What is a Gastric Sleeve Surgery?

Gastric sleeve surgery is a type of bariatric surgery where a significant portion of the stomach is removed, leaving a smaller, tubular “sleeve” or “banana-shaped” stomach. This alteration drastically reduces the stomach’s volume and, consequently, the amount of food it can hold. The surgery leads to weight loss by limiting food intake and reducing hunger-related hormones.

Mechanism of Weight Loss

  • Reduced Stomach Capacity: With a significantly smaller stomach, patients experience fullness with much smaller portions of food compared to their pre-surgery diet. This reduction in stomach volume helps limit calorie intake.
  • Hormonal Changes: The removal of a large part of the stomach also decreases the production of ghrelin, a hormone associated with hunger. This reduction in ghrelin levels can lead to a decrease in appetite and overall food consumption.
  • Improved Metabolic Health: Weight loss following the surgery can lead to improvements in obesity-related conditions such as type 2 diabetes, high blood pressure, and sleep apnea.

Benefits of Gastric Sleeve Surgery

  • Significant Weight Loss: Many patients experience substantial weight loss, which can lead to improved health and quality of life.
  • Reduced Hunger: The surgery helps reduce hunger and food cravings by altering hormone levels and stomach capacity.
  • Minimally Invasive: The laparoscopic approach minimizes recovery time and reduces the risk of complications compared to traditional open surgery.

Potential Risks and Complications

As with any major surgery, gastric sleeve surgery carries potential risks, including:
  • Infection: Risk of infection at the incision sites.
  • Leakage: Potential leakage from the stomach’s remaining portion.
  • Nutritional Deficiencies: Reduced stomach size may affect nutrient absorption, necessitating lifelong vitamin and mineral supplements.
  • Gallstones: Rapid weight loss can increase the risk of developing gallstones.

Factors that influence the price of the gastric sleeve procedure in Turkey.

Hospital or Clinic Reputation

The reputation of the hospital or clinic where the surgery is performed can significantly affect the cost. High-profile hospitals and specialized clinics that are well-regarded for their quality of care, advanced facilities, and successful patient outcomes often charge more for their services. This is due to several reasons:
  • Brand Recognition: Prestigious hospitals with a strong brand name in the medical field often have higher fees. Their reputation is built on years of providing high-quality care, which can come with a premium price.
  • Accreditations and Certifications: Hospitals that hold international accreditations or certifications, such as those from the Joint Commission International (JCI) or similar bodies, may charge more due to the stringent standards they meet. These certifications indicate that the facility adheres to high international standards in patient care and safety.
  • Advanced Facilities: Reputable facilities often have state-of-the-art equipment and technology, which contribute to higher costs. They may also offer a higher standard of patient comfort and luxury.

Surgeon’s Experience and Expertise

The skill and experience of the surgeon performing the gastric sleeve procedure can have a substantial impact on the cost. Experienced surgeons with a proven track record in bariatric surgery typically charge more due to their advanced skills and the higher level of care they provide. Factors include:
  • Years of Experience: Surgeons who have been performing gastric sleeve surgeries for many years and have a high success rate may command higher fees. Their extensive experience can lead to better outcomes and fewer complications.
  • Specialized Training: Surgeons who have undergone additional training or certification in bariatric surgery, particularly in advanced or minimally invasive techniques, may charge more. Their specialized knowledge can improve surgical outcomes and patient safety.
  • Reputation and Demand: Highly sought-after surgeons who are known for their expertise and success in bariatric procedures may have higher fees due to their demand and the premium associated with their skills.

Geographic Location

The cost of gastric sleeve surgery in Turkey varies significantly depending on the geographic location of the hospital or clinic. Major cities and urban areas typically have higher prices compared to smaller cities or rural areas. Factors influencing location-based pricing include:
  • Cost of Living: Major cities like Istanbul generally have a higher cost of living, which can translate into higher medical costs. Expenses related to rent, salaries, and other operational costs are often higher in urban areas.
  • Healthcare Demand: Cities with a higher demand for medical services, such as Istanbul, may have higher prices due to increased competition and demand for specialized treatments.
  • Regional Differences: Clinics in smaller cities like Ankara or Izmir might offer more competitive pricing due to lower operational costs and a less saturated market.

Type of Facility

The type of facility where the gastric sleeve surgery is performed can greatly influence the cost. Different types of medical facilities offer varying levels of service and amenities, which can affect the overall expense:
  • Private Hospitals: Private hospitals often provide a higher standard of care, including private rooms, personalized attention, and advanced amenities. These facilities typically charge more due to the enhanced comfort and service they offer.
  • Specialized Bariatric Clinics: Clinics that focus exclusively on bariatric procedures, including gastric sleeve surgery, may charge more due to their specialized expertise and tailored services.
  • Public or State-Run Hospitals: Public hospitals generally have lower costs compared to private facilities. However, they may offer fewer amenities and less personalized care.

Additional Services and Packages

Many clinics offer comprehensive packages that include a range of services beyond the surgical procedure itself. These packages can influence the overall cost of the surgery:
  • Pre-Operative Services: This includes consultations with the surgeon, medical tests, imaging studies, and dietary assessments. These services are essential for preparing the patient for surgery and ensuring that they are in optimal health.
  • Surgical Procedure: The actual cost of the surgery is the largest component of the total expense. It covers the use of the operating room, surgical team fees, and any surgical supplies used during the procedure.
  • Post-Operative Care: Post-surgery follow-up care, including visits with the surgeon, dietary guidance, and monitoring for complications, is often included in comprehensive packages. This ongoing care is crucial for successful recovery and long-term outcomes.
  • Accommodation: Some clinics offer accommodation packages for patients who travel from other cities or countries. This can include a stay in a hotel or a specialized recovery center, which can add to the overall cost.

Insurance Coverage

Insurance coverage can play a role in the cost of gastric sleeve surgery. Although many international health insurance plans do not cover procedures performed abroad, some may offer partial coverage or reimbursement options. Key aspects include:
  • International Insurance Plans: Some insurance providers may cover part of the costs of gastric sleeve surgery performed overseas. It is important to check with your insurance provider to understand the specifics of your coverage and any requirements for reimbursement.
  • Payment Plans: Clinics may offer financing options or payment plans to help manage the cost of the procedure. These options can make the surgery more affordable by spreading the cost over time.

