Laparoscopic instruments on stomach of patient. Surgeons performing bariatric surgery in operating room.
What is a Bariatric Removal Surgery?
Bariatric removal surgery refers to a range of weight loss surgical procedures aimed at treating obesity and related health conditions.
The term “bariatric” derives from the Greek word “baros,” meaning weight, and “iatric,” meaning healing or treatment.
This type of surgery focuses on modifying the digestive system to assist in achieving substantial and sustainable weight loss.
Mechanism of Action: Bariatric removal surgeries generally work through two primary mechanisms:
Restrictive: These procedures reduce the size of the stomach, limiting the amount of food it can hold and thereby decreasing overall food intake.
Malabsorptive: These procedures bypass portions of the digestive tract, reducing the absorption of calories and nutrients from food.
Indications: Bariatric removal surgery is typically indicated for individuals with:
Severe Obesity: Defined as having a Body Mass Index (BMI) of 40 or higher, or a BMI of 35 or higher with obesity-related health conditions (e.g., type 2 diabetes, hypertension).
Inability to Achieve Weight Loss: Despite efforts with diet, exercise, and other non-surgical methods.
Health Risks: Conditions such as sleep apnea, joint problems, or cardiovascular disease related to obesity.
Benefits of Bariatric Removal Surgery
Significant Weight Loss:
Benefit: Bariatric surgery can result in substantial weight loss, often ranging from 50% to 80% of excess body weight. This can lead to improved physical health, increased mobility, and enhanced quality of life.
Detail: For many patients, weight loss begins within weeks of surgery and continues for several months. This can result in significant improvements in physical appearance and self-esteem.
Improved Health Conditions:
Benefit: Weight loss achieved through bariatric surgery can lead to the improvement or resolution of obesity-related health conditions.
Detail: Common improvements include reduced symptoms or remission of type 2 diabetes, lower blood pressure, improved cholesterol levels, and alleviation of sleep apnea and joint pain.
Enhanced Quality of Life:
Benefit: Many patients experience a better quality of life following surgery, including increased physical activity, improved emotional well-being, and better social interactions.
Detail: Weight loss can lead to increased energy levels, reduced physical limitations, and enhanced overall mood and mental health.
Long-Term Weight Management:
Benefit: Bariatric surgery can provide a long-term solution for weight management by altering the digestive system to promote sustained weight loss.
Detail: Procedures like gastric bypass and sleeve gastrectomy often result in long-term weight maintenance when combined with lifestyle changes.
Reduction in Mortality Risk:
Benefit: Studies have shown that bariatric surgery can reduce the risk of premature death associated with obesity-related conditions.
Detail: Weight loss from surgery is linked to decreased mortality rates, especially in individuals with severe obesity and related health problems.
Improved Physical Functioning:
Benefit: Weight loss can lead to improved physical functioning and mobility.
Detail: Patients often experience enhanced physical ability, making daily activities and exercise more manageable and enjoyable.
Risks of Bariatric Removal Surgery
Surgical Risks:
Risk: As with any major surgery, bariatric procedures carry risks such as infection, bleeding, and adverse reactions to anesthesia.
Detail: Surgical complications can include wound infections, postoperative bleeding, and reactions to anesthesia, which may require additional treatment or hospitalization.
Nutritional Deficiencies:
Risk: Bariatric surgery can lead to nutritional deficiencies due to reduced food intake and altered nutrient absorption.
Detail: Patients may require lifelong vitamin and mineral supplements to prevent deficiencies, such as iron, calcium, vitamin B12, and vitamin D.
Gastrointestinal Issues:
Risk: Patients may experience gastrointestinal issues post-surgery, including nausea, vomiting, and bowel obstruction.
Detail: Some individuals may encounter problems such as dumping syndrome (rapid gastric emptying), which can cause symptoms like diarrhea and dizziness after eating certain foods.
Weight Regain:
Risk: While bariatric surgery promotes significant weight loss, some patients may experience weight regain over time.
Detail: Weight regain can occur due to factors like non-compliance with dietary recommendations, insufficient physical activity, or physiological changes in the body.
Psychological Impact:
Risk: The psychological impact of bariatric surgery can include changes in self-esteem, body image issues, and potential mental health challenges.
Detail: Post-surgery, patients may need psychological support to address body image issues, adjust to lifestyle changes, and manage any underlying mental health conditions.
Possible Need for Revision Surgery:
Risk: In some cases, patients may require revision surgery to address complications or inadequate results from the initial procedure.
Detail: Revision surgeries may be needed if complications arise or if the initial surgery does not achieve the desired weight loss or health improvements.
Factors that influence the price of the bariatric removal procedure in Turkey.
Hospital or Clinic Reputation
The reputation and quality of the hospital or clinic where the surgery is performed are pivotal in determining the cost:
High-End Medical Facilities: Prestigious hospitals and clinics known for their advanced technology, luxurious accommodations, and high standards of care generally charge more. These facilities often provide comprehensive packages that may include additional amenities and services.
Specialized Centers: Facilities that specialize in bariatric procedures and have a dedicated team of professionals may charge a premium. Their expertise and focused resources can lead to better outcomes but can also increase costs.
Accreditation and Certifications: Hospitals and clinics accredited by national and international medical bodies may command higher fees due to their adherence to stringent quality standards.
Surgeon’s Expertise and Experience
The experience and credentials of the surgeon performing the bariatric surgery play a significant role in the overall cost:
Renowned Surgeons: Surgeons with extensive experience, a proven track record of successful surgeries, and high patient satisfaction rates may charge higher fees. Their expertise often translates into better surgical outcomes and reduced risk of complications.
