “bariatric surgery” stands before you as an important option.

If your body mass index is between 30 and 35, you have a first degree obesity problem. If you have co-morbidities related to your weight, such as diabetes, high blood pressure and sleep apnea, bariatric surgery becomes important for you.

Well, since every surgery is a risk, is it worth it?

You will make the final decision in consultation with your doctor.

Because first degree obesity, the psychological burden of being overweight and co-morbidities can leave you with much more serious risks than bariatric surgery.

Before the bariatric surgery decision, it should be checked that there is no medical or hormonal disorder in your body that causes excessive weight gain.

The only proven treatment method that provides long-term weight loss in the majority of morbidly obese patients is bariatric surgery. Of course, the existence of surgery does not mean that these people cannot be successful in losing weight without surgery; some can achieve this, but mostly the weight loss slows down over time and even the lost weight is regained.

Bariatric surgery is not a substitute for exercise and proper nutrition, but it ensures that these goals are sustainable and helps to establish a long-term control mechanism for the solution of the ongoing problem.

To Which Patients Bariatric Surgery is Applied?

It is possible to treat this condition with surgical methods in “morbid obesity” patients who show excessive and diseased obesity.

Because these patients have the potential to develop serious complications.
Surgical treatment is one of the most radical and best-resulting options today.

Although the majority of morbidly obese patients lose weight for a while with diet and exercise programs, the success rate does not exceed 3 percent, in addition, the risks of regaining weight are high.

Metabolism changes in patients undergoing surgical treatment, there is a serious loss of appetite, especially after sleeve gastrectomy, stomach volume decreases and overeating is restricted.

For this reason, it is not very right to compare surgical treatments and medical treatment methods.

Of course, the following reality does not change.
We are talking about an operation and a serious decision.
Therefore, the first treatment approach should always be healthy nutrition, diet and sports.

Many of our patients have tried these options many times; but since they were unsuccessful, they turned to the surgical method.

Multidisciplinary approaches in surgical operation

Surgical operations in morbid obesity patients are important interventions that should be performed with a multidisciplinary approach.

Patients should also be evaluated by an endocrinologist, dietitian and, if necessary, a psychologist. All the values of the patients are examined in detail, especially before the surgery.

Again, before the operation, endoscopy should be performed in order to detect another possible pathology in the stomach.

Patients should be informed in detail by dietitians about how to eat before and after the operation.

Especially in the first period, this follow-up is very important in terms of the adaptation of the diet and metabolism to the new condition. In addition, patients can be examined in terms of their psychological status before surgery.

Patients with serious psychiatric diseases, alcohol or drug addiction, and patients who cannot comprehend the details of the operation are not suitable for morbid obesity surgery.

People who will have morbid obesity surgery should also have full family support, if possible. Family approval, compliance and support are as important as the patient's decision at all stages, from the meal plan at home to the surgical process.

Morbid obesity surgeries are usually performed by laparoscopic, that is, closed method, if there is no other obstacle.

These operations are extremely safe in a specialist doctor and fully equipped centers.


Sleeve Gastrectomy or Gastric Bypass?

Sleeve Gastrectomy

Sleeve gastrectomy is an operation performed by removing approximately 75-80% of the entire stomach. The application is called by this name because the shape of the stomach remaining after the operation resembles a tube. Since most of the stomach is surgically removed and a volume of 50-100 ml remains, the amount of food consumed is limited. Sleeve gastrectomy is a restrictive type of surgery and it reduces the food intake and allows the person to lose weight. Since the appetite hormone (Ghrelin) secreted from the stomach part (Fundus) removed in this surgery decreases after the procedure, patients also experience a serious decrease in appetite. The fact that patients do not return to their old appetites after surgery is a serious advantage that increases success.

Sleeve gastrectomy will not only make you fitter. The main effects of this surgery are related to your health. The effect of surgery on diabetes and hypertension is also quite high. The drugs used by diabetic and hypertensive patients who are treated with oral medication are often not needed. This positive effect starts right after the surgery in patients..

Gastric bypass

It is an operation in which a large part of the stomach is bypassed so that a very small part of the stomach just after the esophagus is left behind. In this application, the stomach is sutured with a special method by bringing the small intestine. Therefore, both the volume of the stomach is reduced and a part of the intestines is disabled. As a result, both the amount of food consumed and its absorption are affected. With this method, the blood sugar control of insulin-dependent diabetic patients is regulated more effectively.