Surgeon’s Technique and Technology Used

The techniques and technologies employed during gastric sleeve surgery can impact the cost. Advanced methods and state-of-the-art equipment can lead to higher fees:
  • Robotic-Assisted Surgery: Some facilities use robotic systems to perform the surgery, which can increase costs due to the advanced technology and specialized training required. Robotic surgery can offer benefits such as greater precision and a reduced risk of complications.
  • Minimally Invasive Techniques: Laparoscopic techniques, which involve smaller incisions and shorter recovery times, can also influence the cost. While they may lead to better outcomes and quicker recovery, the equipment and expertise required for these techniques can contribute to higher fees.
  • Traditional Methods: The choice between traditional laparoscopic methods and more advanced techniques can affect the total cost of the procedure.

Duration of Hospital Stay

The length of time you spend in the hospital following the surgery can influence the overall cost. Factors to consider include:
  • Standard Stay: The typical hospital stay for gastric sleeve surgery ranges from 1 to 3 days. Costs can vary based on the type of room (private or shared) and the hospital’s amenities.
  • Extended Stay: In cases where complications arise or additional recovery time is needed, the cost of an extended hospital stay can increase. This includes additional fees for room and board, as well as extended medical care.

Medications and Post-Operative Supplies

The cost of medications and post-operative supplies can also contribute to the overall expense of gastric sleeve surgery:
  • Medications: This includes prescription medications for pain management, antibiotics to prevent infection, and any other drugs required for recovery. The cost of medications can vary based on the type and duration of the prescription.
  • Post-Operative Supplies: Supplies such as wound care products, dietary supplements, and other recovery aids can add to the total cost. Patients may need to purchase these items separately or as part of a package.

Prices of all types of the Gastric Sleeve Surgery in Turkey.

Traditional Laparoscopic Gastric Sleeve Surgery

Definition and Details:

Traditional laparoscopic gastric sleeve surgery is a well-established, minimally invasive technique used to treat obesity. During the procedure, the surgeon makes several small incisions in the abdomen to insert a laparoscope a thin tube with a camera and specialized instruments. The camera provides a live video feed of the internal organs, allowing the surgeon to perform the surgery with precision. The primary objective is to remove approximately 70-80% of the stomach, leaving behind a tubular “sleeve” that resembles a banana. This smaller stomach restricts food intake and significantly reduces appetite. Patients benefit from reduced postoperative pain, quicker recovery, and minimal scarring compared to open surgery.

Procedure Steps:

  • Initial Consultation: Comprehensive evaluation to determine patient eligibility and plan the surgery.
  • Pre-Operative Tests: Includes blood tests, imaging studies (e.g., endoscopy, ultrasound), and medical history review.
  • Anesthesia Administration: General anesthesia is administered to ensure the patient is unconscious and pain-free during the surgery.
  • Laparoscopic Insertion: Small incisions are made in the abdomen; a laparoscope and other instruments are inserted.
  • Resection of Stomach: The surgeon removes a significant portion of the stomach, leaving a sleeve-like structure.
  • Closure and Recovery: Incisions are closed with sutures or staples, and the patient is moved to a recovery room.
Pricing Breakdown:
  • Pre-Operative Consultations: $200 – $500
  • Initial consultation: $100 – $250
  • Pre-operative tests and imaging: $100 – $250
  • Surgical Procedure: $7,000 – $10,000
  • Surgeon’s fee: $3,000 – $5,000
  • Anesthesia fee: $1,000 – $1,500
  • Operating room fee: $2,000 – $3,000
  • Surgical supplies: $1,000 – $1,500
  • Hospital Stay: $1,500 – $3,000
  • Standard room: $1,500 – $2,000
  • Private room: $2,000 – $3,000
  • Post-Operative Care: $300 – $500
  • Follow-up visits: $100 – $200 (per visit)
  • Medications: $100 – $200
  • Total Estimated Cost: $9,000 – $14,000

Robotic-Assisted Gastric Sleeve Surgery

Definition and Details:

Robotic-assisted gastric sleeve surgery uses advanced robotic technology to enhance the surgeon’s capabilities. The procedure involves a robotic system with articulated instruments and a high-definition 3D camera that provides detailed views of the surgical field. Surgeons control the robot from a console, allowing for greater precision and control during the operation. This technique is particularly beneficial for complex cases or patients with higher body mass indexes (BMIs). The robotic approach offers the advantages of smaller incisions, reduced blood loss, and potentially quicker recovery times.

Procedure Steps:

  • Initial Consultation: Evaluation of the patient’s medical history and suitability for robotic surgery.
  • Pre-Operative Tests: Blood work, imaging (e.g., CT scan, endoscopy), and assessment of comorbidities.
  • Anesthesia Administration: General anesthesia is administered to keep the patient unconscious.
  • Robotic Setup: The robotic system is positioned, and small incisions are made for the robotic arms.
  • Surgical Procedure: The robot assists in removing a large portion of the stomach, leaving a sleeve.
  • Closure and Recovery: Incisions are closed with sutures or staples, and the patient is monitored in a recovery unit.

Pricing Breakdown:

  • Pre-Operative Consultations: $300 – $600
  • Initial consultation: $150 – $300
  • Pre-operative tests and imaging: $150 – $300
  • Surgical Procedure: $10,000 – $15,000
  • Surgeon’s fee: $4,000 – $6,000
  • Anesthesia fee: $1,200 – $1,800
  • Robotic system fee: $2,500 – $4,000
  • Operating room fee: $2,500 – $3,500
  • Surgical supplies: $1,500 – $2,000
  • Hospital Stay: $1,800 – $3,500
  • Standard room: $1,800 – $2,500
  • Private room: $2,500 – $3,500
  • Post-Operative Care: $400 – $600
  • Follow-up visits: $150 – $250 (per visit)
  • Medications: $150 – $250
  • Total Estimated Cost: $12,000 – $19,000

Single-Incision Laparoscopic Gastric Sleeve Surgery

Definition and Details:

Single-incision laparoscopic gastric sleeve surgery is a variation of the traditional laparoscopic approach that involves only one small incision, typically made in the belly button. This technique aims to minimize scarring and improve cosmetic outcomes by using specialized instruments and a flexible laparoscope. The procedure involves removing a significant portion of the stomach through this single incision. It provides the same weight-loss benefits as traditional laparoscopic surgery but with reduced visible scarring and potentially quicker recovery.