Specialization and Training: Surgeons who are board-certified in bariatric surgery or have advanced training in the latest techniques may command higher fees. Their specialized skills contribute to the overall quality of care.
Consultation Fees: Initial consultations with highly experienced surgeons may also be more expensive. These consultations are crucial for assessing the patient’s suitability for surgery and planning the procedure.
Pre-Operative Assessments and Testing
Before undergoing bariatric surgery, patients typically require a series of pre-operative evaluations and tests:
Medical Evaluations: Comprehensive evaluations including blood tests, imaging studies, and consultations with various specialists are necessary to ensure the patient’s suitability for surgery. These assessments can add significantly to the overall cost.
Psychological Assessments: Psychological evaluations are conducted to assess the patient’s readiness for the lifestyle changes post-surgery. This step is crucial for identifying any potential psychological issues that could impact the success of the surgery.
Nutritional Assessments: Evaluations by dietitians or nutritionists to prepare the patient for dietary changes post-surgery are often part of the pre-operative process. These assessments help in setting realistic dietary goals and expectations.
Surgical Package Inclusions
The cost of bariatric surgery often includes a range of services, which can vary based on the package:
Inclusive Services: Some surgical packages include not only the procedure itself but also pre-operative consultations, hospitalization, post-operative care, medications, and follow-up visits. The more comprehensive the package, the higher the cost.
Accommodation and Transportation: High-quality packages might also cover accommodation for the patient and possibly a companion, as well as transportation to and from the hospital, which can contribute to the overall price.
Additional Services: Packages may include extra services such as physiotherapy, psychological support, and nutritional counseling, which can influence the final cost.
Hospitalization and Post-Operative Care
The duration of hospitalization and the extent of post-operative care required can affect the overall cost:
Length of Hospital Stay: The length of time a patient needs to stay in the hospital varies depending on the type of surgery and individual recovery. Longer hospital stays lead to higher costs due to extended use of hospital resources and facilities.
Post-Operative Monitoring: The level of post-operative care required, including follow-up visits, additional treatments, and consultations, contributes to the overall expense. This care is crucial for monitoring recovery and managing any potential complications.
Recovery Facilities: Some patients may require specialized recovery facilities or services, which can add to the total cost of surgery.
Geographical Location
The location within Turkey where the surgery is performed can have a significant impact on costs:
Major Cities: In major metropolitan areas like Istanbul, where the cost of living is higher, prices for bariatric surgery may be elevated. However, these cities often offer a wide range of high-quality medical facilities and experienced surgeons.
Capital City: Ankara, being the capital city, may offer slightly lower costs compared to Istanbul. The cost of living is generally lower, which can reflect in the surgical fees.
Other Cities: Cities like Izmir may offer competitive pricing with a balance of affordability and quality. Costs in these cities can be lower compared to Istanbul and Ankara, depending on the specific clinic and services provided.
Additional Procedures and Interventions
In some cases, additional procedures or interventions may be necessary, influencing the overall cost:
Revision Surgeries: If complications arise from the initial surgery or if the desired results are not achieved, revision surgeries may be required. These additional procedures can significantly increase the total cost.
Complications Management: Managing complications such as infections or internal issues may require extra treatments, additional hospital stays, or further surgeries, all of which contribute to the overall expense.
Adjunctive Treatments: Some patients may need adjunctive treatments such as further diagnostic procedures or specialized therapies, which can add to the total cost.
Patient-Specific Factors
Individual patient factors can also influence the cost of bariatric surgery:
Body Mass Index (BMI): Patients with higher BMIs may require more complex surgical procedures or longer recovery periods, which can affect the overall cost.
Comorbid Conditions: The presence of additional health conditions, such as diabetes or cardiovascular issues, may necessitate more extensive pre-operative assessments or specialized post-operative care, increasing the total expense.
Personal Health History: A patient’s health history and any prior medical treatments can impact the complexity of the surgery and the associated costs.
Insurance Coverage and Financing Options
Insurance coverage and financing options can affect out-of-pocket expenses for bariatric surgery:
Insurance Coverage: Some health insurance plans may cover part of the bariatric surgery cost, but coverage varies widely. Patients should check with their insurance provider to understand what is covered and what is not.
Financing Options: Many clinics offer financing plans or payment options to help patients manage the cost of surgery. These options can influence the overall financial commitment and may include interest rates or installment plans.
Payment Plans: Clinics may offer flexible payment plans that allow patients to spread the cost of surgery over time, making it more manageable financially.
Prices of all types of the Bariatric Surgery in Turkey.
Gastric Bypass Surgery (Roux-en-Y Gastric Bypass)
Definition and Details
Gastric bypass, or Roux-en-Y Gastric Bypass, is a transformative weight-loss surgery that not only reduces the size of the stomach but also changes the way the small intestine absorbs nutrients and calories.
In this procedure, the surgeon creates a small pouch at the top of the stomach using surgical staples, effectively reducing its size.
This new, smaller stomach is then connected directly to the middle part of the small intestine, bypassing the rest of the stomach and the upper part of the small intestine.
This results in two significant changes:
Restriction: The small stomach limits food intake, as patients feel full after consuming much smaller meals.
Malabsorption: By bypassing part of the small intestine, fewer calories and nutrients are absorbed, enhancing weight loss.
Gastric bypass surgery is ideal for individuals with a body mass index (BMI) over 40 or those with a BMI between 35-40 who suffer from serious health conditions related to obesity, such as type 2 diabetes or hypertension.