How to Determine Which Method Will Be Applied?

When the results of both operations are examined, it is seen that there is no great difference between the two operation techniques. Sleeve gastrectomy is a more physiological method and has lower rates of complications and operation-related mortality. The application period of sleeve gastrectomy is shorter and it is easy for the surgeon to perform. After both techniques, some patients may regain weight 3-4 years after the surgery. If the technique is sleeve gastrectomy, these patients can undergo resleeve gastrectomy or gastric bypass. If the patient has had gastric bypass before, there is no chance for a second surgical treatment in case of weight regain.

The most important point to know here is that the preferred operation technique should be determined specifically for the patient as a result of the examination and tests to be performed by the physician.

What are the undesirable effects in Bariatric Surgery?

The most important undesirable effect of surgery in both sleeve gastrectomy and gastric bypass technique is leakage and bleeding. After new techniques, technologies and experiences gained, these undesirable effects have decreased and treatment ability has increased.

Both obesity surgery operations are performed laparoscopically and robotically with minimally invasive techniques. Thus, there is no need for deep incisions, operations are performed with closed method and robotic technologies. While these modern methods allow patients to return to their normal life quickly after surgery, they also reduce the rates of pain and wound complications. These operations can be safely performed in pediatric patients and adolescents. It is known that 75% of children who are morbidly obese at puberty will be morbidly obese in the future.

How Old Should I Be for Bariatric Surgery?

In order to have stomach reduction surgery, the patient must have completed adolescence. Bariatric surgeries can be performed after the age of 14 - 15. Today, the upper age limit has also increased; If there is no heart or lung disease that prevents surgery, these procedures can be performed at the age of 70.

What is the real risk?

Morbidly obese people are at much greater risk than gastric surgery risk because of extreme obesity alone. If these people are not treated, they can die 10-15 years earlier than their peers. Let's not forget that morbid obesity itself is a deadly disease.

The fatal risk in bariatric surgeries is around one in a thousand. Considering the health risks morbidly obese patients face due to obesity, the risk of gastric reduction surgery is considered to be a medically acceptable ratio.

Who Cannot Have Bariatric Surgery?

  • Crohn’s diesease

  • Leucemia

  • HIV

  • Hepatitis C

  • Active hepatitis B

  • Cirrhosis

  • Active alcohol or drug addiction

  • Untreatable psychiatric diseases

Experience (year)

12

Patient Satisfaction

99 %

Successful Operation

3000 +

Number of Countries

40

BARIATRIC SURGERYSTEP-BY-STEP

Let us experience the bariatric surgery step by step

Although you are overweight, neither diet nor sports could be the solution for you, you talked to your doctor and decided to have bariatric surgery.

You are thinking “what will happen to me”.

We would like to explain to you the bariatric surgery step-by-step, in a manner of speaking, to make you experience the surgery beforehand. Remember, you are not alone at any stage of this operation.

OUR PROFESSIONALS

dr varol esatoglu

Dr. Varol ESATOĞLU Bariatric and Metabolic Surgeon

OUR TEAM

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OBESITY TREATMENTS

BARIATRIC SURGERY

BARIATRIC SURGERY

SLEEVE GASTRECTOMY

SLEEVE GASTRECTOMY

GASTRIC BALOON

GASTRIC BALOON

GASTRIC BYPASS

GASTRIC BYPASS

AESTHETICS AFTER BARIATRIC SURGERY

AESTHETICS AFTER BARIATRIC SURGERY

NUTRITION AFTER SLEEVE GASTRECTOMY

NUTRITION AFTER SLEEVE GASTRECTOMY

Why choose us?

  • 12 Years of Experience
  • 3000+ Obesity Surgery Surgery
  • Protein and Vitamin Supplement
  • Professional Team
  • Modern Clinic
  • All Inclusive Package Prices
  • Postoperative 5-Year Follow-up
  • Nutrition Plan and 24/7 Life Coach Support
  • Flexibility in terms of the date of surgery
  • English, German and Turkish Speaking Coordinators
  • Both Vacation and Treatment Opportunity in the Beautiful Weather of Cyprus



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CYPRUS OBESITY CENTER
Dr. Suat Günsel University Hospital
Şehit Yahya Bakır Sokak Karakum Kyrenia / NORTH CYPRUS
Phone: +90 (548) 854 70 70
Email: [email protected]

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Sunday: Closed

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