Procedure Steps:

  • Initial Consultation: Assessment of suitability for single-incision laparoscopic surgery.
  • Pre-Operative Tests: Blood tests, imaging (e.g., MRI, endoscopy), and evaluation of overall health.
  • Anesthesia Administration: General anesthesia is provided for the patient’s comfort.
  • Single-Incision Placement: A single incision is made at the umbilicus (belly button) to insert the laparoscope and surgical instruments.
  • Resection of Stomach: The surgeon removes a substantial part of the stomach through the single incision.
  • Closure and Recovery: The incision is closed with sutures, and the patient is monitored in recovery.

Pricing Breakdown:

  • Pre-Operative Consultations: $250 – $500
  • Initial consultation: $125 – $250
  • Pre-operative tests and imaging: $125 – $250
  • Surgical Procedure: $8,000 – $11,000
  • Surgeon’s fee: $3,500 – $5,000
  • Anesthesia fee: $1,000 – $1,500
  • Operating room fee: $2,500 – $3,500
  • Surgical supplies: $1,000 – $1,500
  • Hospital Stay: $1,500 – $2,500
  • Standard room: $1,500 – $2,000
  • Private room: $2,000 – $2,500
  • Post-Operative Care: $350 – $550
  • Follow-up visits: $125 – $225 (per visit)
  • Medications: $125 – $225
  • Total Estimated Cost: $10,000 – $15,000

Sleeve Gastrectomy with Endoscopic Stapling

Definition and Details:

Sleeve gastrectomy with endoscopic stapling is a technique that combines traditional laparoscopic methods with endoscopic stapling technology. This method uses endoscopic tools to place staplers inside the stomach through small incisions, allowing for precise removal of the stomach portion. The endoscopic approach offers increased accuracy in creating the sleeve and can lead to fewer complications. This variation is particularly useful in cases where precision in the resection of stomach tissue is crucial.

Procedure Steps:

  • Initial Consultation: Evaluation of patient’s health and suitability for endoscopic stapling.
  • Pre-Operative Tests: Blood work, imaging studies (e.g., endoscopy, X-ray), and assessment of medical history.
  • Anesthesia Administration: General anesthesia is provided to ensure comfort during surgery.
  • Endoscopic Stapling: Endoscopic staplers are inserted through small incisions to remove part of the stomach.
  • Creation of Sleeve: The remaining stomach is shaped into a sleeve using the stapling technology.
  • Closure and Recovery: Incisions are closed, and the patient is monitored for recovery.

Pricing Breakdown:

  • Pre-Operative Consultations: $200 – $500
  • Initial consultation: $100 – $250
  • Pre-operative tests and imaging: $100 – $250
  • Surgical Procedure: $8,500 – $12,000
  • Surgeon’s fee: $3,500 – $5,500
  • Anesthesia fee: $1,200 – $1,800
  • Endoscopic stapling equipment: $2,000 – $3,000
  • Operating room fee: $2,000 – $3,000
  • Hospital Stay: $1,500 – $2,500
  • Standard room: $1,500 – $2,000
  • Private room: $2,000 – $2,500
  • Post-Operative Care: $300 – $500
  • Follow-up visits: $100 – $200 (per visit)
  • Medications: $100 – $300
  • Total Estimated Cost: $10,000 – $16,000

Mini Gastric Sleeve Surgery

Definition and Details:

Mini gastric sleeve surgery, or one-anastomosis gastric bypass, is a variation of the gastric sleeve procedure that involves creating a smaller, more compact stomach sleeve. This technique often includes a simplified digestive bypass component that can enhance weight loss and improve metabolic outcomes. The procedure is performed using laparoscopic methods and focuses on reducing the stomach size more aggressively than traditional sleeve gastrectomy. It is generally preferred for patients seeking a more intensive approach to weight loss.

Procedure Steps:

  • Initial Consultation: Detailed evaluation and discussion of the mini gastric sleeve benefits.
  • Pre-Operative Tests: Comprehensive testing including blood work, imaging, and endoscopic evaluations.
  • Anesthesia Administration: General anesthesia to ensure the patient remains unconscious and pain-free.
  • Stomach Reduction: Creation of a smaller sleeve stomach and bypassing part of the digestive tract.
  • Closure and Recovery: Incisions are closed, and the patient is transferred to a recovery area.

Pricing Breakdown:

  • Pre-Operative Consultations: $250 – $600
  • Initial consultation: $150 – $300
  • Pre-operative tests and imaging: $100 – $300
  • Surgical Procedure: $9,000 – $13,000
  • Surgeon’s fee: $4,000 – $6,000
  • Anesthesia fee: $1,200 – $1,800
  • Operating room fee: $2,500 – $3,500
  • Surgical supplies: $1,500 – $2,000
  • Hospital Stay: $1,800 – $3,000
  • Standard room: $1,800 – $2,500
  • Private room: $2,500 – $3,000
  • Post-Operative Care: $350 – $600
  • Follow-up visits: $150 – $250 (per visit)
  • Medications: $200 – $350
  • Total Estimated Cost: $11,000 – $17,200

Gastric Sleeve Surgery with Hiatal Hernia Repair

Definition and Details:

Gastric sleeve surgery with hiatal hernia repair addresses both obesity and a hiatal hernia where part of the stomach pushes through the diaphragm into the chest cavity. The procedure involves performing a gastric sleeve resection while simultaneously repairing the hiatal hernia. This combined approach is suitable for patients with both obesity and symptomatic hiatal hernias. The addition of the hernia repair can improve overall surgical outcomes and alleviate symptoms related to the hernia.

Procedure Steps:

  • Initial Consultation: Assessment of obesity and hiatal hernia symptoms.
  • Pre-Operative Tests: Blood tests, imaging (e.g., endoscopy, barium swallow), and evaluation of hernia.
  • Anesthesia Administration: General anesthesia is used to ensure the patient is fully unconscious.
  • Surgical Procedure: Combination of sleeve gastrectomy and hiatal hernia repair using laparoscopic techniques.
  • Closure and Recovery: Repair of incisions and monitoring in recovery.