It is known for achieving substantial long-term weight loss (up to 70% of excess body weight), but it also requires significant lifestyle changes and adherence to dietary recommendations to avoid complications like nutritional deficiencies or dumping syndrome, a condition where food moves too quickly through the stomach and intestines.
Procedure Steps
Pre-Surgical Consultation: A thorough evaluation by the surgeon, including physical examinations, blood tests, and possibly imaging to assess the digestive system.
Anesthesia: General anesthesia is administered to ensure the patient is fully unconscious and pain-free during the surgery.
Creation of Stomach Pouch: The surgeon uses staples to divide the stomach into a small upper section (the pouch) and a larger lower section, effectively reducing the functional stomach.
Bypass of Small Intestine: The small intestine is divided, and the lower part is connected to the small stomach pouch. The upper part of the small intestine is reattached further down, creating a Y-shaped configuration.
Closure: The incisions are closed either through traditional open surgery or laparoscopically, using smaller incisions and a camera.
Post-Operative Recovery: Patients are monitored in a recovery room and then transferred to a hospital room where they stay for 2-3 days for observation.
Post-Surgical Care and Dietary Changes: Nutritional support and counseling are crucial for long-term success, and patients must follow a specialized, staged diet to allow their new digestive system to heal and adapt.
Pricing Breakdown
Pre-Surgical Consultation and Testing: $300 – $600
Sleeve Gastrectomy is a restrictive bariatric surgery that involves removing a large portion of the stomach, approximately 75-80%, leaving behind a narrow tube or “sleeve.”
Unlike gastric bypass, it does not involve rerouting the intestines, making it a simpler and quicker procedure with fewer complications related to malabsorption.
The reduction in stomach size limits the amount of food a patient can consume at once, leading to weight loss.
It also affects the production of the hunger hormone ghrelin, reducing appetite. Sleeve gastrectomy is less invasive compared to gastric bypass but still delivers significant weight loss results, often around 60-65% of excess body weight within two years post-surgery.
This procedure is ideal for individuals who want effective weight loss without the complexity of intestinal rerouting.
It is also a viable option for patients with severe obesity who may not qualify for gastric bypass due to health risks. However, it is irreversible, and long-term success relies on permanent lifestyle and dietary changes.
Procedure Steps
Pre-Surgical Evaluations: Comprehensive testing, including blood tests, nutritional assessments, and possibly endoscopy, to ensure the patient’s suitability for surgery.
Anesthesia Administration: General anesthesia is used to keep the patient unconscious during the surgery.
Laparoscopic Incisions: Small incisions are made in the abdomen for the insertion of a laparoscope and surgical instruments.
Stomach Removal: A large portion of the stomach, typically around 80%, is removed, leaving a narrow tube (sleeve) that serves as the new stomach.
Stapling of Stomach: The remaining part of the stomach is stapled together to form the sleeve, and the excess portion is removed from the body.
Closure and Recovery: The incisions are closed, and the patient is taken to recovery. The hospital stay is typically shorter than with gastric bypass (1-2 days).
Post-Surgical Care: Follow-up visits and consultations to monitor healing, adjust diet, and provide guidance for long-term lifestyle changes.
Pricing Breakdown
Pre-Surgical Consultation and Tests: $300 – $700
Anesthesia Costs: $800 – $1,300
Laparoscopic Sleeve Gastrectomy: $4,500 – $7,000
Hospital Stay (1-2 days): $800 – $2,000
Post-Operative Follow-Up and Nutritional Counseling: $400 – $1,000
Adjustable gastric banding, commonly known as Lap-Band surgery, involves placing an inflatable silicone band around the upper part of the stomach.
This band creates a small pouch above the band, restricting the amount of food the stomach can hold. The tightness of the band can be adjusted by inflating or deflating it with saline through a port placed under the skin.
Unlike gastric bypass or sleeve gastrectomy, Lap-Band surgery is less invasive and reversible. However, weight loss tends to be slower, and the overall effectiveness depends heavily on patient compliance with dietary restrictions and regular band adjustments.
This procedure is recommended for patients with a BMI of 30 or above who have not succeeded with traditional weight loss methods but may not be ready for more invasive bariatric surgeries.
Procedure Steps
Initial Consultation and Testing: Physical examinations, nutritional evaluations, and possibly psychological assessments are conducted to ensure the patient is suitable for surgery.
Anesthesia Administration: The patient is placed under general anesthesia.
Laparoscopic Incisions: Small incisions are made in the abdomen, and a laparoscope is inserted to guide the procedure.
Placement of Gastric Band: The silicone band is placed around the upper part of the stomach, and the inflatable balloon inside the band is connected to a port under the skin.
Band Adjustment (Post-Surgery): Over time, saline is injected or removed from the port to adjust the band’s tightness, helping to control the patient’s food intake.
Post-Surgical Monitoring and Care: The patient is closely monitored post-surgery for any complications, and follow-up visits are scheduled to adjust the band.
Lifestyle and Dietary Support: Ongoing support and counseling to ensure the patient adheres to new eating habits and achieves long-term weight loss goals.
Pricing Breakdown
Initial Consultation and Pre-Surgery Tests: $300 – $600
Anesthesia Fees: $700 – $1,200
Lap-Band Surgery: $3,500 – $6,000
Hospital Stay (1-2 days): $800 – $1,500
Post-Surgery Band Adjustments (Multiple Visits): $100 – $200 per visit (Typically 4-6 visits in the first year)
Nutritional Counseling and Follow-Ups: $400 – $800
Total Estimated Cost: $5,900 – $9,300
Biliopancreatic Diversion with Duodenal Switch (BPD/DS)
Definition and Details
Biliopancreatic Diversion with Duodenal Switch (BPD/DS) is one of the most complex bariatric procedures, combining restrictive and malabsorptive components.