Pricing Breakdown:

  • Pre-Operative Consultations: $300 – $700
  • Initial consultation: $150 – $300
  • Pre-operative tests and imaging: $150 – $400
  • Surgical Procedure: $9,500 – $14,000
  • Surgeon’s fee: $4,000 – $6,000
  • Anesthesia fee: $1,200 – $1,800
  • Operating room fee: $2,500 – $3,500
  • Surgical supplies: $1,800 – $2,500
  • Hospital Stay: $2,000 – $3,500
  • Standard room: $2,000 – $2,500
  • Private room: $2,500 – $3,500
  • Post-Operative Care: $400 – $700
  • Follow-up visits: $150 – $250 (per visit)
  • Medications: $150 – $450
  • Total Estimated Cost: $12,200 – $18,400

Gastric Sleeve with Gastric Balloon

Definition and Details:

Gastric sleeve with a gastric balloon involves placing an intragastric balloon in the stomach before performing the sleeve gastrectomy. The balloon is inflated to take up space in the stomach, which helps patients feel full sooner and lose weight preoperatively. After the balloon has served its purpose, it is removed prior to the sleeve gastrectomy. This combined approach can facilitate greater weight loss before surgery and improve postoperative outcomes by helping patients achieve their target weight.

Procedure Steps:

  • Initial Consultation: Evaluation and discussion of the balloon-assisted approach.
  • Pre-Operative Tests: Blood tests, imaging, and balloon placement preparation.
  • Balloon Placement: The balloon is inserted endoscopically into the stomach and inflated.
  • Balloon Removal and Sleeve Gastrectomy: After a designated period, the balloon is removed, and the gastric sleeve procedure is performed.
  • Closure and Recovery: Incisions are closed, and the patient is monitored for recovery.

Pricing Breakdown:

  • Pre-Operative Consultations: $250 – $600
  • Initial consultation: $125 – $300
  • Pre-operative tests and imaging: $125 – $300
  • Gastric Balloon Placement: $2,000 – $3,000
  • Balloon insertion and inflation: $1,000 – $1,500
  • Removal of balloon: $1,000 – $1,500
  • Surgical Procedure: $8,000 – $12,000
  • Surgeon’s fee: $3,500 – $5,000
  • Anesthesia fee: $1,200 – $1,800
  • Operating room fee: $2,000 – $3,000
  • Surgical supplies: $1,500 – $2,000
  • Hospital Stay: $1,500 – $2,500
  • Standard room: $1,500 – $2,000
  • Private room: $2,000 – $2,500
  • Post-Operative Care: $350 – $600
  • Follow-up visits: $150 – $250 (per visit)
  • Medications: $200 – $350
  • Total Estimated Cost: $11,100 – $17,100

Gastric Sleeve Surgery with Revision

Definition and Details:

Gastric sleeve surgery with revision is performed on patients who have previously undergone other types of bariatric surgery or have had complications from an earlier gastric sleeve procedure. The revision process involves correcting or improving the outcomes of previous surgeries by either resizing the existing sleeve, converting to another form of bariatric surgery, or addressing complications such as sleeve dilation or weight regain. This procedure requires careful planning and additional expertise to ensure successful outcomes.

Procedure Steps:

  • Initial Consultation: Comprehensive evaluation of previous surgeries and complications.
  • Pre-Operative Tests: Detailed assessments including imaging studies, blood tests, and reviews of past surgical records.
  • Anesthesia Administration: General anesthesia is used to ensure the patient remains unconscious.
  • Revision Surgery: Adjustment or revision of the existing gastric sleeve, which may involve resizing or additional surgical steps.
  • Closure and Recovery: Repair of incisions and monitoring in the recovery room.

Pricing Breakdown:

  • Pre-Operative Consultations: $300 – $700
  • Initial consultation: $150 – $350
  • Pre-operative tests and imaging: $150 – $350
  • Surgical Procedure: $9,000 – $13,000
  • Surgeon’s fee: $4,000 – $6,000
  • Anesthesia fee: $1,200 – $1,800
  • Operating room fee: $2,500 – $3,500
  • Surgical supplies: $1,500 – $2,000
  • Hospital Stay: $2,000 – $3,500
  • Standard room: $2,000 – $2,500
  • Private room: $2,500 – $3,500
  • Post-Operative Care: $400 – $700
  • Follow-up visits: $150 – $250 (per visit)
  • Medications: $200 – $450
  • Total Estimated Cost: $12,200 – $19,400

Gastric Sleeve Surgery with Nutritional Counseling

Definition and Details:

Gastric sleeve surgery with nutritional counseling includes additional preoperative and postoperative support from a nutritionist. The counseling aims to provide patients with tailored dietary plans and education on maintaining a healthy lifestyle post-surgery. The inclusion of nutritional counseling is intended to support long-term weight loss success, optimize recovery, and prevent nutritional deficiencies. This type of surgery integrates dietary guidance into the overall treatment plan to enhance patient outcomes.

Procedure Steps:

  • Initial Consultation: Assessment of dietary needs and discussion of nutritional counseling benefits.
  • Pre-Operative Tests: Includes blood tests, imaging, and nutrition evaluation.
  • Nutritional Counseling Sessions: Pre-surgery sessions to prepare patients for dietary changes.
  • Surgical Procedure: Gastric sleeve surgery performed with integration of dietary management.
  • Post-Operative Nutritional Counseling: Ongoing dietary support and education to ensure adherence to new eating habits.

Pricing Breakdown:

  • Pre-Operative Consultations: $300 – $700
  • Initial consultation: $150 – $300
  • Pre-operative tests and imaging: $150 – $400
  • Nutritional Counseling: $500 – $1,000
  • Pre-surgery sessions: $250 – $500
  • Post-surgery follow-up: $250 – $500
  • Surgical Procedure: $8,500 – $12,500
  • Surgeon’s fee: $3,500 – $5,000
  • Anesthesia fee: $1,200 – $1,800
  • Operating room fee: $2,000 – $3,000
  • Surgical supplies: $1,500 – $2,000
  • Hospital Stay: $1,500 – $2,500
  • Standard room: $1,500 – $2,000
  • Private room: $2,000 – $2,500
  • Post-Operative Care: $350 – $600
  • Follow-up visits: $150 – $250 (per visit)
  • Medications: $200 – $350
  • Total Estimated Cost: $11,150 – $17,100

Gastric Sleeve Surgery with Fitness Program

Definition and Details:

Gastric sleeve surgery with a fitness program involves incorporating a structured exercise regimen into the patient’s treatment plan before and after the surgery. The fitness program is designed to enhance weight loss, improve overall fitness, and support recovery. This approach can include personalized training sessions, fitness assessments, and ongoing support from fitness professionals. The integration of a fitness program aims to maximize the benefits of the gastric sleeve procedure and promote long-term health and wellness.

Procedure Steps:

  • Initial Consultation: Assessment of fitness needs and discussion of fitness program options.
  • Pre-Operative Fitness Assessment: Evaluation of current fitness levels and development of a customized fitness plan.
  • Pre-Surgery Fitness Program: Participation in fitness sessions to improve health before surgery.
  • Surgical Procedure: Gastric sleeve surgery performed with an emphasis on fitness and wellness.
  • Post-Operative Fitness Program: Continued support and training to maintain physical activity and promote recovery.

Pricing Breakdown:

  • Pre-Operative Consultations: $300 – $700
  • Initial consultation: $150 – $300
  • Pre-operative tests and imaging: $150 – $400
  • Fitness Program: $800 – $1,500
  • Pre-surgery sessions: $400 – $750
  • Post-surgery sessions: $400 – $750
  • Surgical Procedure: $8,500 – $12,500
  • Surgeon’s fee: $3,500 – $5,000
  • Anesthesia fee: $1,200 – $1,800
  • Operating room fee: $2,000 – $3,000
  • Surgical supplies: $1,500 – $2,000
  • Hospital Stay: $1,500 – $2,500
  • Standard room: $1,500 – $2,000
  • Private room: $2,000 – $2,500
  • Post-Operative Care: $350 – $600
  • Follow-up visits: $150 – $250 (per visit)
  • Medications: $200 – $350
  • Total Estimated Cost: $11,450 – $18,800

Saving Tips for Gastric Sleeve Surgery in Turkey

If you’re looking to save money on gastric sleeve surgery, consider these tips:

Research and Compare Clinics

Take the time to research and compare different clinics. Look for patient reviews, clinic accreditation, and the credentials of the surgical team.

Consider Package Deals

Many clinics offer comprehensive packages that include consultations, surgery, post-operative care, and accommodations. These packages can provide significant savings compared to booking services individually.

Off-Peak Travel

Traveling during off-peak times can sometimes lead to lower prices for both surgery and accommodation.

Negotiate

Don’t be afraid to negotiate with clinics. Some may offer discounts or flexible payment options.

Explore Insurance Options

Check if your health insurance covers any part of the procedure or if there are specific plans available for international treatments.

How to prepare for a gastric sleeve operation?

Personal Preparations Before Gastric Sleeve Surgery

Dietary Modifications

Before your surgery, adhering to a specific diet is essential. Typically, patients are required to follow a preoperative diet plan that includes:
  • Preoperative Diet: This usually starts 2-4 weeks before the surgery. It often involves a low-calorie, high-protein diet to help shrink the liver and reduce fat. The aim is to make the surgical procedure safer and easier by providing better visibility and access during the operation.
  • Liquid Diet: In the final 1-2 weeks before surgery, a liquid diet is generally prescribed. This includes clear broths, protein shakes, and other low-calorie liquids. The liquid diet helps further shrink the liver and reduces the risk of complications during surgery.
  • Avoiding Certain Foods: Patients may need to eliminate foods high in fat and sugar to prepare their bodies for surgery. This includes avoiding fast food, sugary drinks, and heavy, fatty foods.
  • Why it Matters: A reduced liver size improves surgical visibility and reduces the risk of complications. Proper dietary changes also help to stabilize blood sugar levels and improve overall health.

Weight Loss Goals

Although not always required, achieving a certain amount of weight loss before surgery can be beneficial.
  • Pre-Surgery Weight Loss: Sometimes, patients are advised to lose a specified amount of weight before the surgery. This is often part of the preoperative preparation and can be achieved through diet, exercise, or both.
  • Consultation with a Dietitian: Meeting with a dietitian can help create a personalized weight loss plan that aligns with the surgical goals and ensures the body is prepared for the procedure.
  • Why it Matters: Preoperative weight loss can help reduce the size of the liver and improve surgical outcomes. It can also enhance recovery and improve long-term weight loss results.

Physical Fitness and Exercise

Incorporating regular physical activity into your routine before surgery can improve your overall fitness and enhance recovery.
  • Preoperative Exercise Regimen: Engage in regular cardiovascular and strength-training exercises as recommended by your healthcare provider. This helps improve cardiovascular health, build muscle mass, and boost overall physical fitness.
  • Consult with a Trainer: Working with a fitness trainer can provide personalized exercise plans and ensure that workouts are safe and effective.
  • Why it Matters: Improved physical fitness helps prepare the body for the stress of surgery and supports quicker recovery. Exercise can also help manage preoperative weight and improve overall health.

Smoking Cessation

Smoking can significantly impact surgical outcomes and recovery. It is crucial to quit smoking well before the surgery.
  • Quitting Timeline: Ideally, patients should stop smoking at least 4-6 weeks before the surgery. This allows time for the body to recover and reduces the risk of complications.
  • Smoking Cessation Programs: Enroll in smoking cessation programs or use resources such as nicotine replacement therapy or prescription medications to assist with quitting.
  • Why it Matters: Smoking can impair healing, increase the risk of complications, and negatively affect lung function. Quitting improves overall health and enhances surgical outcomes.

Mental and Emotional Preparation

Preparing mentally and emotionally for surgery is just as important as physical preparation.
  • Counseling: Consider meeting with a counselor or psychologist to address any fears or anxieties about the surgery. Mental health support can also help with coping strategies and stress management.
  • Support Groups: Joining a support group for individuals undergoing bariatric surgery can provide encouragement, shared experiences, and practical advice.
  • Why it Matters: Mental preparedness helps manage expectations and reduces pre-surgery anxiety. Emotional support is crucial for coping with the changes and challenges associated with surgery.

Home Preparation

Preparing your home environment can facilitate a smoother recovery period.
  • Creating a Recovery Space: Set up a comfortable area in your home where you can rest and recover post-surgery. This space should be easily accessible and equipped with necessary items such as medications, a comfortable chair, and easy-to-prepare foods.
  • Arranging Help: Arrange for someone to assist with household tasks and provide support during the initial recovery period.
  • Why it Matters: A well-prepared home environment enhances comfort and reduces stress during recovery. Having support at home can facilitate a smoother transition post-surgery.