It involves two major steps. First, a sleeve gastrectomy is performed to reduce the size of the stomach. Then, the surgeon reroutes a significant portion of the small intestine, bypassing much of it to reduce nutrient absorption.
This procedure is typically reserved for individuals with a BMI of 50 or more, as it can result in the most dramatic weight loss (up to 80% of excess body weight).
It also has a high success rate in resolving obesity-related health conditions such as type 2 diabetes and high cholesterol. However, the malabsorptive nature of the surgery requires lifelong vitamin and mineral supplementation to prevent deficiencies.
Procedure Steps
Pre-Surgery Medical Evaluation: Extensive tests and assessments to ensure the patient is a suitable candidate for such an advanced procedure.
Anesthesia Administration: General anesthesia is administered to ensure comfort and safety during the surgery.
Sleeve Gastrectomy: The first part of the procedure involves removing about 70-80% of the stomach, similar to a sleeve gastrectomy.
Duodenal Switch: The second part involves rerouting a large portion of the small intestine, drastically reducing the body’s ability to absorb calories and nutrients.
Reconnection of Digestive Tract: The remaining portion of the stomach is connected to the lower part of the small intestine, bypassing the majority of it.
Closure and Recovery: Incisions are closed, and the patient is transferred to the recovery room. The hospital stay is generally 3-5 days.
Post-Surgical Care: This includes lifelong monitoring, dietary adjustments, and supplementation to prevent nutritional deficiencies.
Pricing Breakdown
Pre-Surgery Consultation and Testing: $400 – $800
Anesthesia Fees: $1,000 – $1,800
Biliopancreatic Diversion with Duodenal Switch Surgery: $7,000 – $10,000
Hospital Stay (3-5 days): $1,500 – $3,000
Post-Surgical Follow-Up and Nutritional Counseling: $800 – $1,500
Long-Term Medications and Supplements: $300 – $600 annually
Total Estimated Cost: $10,000 – $17,700
Mini Gastric Bypass Surgery
Definition and Details
Mini gastric bypass, also known as single anastomosis gastric bypass, is a simpler and shorter variation of the traditional gastric bypass surgery.
This procedure involves creating a small stomach pouch and connecting it to the small intestine, similar to the Roux-en-Y procedure, but with only one connection (anastomosis) between the stomach and intestines.
The mini gastric bypass is less invasive and involves fewer surgical steps, making it a quicker procedure with shorter recovery times. It is also reversible, unlike the traditional gastric bypass.
While it results in less weight loss than the Roux-en-Y, it is highly effective for those with moderate to severe obesity and comes with fewer complications. However, patients must still commit to long-term lifestyle changes to maintain the benefits.
Procedure Steps
Pre-Surgical Consultation and Testing: Patients undergo medical and nutritional evaluations to ensure they are suitable candidates.
Anesthesia Administration: General anesthesia is administered to put the patient under during the surgery.
Creation of Stomach Pouch: A small pouch is created at the top of the stomach to restrict food intake.
Connection to Small Intestine: The stomach pouch is connected to the small intestine in a single anastomosis, bypassing a portion of the intestines to limit calorie absorption.
Post-Surgical Recovery: Patients typically stay in the hospital for 1-2 days, with follow-up appointments to monitor recovery.
Nutritional Support: Ongoing consultations with a dietitian are necessary to ensure proper nutrition and prevent malnutrition.
Pricing Breakdown
Pre-Surgical Consultation and Tests: $300 – $600
Anesthesia Costs: $800 – $1,200
Mini Gastric Bypass Surgery: $5,000 – $8,000
Hospital Stay (1-2 days): $800 – $1,500
Post-Surgical Follow-Up and Nutritional Counseling: $500 – $1,000
Medications and Nutritional Supplements: $200 – $400
Total Estimated Cost: $7,600 – $12,700
Intragastric Balloon Procedure
Definition and Details
The intragastric balloon is a non-surgical, temporary weight loss solution where a balloon made of soft, biocompatible silicone is placed in the stomach through an endoscope (a thin tube with a camera).
Once inserted, the balloon is inflated with saline to occupy space in the stomach, reducing the patient’s capacity to eat large meals and promoting a feeling of fullness after small portions.
This procedure is ideal for individuals who need to lose moderate amounts of weight (15-20% of total body weight) but do not qualify for or wish to undergo invasive surgery. The balloon remains in place for six months, after which it is removed.
Although less effective than other forms of bariatric surgery, it is a useful option for those seeking a non-permanent, less invasive weight loss solution.
Procedure Steps
Pre-Surgical Consultation: Patients undergo a consultation with their surgeon, where they discuss goals and undergo testing to determine eligibility for the procedure.
Endoscopic Balloon Placement: Under sedation, the surgeon inserts the deflated balloon into the stomach using an endoscope.
Balloon Inflation: Once in place, the balloon is filled with saline solution to inflate it, occupying space in the stomach.
Post-Procedure Monitoring: After the procedure, patients are monitored for a few hours before being discharged.
Dietary Adjustments: Patients are placed on a strict liquid diet initially, progressing to soft foods, then solid foods.
Balloon Removal: After six months, the balloon is removed via a similar endoscopic procedure.
Post-Procedure Care and Nutritional Counseling: $300 – $600
Balloon Removal (After 6 months): $2,000 – $3,500
Total Estimated Cost: $5,500 – $9,500
Endoscopic Sleeve Gastroplasty (ESG)
Definition and Details
Endoscopic Sleeve Gastroplasty (ESG) is a non-surgical, minimally invasive procedure that reduces the size of the stomach using an endoscope equipped with a suturing device.
During this procedure, the surgeon inserts the endoscope through the mouth, then uses it to place a series of sutures inside the stomach, creating a sleeve-like shape that restricts food intake.
ESG is an appealing option for individuals who prefer a non-surgical method of weight loss.
Though it does not offer the same level of weight loss as surgical procedures like gastric bypass or sleeve gastrectomy, it still results in significant weight reduction (around 15-20% of total body weight). ESG is also reversible and offers faster recovery times than traditional surgeries.
Procedure Steps
Pre-Procedure Consultation and Testing: A thorough evaluation, including endoscopy and blood tests, ensures the patient’s suitability for ESG.
Anesthesia and Sedation: Patients are placed under general anesthesia or sedation.
Endoscopic Insertion: An endoscope with a suturing device is inserted through the mouth and down into the stomach.
Stomach Suturing: Sutures are placed in the stomach to create a sleeve-like shape that reduces its capacity to hold food.
Post-Procedure Recovery: Patients are monitored for a few hours and discharged on the same day.
Post-Procedure Dietary Support: Nutritional counseling is necessary to help patients adjust to their new eating habits and ensure long-term success.
Pricing Breakdown
Pre-Procedure Consultation and Tests: $300 – $600
Endoscopic Sleeve Gastroplasty: $4,000 – $6,500
Post-Procedure Monitoring and Nutritional Support: $400 – $800
Total Estimated Cost: $4,700 – $7,900
Revisional Bariatric Surgery
Definition and Details
Revisional bariatric surgery is performed on patients who have previously undergone bariatric surgery but are experiencing complications, inadequate weight loss, or weight regain.
This surgery involves modifying or correcting the original procedure, whether it’s adjusting a gastric band, converting a gastric sleeve to a gastric bypass, or correcting issues with a previous bypass.
Revisional surgery is more complex than primary bariatric surgery and carries a higher risk of complications, but it is essential for patients who are not achieving their weight loss goals or who are dealing with adverse side effects.
The surgery must be tailored to the individual’s specific needs and their previous bariatric history.
Procedure Steps
Pre-Surgery Assessment: Extensive tests, including imaging and consultations with the original bariatric surgeon, help determine the cause of the failure or complication.
Anesthesia: The patient is placed under general anesthesia.
Surgical Revisions: The exact surgical steps depend on the original procedure and the required adjustments, whether it’s band adjustment, converting a sleeve to a bypass, or fixing complications from previous surgeries.
Post-Surgery Monitoring and Care: Patients are monitored closely post-surgery, as the risk of complications is higher.
Post-Surgery Lifestyle Adjustments: Patients will receive ongoing dietary support and counseling to ensure the success of the revisional procedure.
Post-Surgery Follow-Up and Nutritional Counseling: $800 – $1,200
Total Estimated Cost: $10,800 – $17,200
Laparoscopic Adjustable Gastric Banding (LAGB)
Definition and Details
Laparoscopic Adjustable Gastric Banding (LAGB) is a weight loss surgery that involves placing an adjustable silicone band around the upper part of the stomach.
This creates a small pouch that limits food intake and makes patients feel full after eating small amounts of food. The band can be tightened or loosened through an access port placed under the skin.
LAGB is one of the least invasive weight loss surgeries, with a quicker recovery time than other procedures.
However, it requires frequent follow-up visits for band adjustments and has a slower rate of weight loss compared to other bariatric surgeries. It is also reversible, offering an appealing option for patients who prefer flexibility.
Procedure Steps
Pre-Surgical Consultation: The patient undergoes testing and evaluations to ensure they are a good candidate for LAGB.
Anesthesia Administration: General anesthesia is administered before the procedure.
Laparoscopic Surgery: Small incisions are made, and the adjustable gastric band is placed around the upper part of the stomach.
Port Placement: A port is placed under the skin to allow for future band adjustments.
Band Adjustment (as needed): Patients will require regular follow-up visits to adjust the tightness of the band.
Post-Surgery Recovery and Dietary Support: After the surgery, patients are monitored and given dietary guidelines to follow for long-term success.
Pricing Breakdown
Pre-Surgical Consultation and Testing: $300 – $600
The AspireAssist procedure is a non-surgical weight loss option that involves the placement of a small tube into the stomach, which allows patients to drain a portion of the food they eat before it is fully digested.
This procedure is designed to reduce calorie intake, and patients can expect to lose about 20-30% of their excess weight over the first year.
The AspireAssist system requires a strong commitment to lifestyle changes and regular use of the device to achieve significant weight loss.
It is ideal for patients who do not want or cannot undergo traditional bariatric surgery. The system is removed once the desired weight loss is achieved.
Procedure Steps
Consultation and Pre-Procedure Testing: A full medical evaluation ensures the patient is a good candidate for the AspireAssist system.
Device Placement: A small tube is inserted into the stomach through a minimally invasive endoscopic procedure.
AspireAssist Use: Patients are taught how to drain a portion of the stomach contents after each meal using the AspireAssist device.
Regular Follow-Up: Patients will have regular follow-up appointments to monitor progress and make adjustments to their diet and device use.
Removal of Device: Once the desired weight loss is achieved, the device is removed.
Pricing Breakdown
Pre-Procedure Consultation and Tests: $300 – $600
AspireAssist Procedure: $4,000 – $6,000
Post-Procedure Care and Nutritional Counseling: $400 – $800
Beyond the basic surgical fees, patients should be aware of additional costs that may arise:
Pre-Operative Assessments: Comprehensive tests, consultations, and evaluations before the surgery can add to the total cost.