Medical Equipment and Supplies

Certain medical supplies and equipment may be needed for recovery.
  • Post-Surgery Supplies: Purchase items such as compression garments, medical-grade pain relief products, and wound care supplies.
  • Medication Management: Ensure you have all prescribed medications and understand their usage, including pain management and any other post-surgery medications.
  • Why it Matters: Having the necessary supplies and medications on hand ensures that you are prepared for immediate post-surgery needs and reduces the likelihood of complications.

Understanding the Procedure and Aftercare

Being fully informed about the surgery and the recovery process is essential.
  • Educational Resources: Review educational materials provided by your surgical team, including information on the procedure, recovery expectations, and long-term lifestyle changes.
  • Preoperative Education Classes: Attend any preoperative education classes or seminars offered by your medical facility.
  • Why it Matters: Knowledge about the procedure and recovery helps manage expectations and prepares you for the changes that will follow. It also ensures that you are well-informed about the care required post-surgery.

Financial Preparation

Understanding the financial aspects of the surgery can help manage costs and avoid unexpected expenses.
  • Insurance Coverage: Verify with your insurance provider what is covered and what expenses you may need to pay out-of-pocket. Obtain pre-authorization if required.
  • Budgeting for Additional Costs: Plan for additional costs such as travel, accommodation, and any post-surgery expenses not covered by insurance.
  • Why it Matters: Financial preparation helps prevent surprises and ensures that you can manage the costs associated with the surgery and recovery.

Establishing a Support System

Building a strong support system is crucial for emotional and practical assistance.
  • Family and Friends: Inform your family and close friends about the surgery and how they can support you. Their encouragement and help can be invaluable.
  • Medical Team: Maintain open communication with your medical team to address any concerns or questions before and after the surgery.
  • Why it Matters: A strong support system provides emotional comfort, practical help, and encouragement throughout the surgical process and recovery.

Preparations with Your Doctor Before Gastric Sleeve Surgery

Preoperative Consultation

A thorough preoperative consultation with your surgeon is essential to discuss the details of the procedure and ensure you are a suitable candidate.
  • Discussion of Risks and Benefits: Your surgeon will explain the risks, benefits, and potential outcomes of the surgery.
  • Review of Medical History: Detailed review of your medical history, including any underlying health conditions, medications, and previous surgeries.
  • Why it Matters: This consultation ensures that you are well-informed about the procedure and that any health issues are addressed before surgery.

Comprehensive Medical Evaluation

A comprehensive medical evaluation is necessary to assess your overall health and readiness for surgery.
  • Physical Examination: A thorough physical exam to evaluate your general health and identify any potential issues that could impact the surgery.
  • Laboratory Tests: Blood tests to check for any abnormalities or conditions that may affect the surgery.
  • Why it Matters: A complete medical evaluation helps identify any potential risks and ensures that you are in optimal health for the surgery.

Preoperative Imaging and Testing

Imaging and additional tests provide valuable information about your anatomy and overall health.
  • Endoscopy: An endoscopic evaluation of the stomach and esophagus to check for any abnormalities.
  • Imaging Studies: Possible imaging studies such as abdominal ultrasound or CT scans to assess the size and condition of the liver and stomach.
  • Why it Matters: These tests provide essential information that guides the surgical approach and helps in planning the procedure.

Anesthesia Consultation

A consultation with an anesthesiologist ensures that you are prepared for the anesthesia used during the surgery.
  • Assessment of Anesthesia Needs: Review of your medical history and assessment of any previous anesthesia experiences.
  • Discussion of Anesthesia Options: Explanation of the type of anesthesia that will be used and any associated risks.
  • Why it Matters: Proper anesthesia planning ensures that you are safely managed during the surgery and reduces the risk of complications related to anesthesia.

Review of Postoperative Care Plan

Understanding the postoperative care plan is crucial for a successful recovery.
  • Postoperative Instructions: Detailed instructions on what to expect after surgery, including pain management, wound care, and activity restrictions.
  • Follow-Up Appointments: Scheduling follow-up visits to monitor recovery progress and address any issues.
  • Why it Matters: A clear understanding of the postoperative care plan helps ensure that you are prepared for recovery and can follow the necessary steps for a smooth healing process.

Nutritional and Lifestyle Counseling

Counseling from a nutritionist or dietitian helps prepare you for the dietary changes required after surgery.
  • Dietary Guidelines: Instructions on the post-surgery diet, including the transition from liquids to solid foods.
  • Lifestyle Modifications: Guidance on lifestyle changes needed to support long-term weight loss and health.
  • Why it Matters: Proper nutritional and lifestyle counseling helps you adjust to the new dietary requirements and supports long-term success after surgery.

Preparation of Medical Records

Ensuring that all medical records are up-to-date and accessible is important for the surgical team.
  • Medical Documentation: Compilation and review of all relevant medical records, including test results and previous health assessments.
  • Medical Clearance: Obtaining medical clearance from your primary care physician or other specialists if required.
  • Why it Matters: Complete and accurate medical records ensure that the surgical team has all necessary information to provide safe and effective care.

Planning for Hospital Stay

Planning for your hospital stay includes understanding what to expect and preparing for your time in the hospital.
  • Hospital Tour: Tour of the hospital or surgical center to familiarize yourself with the environment and procedures.
  • Preoperative Check-In: Understanding the check-in process and any requirements for the day of surgery.
  • Why it Matters: Familiarity with the hospital environment and procedures reduces anxiety and helps ensure a smooth admission process.

Coordination with Insurance Provider

Working with your insurance provider to manage coverage and expenses is essential.
  • Verification of Coverage: Confirming what aspects of the surgery are covered by insurance and what you may need to pay out-of-pocket.
  • Pre-Authorization: Obtaining pre-authorization for the surgery if required by your insurance plan.
  • Why it Matters: Proper coordination with your insurance provider helps manage costs and prevents unexpected financial burdens.

Establishing Post-Surgery Support

Planning for post-surgery support is crucial for a successful recovery.
  • Support System: Identifying family members or friends who can assist with post-surgery care and transportation.
  • Post-Surgery Care Resources: Accessing resources for additional support, such as online forums or support groups for individuals who have undergone gastric sleeve surgery.
  • Why it Matters: A strong support system provides emotional and practical assistance during the recovery period and contributes to a smoother transition post-surgery.

What happens during a gastric sleeve operation?

Preoperative Anesthesia Administration

Step Overview: The procedure begins with the administration of anesthesia to ensure that you are unconscious and pain-free throughout the surgery.

Preoperative Anesthesia:

  • Assessment: The anesthesiologist assesses your medical history and current health status to determine the appropriate anesthesia.
  • Anesthesia Delivery: Administration of general anesthesia through an intravenous (IV) line to induce unconsciousness.
  • Monitoring: Continuous monitoring of vital signs, including heart rate, blood pressure, and oxygen levels, to ensure stability throughout the procedure.
  • Why It Matters: Anesthesia is essential for ensuring that you are completely unaware of the surgery, allowing the surgeon to perform the procedure without causing you discomfort.

Surgical Incision

Step Overview: The surgeon makes several small incisions in the abdomen to insert the laparoscopic instruments.

Incision Creation:

  • Site Selection: The surgeon selects strategic locations for the incisions, usually in the upper abdomen.
  • Incision Making: Small incisions (typically 0.5 to 1 cm) are made using a scalpel or other surgical tools.
  • Port Placement: Surgical ports are inserted through these incisions to provide access for laparoscopic instruments and the camera.
  • Why It Matters: The small incisions used in laparoscopic surgery result in less postoperative pain and quicker recovery compared to open surgery.

Insertion of Laparoscopic Instruments

Step Overview: The laparoscopic instruments are inserted through the incisions to perform the surgery.

Instrument Insertion:

  • Camera Placement: A laparoscope (a thin, flexible tube with a camera) is inserted through one of the incisions to provide a visual feed of the surgical area.
  • Surgical Tools: Other specialized instruments are inserted through the remaining incisions to manipulate tissues and perform the procedure.
  • Why It Matters: Laparoscopic tools allow the surgeon to view and operate on the internal organs with precision while minimizing tissue disruption.

Inflation of the Abdomen

Step Overview: The abdomen is inflated with carbon dioxide gas to create a working space for the surgeon.

Abdominal Inflation:

  • Gas Introduction: Carbon dioxide is introduced into the abdominal cavity through a cannula to expand the area.
  • Pressure Monitoring: The surgeon monitors the pressure of the gas to ensure adequate space for maneuvering the instruments.
  • Why It Matters: Inflation of the abdomen provides a clear view of the internal organs and creates sufficient space for the surgeon to work.

Visualization and Inspection

Step Overview: The surgeon uses the laparoscope to inspect and visualize the stomach and surrounding structures.

Inspection Process:

  • Camera Adjustment: The laparoscope’s camera is adjusted to provide a detailed view of the stomach and other abdominal organs.
  • Inspection: The surgeon inspects the stomach to assess its condition and plan the resection.
  • Why It Matters: Accurate visualization is crucial for determining the appropriate surgical approach and ensuring that the procedure is performed correctly.

Resection of the Stomach

Step Overview: The majority of the stomach is removed to create a sleeve-shaped stomach.

Stomach Resection:

  • Stomach Division: The surgeon uses a stapling device to divide the stomach along a predefined line, typically leaving a tube-like structure.
  • Tissue Removal: The removed portion of the stomach is extracted through one of the incisions.
  • Why It Matters: The resection reduces the stomach size, which helps in limiting food intake and facilitating weight loss.

Stapling and Sealing

Step Overview: The remaining portion of the stomach is sealed to prevent leaks and ensure proper function.

Stapling and Sealing:

  • Stapling: A stapling device is used to secure the edges of the remaining stomach, creating a sleeve and ensuring there are no leaks.
  • Leak Testing: The surgeon may test the newly formed stomach sleeve for leaks to ensure that it is sealed properly.
  • Why It Matters: Proper stapling and sealing are essential to prevent postoperative complications such as leaks, which can lead to infection and other issues.

Removal of Instruments and Closure of Incisions

Step Overview: After the surgery is complete, the laparoscopic instruments are removed, and the incisions are closed.

Instrument Removal:

  • Tool Extraction: The surgeon carefully removes the laparoscopic instruments and the laparoscope from the abdomen.
  • Incision Closure: The incisions are closed using sutures or surgical adhesive.
  • Why It Matters: Closing the incisions properly reduces the risk of infection and promotes faster healing.

Postoperative Monitoring

Step Overview: Once the surgery is complete, you are monitored in the recovery area for any immediate postoperative issues.

Monitoring Process:

  • Vital Signs Monitoring: Continuous monitoring of vital signs, including heart rate, blood pressure, and oxygen levels.
  • Recovery Assessment: Assessment of your recovery progress, including pain levels and response to anesthesia.
  • Why It Matters: Close monitoring ensures that any complications or adverse reactions are identified and managed promptly.

Transfer to Recovery Room

Step Overview: After stabilization, you are transferred to the recovery room where you will continue to be monitored and begin the recovery process.

Transfer Process:

  • Patient Transport: You are carefully transported from the operating room to the recovery room.
  • Recovery Room Setup: The recovery room is equipped with necessary medical support and monitoring devices.
  • Why It Matters: The recovery room provides a controlled environment for initial recovery and allows for continued observation and care.

What happens After a Gastric Sleeve Surgery?

Short-Term Healing Period

Immediate Post-Operative Care

Recovery Room Monitoring
Upon completion of your surgery, you’ll be moved to the recovery room where initial monitoring and care are critical for your immediate post-operative stability.
  • Vital Signs Monitoring: Continuous observation of your heart rate, blood pressure, and oxygen saturation to ensure they remain within normal ranges.
  • Pain Management: Administration of analgesics to manage pain. This may include intravenous (IV) pain medications initially, transitioning to oral medications as you recover.
  • Nausea and Vomiting Control: Medications to prevent nausea and manage any postoperative vomiting, which can be a common side effect of anesthesia.
Initial Mobilization
Mobilization is crucial to reduce the risk of postoperative complications like blood clots and to promote faster recovery.
  • Assisted Sitting Up: The medical staff will assist you in sitting up, which can help reduce the risk of blood clots and aid in respiratory function.
  • Early Walking: As soon as you are able, short walks may be encouraged to stimulate circulation and prevent complications such as deep vein thrombosis (DVT).
Dietary Changes
Your diet will start with liquids and gradually transition to more solid foods as your body heals and adjusts.
  • Clear Liquids: Start with clear liquids such as water, clear broths, and diluted fruit juices. This is to ensure your stomach can handle intake without complications.
  • Full Liquids: Progress to full liquids like milk, yogurt, and protein shakes. These help in providing essential nutrients while being easy on the stomach.