Medication and Supplements: Post-surgery medications, vitamins, and supplements are essential for recovery and long-term health.
Follow-Up Visits: Regular check-ups and consultations with the surgeon or dietitian are crucial for monitoring progress and managing any complications.
Accommodation and Transportation: If traveling from abroad, patients need to consider the cost of staying in Turkey and traveling to and from the hospital.
Complications and Revision Surgery: In rare cases, additional procedures or treatments may be necessary if complications arise.
How to prepare for a bariatric surgery?
Personal Preparations Before Weight Loss Surgery
Adopt a Healthier Diet
Before surgery, you’ll need to transition to a healthier diet that aligns with your post-surgery lifestyle. Start incorporating more protein, fruits, vegetables, and whole grains while cutting back on processed foods, sugar, and fatty meals. This step is essential for reducing the size of your liver, making the surgery easier and safer for your surgeon.
Tip: Some surgeons require patients to follow a specific pre-surgery diet (liquid or low-carb) for up to two weeks before the operation to reduce fat around the liver and abdomen.
Quit Smoking and Alcohol Consumption
Smoking and excessive alcohol consumption can interfere with the healing process and increase the risk of complications. Smoking, in particular, can delay wound healing and increase the chances of infection. It’s essential to quit smoking at least 6-8 weeks before your surgery.
Tip: Seek support through cessation programs or therapy to help you stay smoke-free during your pre-surgery journey.
Increase Physical Activity
While you don’t have to run marathons, increasing your physical activity can help improve your overall health and prepare your body for surgery. Walking, light strength training, and yoga are great ways to get moving. Exercise can help reduce surgical risks, boost recovery, and make the overall process more manageable.
Tip: Aim for at least 30 minutes of light activity per day. Talk to your doctor about the safest exercises based on your current fitness level.
Prepare Your Mental Health
Mental preparation is just as important as physical preparation. Weight loss surgery requires significant lifestyle changes, and emotional health can play a big role in your success. Consider working with a counselor or joining a bariatric support group to help manage stress, anxiety, and expectations.
Tip: Many bariatric programs include psychological evaluations before surgery. Use this opportunity to address any emotional concerns you may have.
Create a Support System
Surround yourself with supportive friends, family members, and others who understand your weight loss goals. They can provide emotional support and help you stay accountable both before and after surgery. Having someone available to assist you during your recovery period is also crucial.
Tip: If you don’t have close support nearby, consider joining online bariatric communities or forums where you can connect with others undergoing similar procedures.
Prepare Your Home for Post-Surgery Recovery
Stock your kitchen with the foods and beverages you’ll need after surgery. Focus on liquid and soft foods like broths, protein shakes, yogurt, and gelatin. Set up a comfortable recovery area at home, including a space where you can easily rest, access fluids, and take short walks.
Tip: Purchase bariatric-friendly meal prep tools like small portion plates, measuring cups, and protein powder to help with portion control.
Plan for Time Off Work and Recovery
You’ll need to take time off work to recover after surgery. Discuss your anticipated time off with your employer and plan for at least 2-4 weeks of recovery, depending on your type of surgery and individual progress.
Tip: If you work in a physically demanding job, ask your doctor how long you may need before returning to full duties.
Set Realistic Weight Loss Goals
While weight loss surgery can produce significant results, it’s important to have realistic expectations. Most patients lose 50-70% of their excess weight within the first 18 months. Set achievable goals for yourself, and remember that weight loss will be gradual over time.
Tip: Keep a weight loss journal to track your progress and celebrate small victories along the way.
Adjust Your Medication Routine
Some medications, such as blood thinners or certain pain relievers (like NSAIDs), may need to be stopped before surgery to reduce the risk of complications. Speak with your doctor about all medications you’re currently taking, including over-the-counter drugs, vitamins, and supplements.
Tip: Make a detailed list of your medications and bring it to your pre-op appointment to discuss any necessary changes.
Educate Yourself About Life After Surgery
Familiarize yourself with the dietary and lifestyle changes you’ll need to make after surgery. Research bariatric-friendly recipes, post-op exercise routines, and long-term weight management strategies to help ease your transition into a healthier lifestyle.
Tip: Attend informational seminars or watch educational videos provided by your surgical team to gain deeper insights into the process.
Preparations with Your Doctor
Complete a Full Medical Evaluation
Before undergoing bariatric surgery, your doctor will conduct a full medical evaluation to assess your overall health and determine whether you’re a suitable candidate. This includes blood tests, heart and lung assessments, and imaging tests to evaluate the condition of your liver and abdomen.
Tip: Be honest about your medical history, including any conditions like diabetes, hypertension, or sleep apnea that may affect your surgery.
Attend Nutritional Counseling Sessions
Most bariatric programs require patients to meet with a registered dietitian to learn about the dietary changes that will occur after surgery. This helps patients adjust to their new eating habits and provides personalized guidance on what to eat during the pre-op and post-op phases.
Tip: Keep a food diary during your pre-surgery diet to track your intake and discuss it with your dietitian.
Undergo a Psychological Evaluation
A psychological evaluation is typically required to ensure you’re mentally prepared for the challenges that come with weight loss surgery. The evaluation helps assess your understanding of the surgery’s risks and benefits, as well as your ability to stick to the required lifestyle changes.
Tip: Use this opportunity to ask any questions you have about the emotional aspects of surgery and recovery.
Confirm Your Eligibility for Surgery
Bariatric surgery is generally recommended for patients with a Body Mass Index (BMI) over 40 or those with a BMI of 35-40 who have obesity-related health issues (like type 2 diabetes or sleep apnea). Your surgeon will confirm your eligibility based on these criteria and your medical evaluation.
Tip: If you’re borderline for eligibility, your doctor may recommend further lifestyle changes or alternative treatments before proceeding with surgery.
Discuss Pre-Operative Diet Instructions
Your doctor will likely put you on a pre-op diet, typically 1-2 weeks before surgery. This diet helps reduce the size of your liver, making it easier for the surgeon to perform the procedure. The diet often consists of low-carb, high-protein, and liquid-based foods.
Tip: Strictly follow the pre-op diet to avoid complications during surgery. Ask your doctor for specific guidelines based on your surgery type.
Plan for Post-Surgery Care
Discuss with your surgeon what to expect after the surgery, including hospital stay length, follow-up visits, and any additional tests. Make arrangements for someone to accompany you to the hospital and assist you during the initial recovery phase.
Tip: Ensure that your surgeon’s office provides detailed post-op care instructions, including what medications to take, signs of complications, and when to contact your doctor.
Arrange for Bloodwork and Imaging Tests
Your doctor will require specific blood tests and imaging (such as an ultrasound or CT scan) to assess your internal organs and rule out any issues that may interfere with surgery. These tests will help confirm that you are ready for surgery and help the surgeon plan the procedure.
Tip: Keep all test results organized and readily available for your surgical team.
Discuss Anesthesia Risks and Options
Anesthesia is a crucial aspect of any surgical procedure. Before your surgery, meet with an anesthesiologist to discuss any concerns or previous reactions you’ve had to anesthesia. They will explain the process and ensure that your anesthesia plan is tailored to your needs.
Tip: Inform the anesthesiologist of any medications or supplements you’re taking, as these can affect the anesthesia.
Review Post-Surgery Medication Plan
After surgery, your doctor will prescribe medications to manage pain, prevent infection, and aid in healing. Some vitamins and supplements, such as B12, calcium, and iron, may also be required due to malabsorption issues post-surgery.
Tip: Ask for a written list of all medications and supplements you’ll need to take after surgery. Set reminders to ensure you take them consistently.
Sign Informed Consent Forms
Finally, before surgery, you’ll need to sign informed consent forms. These forms detail the risks, benefits, and potential complications of the surgery. Make sure you understand everything included in the document and don’t hesitate to ask your surgeon any last-minute questions.
Tip: Review the consent form carefully and clarify any terms or procedures you’re unsure about.
What happens during a bariatric surgery?
Administering General Anesthesia – Entering the Safe Zone of Sleep
The very first step in any major surgery is making sure the patient is comfortable and pain-free throughout the procedure.
Bariatric surgery is performed under general anesthesia, meaning you’ll be entirely unconscious and unaware of what is happening during the operation.
This ensures that the body remains relaxed, and the surgeon can work efficiently without distress to the patient.
What the Doctor Does:
Prepares the Anesthesia: The anesthesiologist assesses your vitals and adjusts the amount of anesthesia based on your weight, age, and overall health.
Administers Anesthesia via IV: The anesthetic is delivered through an intravenous (IV) line in your arm or hand, sending you into a deep, controlled sleep within minutes.
Monitors Vital Signs: Continuous monitoring of your heart rate, oxygen levels, and blood pressure ensures you remain stable throughout the surgery.
Intubation: A breathing tube is inserted to manage your airways while you’re under anesthesia, ensuring your lungs receive a consistent supply of oxygen.
Creating the Small Incisions – Opening the Door to Surgery
Unlike older, more invasive methods, bariatric surgery today is typically performed laparoscopically. This means the surgeon makes several small incisions (rather than one large one), allowing the insertion of tiny cameras and specialized surgical instruments.
What the Doctor Does:
Identifies Incision Sites: The surgeon selects specific spots across the abdomen, usually making 4 to 6 incisions, each about 1/4 to 1/2 inch long.
Inserts Trocars: These hollow tubes are inserted into each incision, allowing access for the laparoscope and surgical tools without damaging the surrounding tissue.
Monitors Camera Feed: Through the laparoscope (a camera-equipped device), the surgeon watches the live video feed on a screen to guide the operation with precision.
Inflating the Abdomen with Carbon Dioxide – Creating a Clear Work Area
To create enough room for the surgeon to work and visualize the internal organs, the abdominal cavity is inflated with carbon dioxide gas.
This step may sound straightforward, but it’s critical to the success of the procedure, giving the surgeon enough space to safely manipulate the stomach and other organs.
What the Doctor Does:
Attaches an Insufflation Device: A small tube connected to an insufflation device is inserted into one of the incisions, pumping carbon dioxide gas into the abdomen.
Monitors Pressure Levels: The gas pressure is carefully controlled to inflate the abdomen without causing discomfort or stretching beyond safe limits.
Creates Surgical Space: The inflated abdomen lifts the abdominal wall away from the organs, providing a clear visual field and maneuvering space for the instruments.
Positioning the Laparoscope – The Surgeon’s Eyes Inside Your Body
The laparoscope is a key tool in modern bariatric surgery. It’s a thin tube with a high-definition camera and light at the tip, allowing the surgeon to see inside your body without making large, open incisions.
By guiding the operation from the visual feed provided by the laparoscope, the surgeon can perform the procedure with greater precision and fewer risks.
What the Doctor Does:
Inserts the Laparoscope: The laparoscope is inserted through one of the small incisions made earlier, with the camera transmitting real-time images to a screen in the operating room.
Adjusts for Optimal View: The surgeon adjusts the angle and focus of the camera to get a clear, magnified view of the stomach, intestines, and other relevant organs.