Hospital Discharge

Discharge Planning
Before leaving the hospital, you’ll be thoroughly briefed on post-operative care, ensuring you have a clear understanding of the steps to take once home.
  • Discharge Instructions: Receive comprehensive written and verbal instructions covering wound care, dietary restrictions, and activity levels.
  • Follow-Up Appointments: Schedule follow-up visits with your surgeon to monitor your progress and address any concerns.
Home Care
Managing your care at home involves adherence to medical advice and self-care practices.
  • Wound Care: Regular cleaning and dressing of the surgical sites to prevent infection. Follow specific instructions on how to care for the incisions.
  • Medication Management: Take prescribed medications as directed. This may include pain relievers, antibiotics, and any other medications necessary for healing.

Managing Post-Surgery Symptoms

Pain and Discomfort
Postoperative pain is common, and managing it effectively is crucial for comfort and recovery.
  • Pain Management: Continue using prescribed pain medications. Adjust dosages as advised by your healthcare provider to balance pain relief with potential side effects.
  • Comfort Measures: Use supportive pillows and adjust sleeping positions to minimize discomfort around the incision sites.
Swelling and Bruising
Swelling and bruising are typical after laparoscopic surgery, though usually mild.
  • Cold Compresses: Applying cold compresses can help reduce swelling and bruising around the incisions.
  • Elevation: Elevating the upper body can assist in reducing swelling.
Gastrointestinal Adjustments
Your digestive system will need to adjust to the changes from surgery.
  • Gas and Bloating: Gas and bloating can occur. Gentle movements and medications to relieve gas may be helpful.
  • Constipation: Post-surgery changes in diet and activity can lead to constipation. Incorporate high-fiber foods and possibly mild laxatives if needed.

Activity and Exercise

Physical Activity
Gradually increasing your physical activity supports recovery and helps prevent complications.
  • Walking: Begin with light walking shortly after surgery. This promotes circulation and helps prevent blood clots.
  • Exercise Restrictions: Avoid heavy lifting and high-impact exercises until your surgeon clears you for more strenuous activities.
Hydration and Nutrition
Maintaining proper hydration and following dietary guidelines is critical for recovery and long-term success.
  • Hydration: Ensure you drink plenty of fluids to stay hydrated. Aim for water and clear liquids initially, transitioning to other beverages as tolerated.
  • Diet Compliance: Adhere to the prescribed diet to support healing and promote weight loss. This typically includes protein-rich, low-calorie foods.

Long-Term Healing Period

Diet Progression

Transition to Solid Foods
As your recovery progresses, you’ll transition from liquids to solid foods in a structured manner.
  • Pureed Foods: Begin with pureed foods that are soft and easy to digest. Examples include applesauce, mashed potatoes, and soups.
  • Soft Foods: Gradually introduce soft, solid foods like tender meats, scrambled eggs, and well-cooked vegetables.
Long-Term Dietary Changes
Adopting a new dietary regimen is essential for sustained weight loss and overall health.
  • Nutritional Balance: Focus on a diet high in protein and low in carbohydrates and fats. Incorporate a variety of fruits, vegetables, lean proteins, and whole grains.
  • Meal Planning: Plan meals to prevent overeating and ensure nutrient adequacy. Small, frequent meals may be recommended.

Physical Recovery

Exercise Routine
Developing a consistent exercise routine supports weight loss and overall health.
  • Low-Impact Activities: Start with low-impact exercises such as walking, swimming, or cycling. These activities are gentle on your body while promoting cardiovascular health.
  • Gradual Intensity Increase: As you gain strength and endurance, gradually increase the intensity and duration of your workouts.
Body Changes
Weight loss will bring changes in body shape and size, which may require additional attention.
  • Skin Care: Address changes in skin texture and elasticity. Proper skin care and possibly cosmetic procedures for excess skin might be considered.
  • Body Contouring: In some cases, patients may opt for body contouring surgeries to address loose skin and achieve a more contoured appearance.

Monitoring and Follow-Up

Regular Check-Ups
Routine follow-up appointments with your healthcare provider are crucial for ongoing health management.
  • Medical Evaluations: Regular evaluations to monitor weight loss progress, assess nutritional status, and ensure proper healing.
  • Lab Tests: Blood tests may be performed to check for nutritional deficiencies or other health issues.
Behavioral Support
Behavioral and lifestyle support plays a vital role in long-term success.
  • Counseling: Access to psychological support to address emotional and behavioral aspects of weight loss and body image.
  • Lifestyle Coaching: Assistance with adapting to new lifestyle habits, including dietary changes and exercise routines.

Potential Complications

Recognizing Issues
Awareness of potential complications is crucial for prompt intervention.
  • Signs of Infection: Be alert for symptoms of infection such as fever, increased redness, or discharge from incision sites.
  • Gastrointestinal Issues: Report persistent nausea, vomiting, or severe abdominal pain to your healthcare provider.
Long-Term Health Monitoring
Ongoing monitoring ensures you stay on track with your health goals and address any emerging issues.
  • Nutritional Deficiencies: Monitor for deficiencies in essential vitamins and minerals. Supplementation may be necessary based on lab results.
  • Weight Maintenance: Strategies for maintaining weight loss, including ongoing dietary and lifestyle adjustments.

Emotional and Psychological Adjustment

Adjusting to Change
Adapting to significant weight loss and body changes requires psychological adjustment.
  • Emotional Support: Engage with mental health professionals or support groups to help manage any psychological impact of weight loss.
  • Body Image: Address changes in body image and self-esteem through counseling or support groups.
Maintaining Motivation
Sustaining motivation is key to long-term success.
  • Goal Setting: Set realistic and achievable goals for weight loss and overall health.
  • Support Systems: Lean on family, friends, or support groups for encouragement and accountability.

Conclusion.

Gastric sleeve surgery can be a life-changing procedure, but understanding the costs involved is essential to making an informed decision. By considering factors such as clinic reputation, surgeon experience, and additional services, you can better manage your budget and expectations. Turkey offers a range of options for gastric sleeve surgery, making it an attractive destination for many seeking affordable yet high-quality care. Take the time to research, compare, and plan your procedure to ensure the best possible outcome for your weight-loss journey.