Navigates the Tools: As the surgeon works, the laparoscope provides a detailed visual guide, helping to navigate around delicate structures and avoid unnecessary trauma to the body.
Isolating and Preparing the Stomach for Transformation
Once the laparoscope is in position and the abdominal cavity is fully visible, the surgeon isolates the stomach.
In this step, the stomach is carefully separated from surrounding organs and tissues to prepare it for the next phase of the procedure. The way the stomach is handled will depend on the type of bariatric surgery being performed.
What the Doctor Does:
Identifies Stomach Boundaries: The surgeon uses laparoscopic instruments to define the boundaries of the stomach and isolate it from nearby organs.
Dissects Surrounding Tissue: Delicate tissue surrounding the stomach is separated to allow for manipulation, ensuring that no damage occurs to nearby organs like the liver or spleen.
Prepares for Modification: Whether the stomach will be reduced, reshaped, or bypassed, the surgeon ensures the area is ready for the main phase of the surgery.
Modifying the Stomach – The Core Transformation of Bariatric Surgery
This step is the heart of the bariatric surgery procedure. Depending on the type of surgery, the surgeon will either remove a portion of the stomach (as in sleeve gastrectomy) or create a small stomach pouch (as in gastric bypass).
The goal is to significantly reduce the stomach’s size, thereby limiting the amount of food you can consume and promoting weight loss.
What the Doctor Does:
Performs Gastric Resizing: For sleeve gastrectomy, about 80% of the stomach is removed, leaving a banana-shaped sleeve. For gastric bypass, a small upper portion of the stomach is isolated to create a pouch.
Uses Stapling Devices: The surgeon uses specialized surgical staplers to divide and seal the stomach, creating a new, smaller stomach while ensuring the tissue is closed off securely.
Ensures Proper Sealing: The newly formed stomach (or pouch) is carefully inspected for secure stapling, ensuring there are no leaks or weaknesses in the closure.
Rerouting the Digestive Tract (For Gastric Bypass Only)
In gastric bypass surgery, a key part of the procedure involves rerouting the digestive system. The small intestine is connected to the new, smaller stomach pouch, bypassing the majority of the stomach and reducing nutrient absorption.
This is why gastric bypass not only restricts food intake but also limits the absorption of calories and nutrients.
What the Doctor Does:
Divides the Small Intestine: The surgeon cuts the small intestine and brings the lower part up to connect with the new stomach pouch.
Creates the New Pathway: The small intestine is reconnected to the pouch, creating a new digestive pathway that bypasses a large portion of the stomach and the first segment of the small intestine (the duodenum).
Secures the Connections: Each connection point is carefully secured with sutures or surgical staples to ensure the digestive system is sealed and no leaks will occur.
Checking for Leaks – Ensuring Surgical Integrity
Before concluding the surgery, the surgeon must ensure that all new connections, whether from stapling or suturing, are secure and leak-proof.
Any leaks in the newly altered stomach or intestinal tract can lead to serious complications, so this step is vital for patient safety.
What the Doctor Does:
Injects Dye or Air: The surgeon may inject a special dye or air into the stomach pouch to see if it escapes through any weak spots in the staple lines or sutures.
Inspects for Leaks: Using the laparoscope, the surgeon closely inspects for bubbles (if air was used) or the spread of dye, which would indicate a potential leak.
Repairs as Needed: If any leaks or weaknesses are detected, the surgeon reinforces the staple lines or sutures to prevent complications during recovery.
Removing Instruments and Deflating the Abdomen – Preparing for Closure
After all modifications have been successfully made and the integrity of the new digestive system has been confirmed, the surgeon removes the surgical instruments from the abdomen.
At this point, the carbon dioxide gas used to inflate the abdomen is released, allowing the organs to settle back into their natural positions.
What the Doctor Does:
Carefully Removes Instruments: The laparoscope and other surgical tools are withdrawn from the incisions.
Releases Carbon Dioxide: The gas used to inflate the abdomen is gradually released, deflating the abdominal cavity.
Ensures Proper Organ Placement: Before closing, the surgeon ensures that the organs are back in their proper positions and no excess air or fluid remains inside the abdomen.
Closing the Incisions – Securing the Final Step to Recovery
Finally, the surgeon closes the small incisions made at the beginning of the surgery. These incisions are usually closed with dissolvable sutures or surgical glue, minimizing scarring and promoting quicker healing.
What the Doctor Does:
Closes the Incisions: Using dissolvable sutures or surgical glue, the small incisions are closed to ensure a tight seal without the need for future suture removal.
Applies Dressings: Sterile dressings are applied over each incision site to protect against infection and aid in the healing process.
Final Inspection: The surgeon gives the final incisions one last check, ensuring everything is sealed properly before concluding the procedure.
Why Choose Turkey for Bariatric Surgery?
Turkey has become a preferred destination for bariatric surgery for several reasons:
High-Quality Medical Care: Turkish hospitals and clinics offer state-of-the-art facilities and adhere to international standards.
Experienced Surgeons: Many Turkish surgeons are trained in Europe or the US and have extensive experience in bariatric procedures.
Cost-Effectiveness: The cost of bariatric surgery in Turkey is significantly lower compared to many Western countries, making it an attractive option for international patients.
Comprehensive Packages: Many clinics offer all-inclusive packages that cover various aspects of the surgery, making the process more convenient for patients.
Final Thoughts
Bariatric surgery can be a life-changing procedure, offering significant benefits for those struggling with obesity.
Turkey provides an attractive option for those seeking high-quality care at a lower cost. By understanding the detailed pricing, factors influencing costs, and essential considerations, you can make an informed decision and embark on your journey towards better health.
